Skilled nursing facility · CMS certification number 555352
GRACE HEALTHCARE CENTER
FRESNO, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 101
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: September 5, 2025, Payment Denial. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for February 1, 2019 to April 11, 2019 — a reporting period of 69 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 16, 2022.
None of these figures is carried on this report.
CMS report record 1310509, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended January 31, 2018
Cost report for February 1, 2017 to January 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 3, 2021.
None of these figures is carried on this report.
CMS report record 1306285, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended January 31, 2017
Cost report for February 1, 2016 to January 31, 2017 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 8, 2022.
None of these figures is carried on this report.
CMS report record 1311629, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended January 31, 2016
Cost report for February 1, 2015 to January 31, 2016 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 16, 2022.
None of these figures is carried on this report.
CMS report record 1310508, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended January 31, 2015
Cost report for February 1, 2014 to January 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.
None of these figures is carried on this report.
CMS report record 1116928, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended January 31, 2014
Cost report for February 1, 2013 to January 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 3, 2014.
None of these figures is carried on this report.
CMS report record 1081427, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended January 31, 2013
Cost report for February 1, 2012 to January 31, 2013 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
None of these figures is carried on this report.
CMS report record 1053663, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended January 31, 2012
Cost report for February 1, 2011 to January 31, 2012 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 14, 2012.
None of these figures is carried on this report.
CMS report record 1004259, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended January 31, 2011
Cost report for February 1, 2010 to January 31, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 18, 2011.
None of these figures is carried on this report.
CMS report record 420402, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended January 31, 2010
Cost report for February 1, 2009 to January 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 31, 2013.
None of these figures is carried on this report.
CMS report record 434139, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended January 31, 2009
Cost report for February 1, 2008 to January 31, 2009 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,469,708 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,567,563 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$97,855 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$98,655 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,434 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 527.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 451.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358408, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended January 31, 2008
Cost report for February 1, 2007 to January 31, 2008 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 17, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,351,089 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,667,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$316,882 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,187 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$313,495 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,238 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 967.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 724.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 328526, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended January 31, 2007
Cost report for February 1, 2006 to January 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 7, 2007.
None of these figures is carried on this report.
CMS report record 291240, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended January 31, 2005
Cost report for February 1, 2004 to January 31, 2005 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,851,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,060,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$209,704 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,185 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $800 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$207,319 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,325 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 787.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 687.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236968, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended January 31, 2004
Cost report for February 1, 2003 to January 31, 2004 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 23, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,782,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,855,557 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$73,300 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,945 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$67,355 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,079 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 470.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 203408, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended January 31, 2003
Cost report for February 1, 2002 to January 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,570,285 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,698,115 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$127,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,425 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$100 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$125,305 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,126 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 103 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 575.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 428.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173813, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended January 31, 2002
Cost report for February 1, 2001 to January 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,354,745 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,318,885 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $35,860 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,029 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,645 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $31,244 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,830 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 994.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 903.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 170680, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended January 31, 2001
Cost report for February 1, 2000 to January 31, 2001 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,124,840 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,989,112 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $135,728 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $48,467 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $89,294 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,059 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 977.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 908.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97990, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended January 31, 2000
Cost report for February 1, 1999 to January 31, 2000 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,591,945 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,676,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$85,043 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,141 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,509 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$87,411 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,210 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,101.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,007.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97988, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended January 31, 1999
Cost report for February 1, 1998 to January 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on November 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,474 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 127.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,353.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,133.62 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97987, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended January 31, 1998
Cost report for February 1, 1997 to January 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 11, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,785,278 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,830,368 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$45,090 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,458 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$42,632 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 580.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 411.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97985, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended January 31, 1997
Cost report for February 1, 1996 to January 31, 1997 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 9, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,196,112 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,228,487 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$32,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,101 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,274 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,880 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,263.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 653.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 97984, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GONZALEZ, LLATISHA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | since 08/31/2017 |
| GONZALEZ, LLATISHA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/20/2017 |
| GONZALEZ, LLATISHA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/20/2017 |
| GONZALEZ, LLATISHA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/20/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of R. FELLEN, INC. (enrollment ID O20071211000042).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| LLATISHA M GONZALEZ | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/31/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LLATISHA M GONZALEZ | Individual | CORPORATE DIRECTOR | 100 | 7/20/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LLATISHA M GONZALEZ | Individual | CORPORATE OFFICER | 100 | 7/20/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LLATISHA M GONZALEZ | Individual | W-2 MANAGING EMPLOYEE | 100 | 7/20/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- July 24, 2026: A deficiency was cited under tag F 0882, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0727, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0692, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0658, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- March 8, 2022: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- February 16, 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- February 16, 2022: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- December 10, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- December 3, 2021: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- December 3, 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 27, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 31, 2013: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- September 14, 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- November 18, 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- October 29, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- November 17, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- August 7, 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- November 16, 2005: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- December 23, 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- April 27, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- March 9, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- February 26, 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- September 24, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- November 12, 1999: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- March 11, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- March 9, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 20, 2026 | March 20, 2026 | 24 | 14 |
| 2 | September 13, 2024 | September 13, 2024 | 27 | 8 |
| 3 | June 16, 2023 | June 16, 2023 | 22 | 21 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
75 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 24, 2026 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Yes | Deficient, Provider has no plan of correction | |
| July 24, 2026 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Yes | Deficient, Provider has no plan of correction | |
| July 10, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | July 29, 2026 |
| July 10, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | Yes | Deficient, Provider has date of correction | July 29, 2026 |
| July 10, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | July 29, 2026 |
| May 27, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | Yes | Deficient, Provider has date of correction | June 20, 2026 |
| May 27, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | E | Yes | Deficient, Provider has date of correction | June 20, 2026 |
| March 20, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0646 | Resident Assessment and Care Planning Deficiencies | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0911 | Environmental Deficiencies | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | F | No | Deficient, Provider has date of correction | April 16, 2026 |
| March 20, 2026 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | E | No | Deficient, Provider has date of correction | April 16, 2026 |
| September 5, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | October 15, 2025 |
| December 23, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Yes | Deficient, Provider has date of correction | January 23, 2025 |
| October 2, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | F | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 2, 2024 | Health | F 0945 | Infection Control Deficiencies | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| September 13, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0911 | Environmental Deficiencies | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | C | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 13, 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | October 15, 2024 |
| May 16, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 4, 2024 |
| January 4, 2024 | Health | F 0573 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Yes | Deficient, Provider has date of correction | March 1, 2024 |
| August 22, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | September 5, 2023 |
| August 22, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | September 5, 2023 |
| June 16, 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0638 | Resident Assessment and Care Planning Deficiencies | Assure that each resident’s assessment is updated at least once every 3 months. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | F | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0802 | Nutrition and Dietary Deficiencies | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | D | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0911 | Environmental Deficiencies | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | No | Deficient, Provider has date of correction | August 1, 2023 |
| June 16, 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | No | Deficient, Provider has date of correction | August 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 5, 2025 | Payment Denial | October 11, 2025 | 4 | ||
| September 5, 2023 | Fine | $4,587 | 128678 | ||
| August 28, 2023 | Fine | $4,587 | 128615 | ||
| August 21, 2023 | Fine | $4,587 | 128554 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | R. FELLEN, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-06-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fresno |
| Telephone Number | 5592336248 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 101 |
| Average Number of Residents per Day | 58.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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On July 24, 2026: A deficiency was cited under tag F 0882, scope and severity F. That is one line of the alert.
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This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555352.