Skilled nursing facility · CMS certification number 555918
FOWLER CARE CENTER
FOWLER, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 46
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,132,065 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,518,694 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,613,371 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,618,464 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $994,907 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $994,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $994,907 (CMS-2540-10 worksheet G300000 line 3100 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 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,836 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 445 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,278 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,148 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 54 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438365, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,154,434 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$2,016,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,170,486 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,351,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,819,094 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,287 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,825,381 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,825,381 (CMS-2540-10 worksheet G300000 line 3100 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 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,593 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 107.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395307, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,806,783 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $72,938 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,733,845 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,348,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$614,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,888 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$616,479 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$616,479 (CMS-2540-10 worksheet G300000 line 3100 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 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,610 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367104, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,871,987 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$309,577 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,181,564 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,539,110 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$357,546 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $155,192 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$202,354 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$202,354 (CMS-2540-10 worksheet G300000 line 3100 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 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,271 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 260.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 738.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 460.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334140, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,494,876 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$443,697 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,938,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,551,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$613,323 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $285,749 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$327,574 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$327,574 (CMS-2540-10 worksheet G300000 line 3100 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 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,068 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 585 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 744.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 502.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301328, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for November 9, 2019 to December 31, 2019 — a reporting period of 52 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 28, 2020.
None of these figures is carried on this report.
CMS report record 1269938, read from the public cost report file SNF10FY2020.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 |
|---|---|---|---|---|
| CHESLEY, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| FOWLER CARE CENTER HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 05/17/2019 |
| SWC CA OPCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| CHESLEY, AARON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| GAMETT, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| FOWLER CARE CENTER HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/17/2019 |
| SMITH, PHYLICIA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2021 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FOWLER CARE CENTER LLC (enrollment ID O20190909003530).
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 |
|---|---|---|---|---|---|
| AARON CHESLEY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AJC HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| FOWLER CARE CENTER HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 5/17/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES B GAMETT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JBG PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 2/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SWC CA OPCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 2/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON CHESLEY | Individual | CORPORATE OFFICER | Not stated in the filing | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES B GAMETT | Individual | CORPORATE OFFICER | Not stated in the filing | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FOWLER CARE CENTER HOLDINGS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 5/17/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| PHYLICIA SMITH | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 2/1/2021 | 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
- September 1, 2026: ownership_type: For profit - Limited Liability company → For profit - Corporation. NH_ProviderInfo_Sep2026_3.csv
- July 2, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0812, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0732, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0658, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0554, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 25, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 28, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 2, 2026 | July 2, 2026 | 8 | 7 |
| 2 | March 7, 2025 | March 7, 2025 | 14 | 5 |
| 3 | March 15, 2024 | March 15, 2024 | 12 | 9 |
| 3 | May 8, 2023 | May 8, 2023 | 17 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
47 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 2, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 20, 2026 |
| July 2, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | July 20, 2026 |
| July 2, 2026 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | D | No | Deficient, Provider has date of correction | July 20, 2026 |
| July 2, 2026 | 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 | July 20, 2026 |
| July 2, 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 | July 20, 2026 |
| July 2, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 20, 2026 |
| May 7, 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. | F | Yes | Deficient, Provider has date of correction | May 11, 2026 |
| April 3, 2026 | 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. | D | Yes | Deficient, Provider has date of correction | April 20, 2026 |
| March 7, 2025 | 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 | March 17, 2025 |
| March 7, 2025 | Health | F 0557 | Resident Rights Deficiencies | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | No | Deficient, Provider has date of correction | March 17, 2025 |
| March 7, 2025 | 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. | D | No | Deficient, Provider has date of correction | March 17, 2025 |
| March 7, 2025 | 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 | March 17, 2025 |
| March 7, 2025 | 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 | March 17, 2025 |
| March 7, 2025 | 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 | March 17, 2025 |
| March 7, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | March 17, 2025 |
| March 7, 2025 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | March 17, 2025 |
| March 7, 2025 | 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 | March 17, 2025 |
| March 7, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | March 17, 2025 |
| March 7, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | March 17, 2025 |
| March 7, 2025 | 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 | March 17, 2025 |
| November 13, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | December 3, 2024 |
| September 26, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | October 14, 2024 |
| June 27, 2024 | 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. | E | Yes | Deficient, Provider has date of correction | August 6, 2024 |
| June 7, 2024 | 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. | D | Yes | Deficient, Provider has date of correction | June 27, 2024 |
| March 15, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | April 15, 2024 |
| March 15, 2024 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | April 15, 2024 |
| March 15, 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. | D | No | Deficient, Provider has date of correction | April 15, 2024 |
| March 15, 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. | F | No | Deficient, Provider has date of correction | April 15, 2024 |
| March 15, 2024 | 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. | E | No | Deficient, Provider has date of correction | April 15, 2024 |
| March 15, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | April 15, 2024 |
| March 15, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has no plan of correction | |
| March 15, 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 | April 15, 2024 |
| January 23, 2024 | 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 | Yes | Deficient, Provider has date of correction | March 6, 2024 |
| January 23, 2024 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Yes | Deficient, Provider has date of correction | March 6, 2024 |
| May 8, 2023 | 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 | June 1, 2023 |
| May 8, 2023 | 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 | June 1, 2023 |
| May 8, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 1, 2023 |
| May 8, 2023 | 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 | June 1, 2023 |
| May 8, 2023 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 1, 2023 |
| May 8, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | June 1, 2023 |
| May 8, 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. | D | No | Deficient, Provider has date of correction | June 1, 2023 |
| May 8, 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. | F | No | Deficient, Provider has date of correction | June 1, 2023 |
| May 8, 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 | June 1, 2023 |
| May 8, 2023 | 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 | June 1, 2023 |
| May 8, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 1, 2023 |
| May 8, 2023 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | No | Waiver has been granted | June 1, 2023 |
| May 8, 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | No | Deficient, Provider has date of correction | June 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | FOWLER CARE CENTER LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-11-09 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fresno |
| Telephone Number | 5598342519 |
| Chain Name | AJC HEALTHCARE |
| Chain ID | 616 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 46 |
| Average Number of Residents per Day | 43.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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One email a day naming what moved on FOWLER CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: ownership_type: For profit - Limited Liability company → For profit - Corporation. That is one line of the alert.
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The citable document for FOWLER CARE CENTER
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 555918.