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Nursing homesCalifornia › Fowler Care Center

Fowler Care Center

8448 East Adams Avenue, Fowler, CA 93625 · 5598342519 · 46 certified beds

Overall★★★☆☆ 3/5
Health inspections★★☆☆☆ 2/5
Staffing★★☆☆☆ 2/5
Quality measures★★★★★ 5/5

Ownership group

Per CMS filings, this facility is affiliated with Ajc Healthcare, a group operating 14 facilities in 1 states. Group record: average rating 2.2/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $830,489 in federal fines. This facility rates above its group average (2.2/5).

See all 14 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 4.19 (California median: 4.24). RN hours: 0.19. Weekend total: 3.96. Nursing staff turnover: 51%.

Inspection deficiencies

All-time on record: 41 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-07Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Fcomplaintcorrected 2026-05-11
2026-04-03Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-04-20
2025-03-07Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-03-17
2025-03-07Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. FHealthcorrected 2025-03-17
2025-03-07Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. EHealthcorrected 2025-03-17
2025-03-07Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2025-03-17
2025-03-07Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2025-03-17
2025-03-07Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2025-03-17
2025-03-07Provide and implement an infection prevention and control program. EHealthcorrected 2025-03-17
2025-03-07Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2025-03-17
2025-03-07Honor 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. DHealthcorrected 2025-03-17
2025-03-07Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. DHealthcorrected 2025-03-17
2025-03-07Provide special eating equipment and utensils for residents who need them and appropriate assistance. DHealthcorrected 2025-03-17
2025-03-07Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. BHealthcorrected 2025-03-17
2024-11-13Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-12-03
2024-09-26Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-10-14
2024-06-27Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2024-08-06
2024-06-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-06-27
2024-03-15Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-04-15
2024-03-15Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. FHealthcorrected 2024-04-15
2024-03-15Honor 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. EHealthcorrected 2024-04-15
2024-03-15Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. EHealthcorrected 2024-04-15
2024-03-15Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2024-04-15
2024-03-15Ensure 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. DHealthcorrected 2024-04-15
2024-03-15Keep all essential equipment working safely. DHealthcorrected 2024-04-15
2024-03-15Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. BHealthDeficient, Provider has no plan of correction
2024-01-23Make sure that a working call system is available in each resident's bathroom and bathing area. Ecomplaintcorrected 2024-03-06
2024-01-23Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Dcomplaintcorrected 2024-03-06
2023-05-08Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. FHealthcorrected 2023-06-01
2023-05-08Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-06-01
2023-05-08Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. FHealthcorrected 2023-06-01
2023-05-08Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. EHealthcorrected 2023-06-01
2023-05-08Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2023-06-01
2023-05-08Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. DHealthcorrected 2023-06-01
2023-05-08Ensure each resident receives an accurate assessment. DHealthcorrected 2023-06-01
2023-05-08Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2023-06-01
2023-05-08Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2023-06-01
2023-05-08Provide 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. DHealthcorrected 2023-06-01
2023-05-08Ensure 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. DHealthcorrected 2023-06-01
2023-05-08Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. DHealthcorrected 2023-06-01

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
FOWLER CARE CENTER HOLDINGS LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 05/17/2019
SWC CA OPCO, LLC5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2021
CHESLEY, AARON5% Or Greater Indirect Ownership InterestIndividualNO PERCENTAGE PROVIDEDsince 02/01/2021
CHESLEY, AARONCorporate OfficerIndividualNOT APPLICABLEsince 02/01/2021
GAMETT, JAMESCorporate OfficerIndividualNOT APPLICABLEsince 02/01/2021
FOWLER CARE CENTER HOLDINGS LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 05/17/2019

Compare nearby (Fresno County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555918. Corrections: data@carerecords.org.