Nursing HomeInspections

Grace Healthcare Center

Nursing home in Fresno, CA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
2939 S. Peach Avenue, Fresno, CA 93725
Phone
(559) 233-6248
Listed under
For-profit
Medicare CCN
555352
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
101
Average residents per day
60
Ownership
For-profit, limited Liability company
Legal business name
R. Fellen, INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555352. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 20, 2026. CMS lists 74 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Aug 5, 2026): 21 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 24, 2026Have 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.
Nursing and Physician Services · complaint inspection
F
Potential for more than minimal harm, widespread
Jul 24, 2026Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread
Jul 10, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 10, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 10, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
May 27, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
May 27, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 20, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 20, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 20, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 20, 2026Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 74. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 0 fines totalling $0 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 5, 2025Payment denial for 4 days from Oct 11, 2025

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.47 hours
Registered nurse (RN) time per resident per day
0.28 hours
Nurse aide time per resident per day
1.98 hours
Total nurse staffing on weekends
2.35 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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