Grace Healthcare Center

Nursing home in Fresno, CA

Medicare & Medicaid certified1★ overall (CMS)

Call (559) 233-6248 Send a message Map ↗

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: 4 of 5
Quality measures rating: 3 of 5
Certified beds: 101
Average residents per day: 58
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 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 20, 2026. CMS lists 70 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to May 27, 2026): 17 from complaint inspections, 1 at the “actual harm” level or higher.

Inspection	Citation	Severity
May 27, 2026	Ensure 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, 2026	Provide 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, 2026	Honor 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, 2026	Immediately 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, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Mar 20, 2026	Notify 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
Mar 20, 2026	Develop 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	D Potential for more than minimal harm, isolated
Mar 20, 2026	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Mar 20, 2026	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. Nursing and Physician Services	D Potential for more than minimal harm, isolated
Mar 20, 2026	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services	D Potential for more than minimal harm, isolated
Mar 20, 2026	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service	D Potential for more than minimal harm, isolated
Mar 20, 2026	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… Pharmacy Service	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 70. 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 Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $13,761 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 5, 2025	Payment denial for 4 days from Oct 11, 2025
Sep 5, 2023	Fine: $4,587
Aug 28, 2023	Fine: $4,587
Aug 21, 2023	Fine: $4,587

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

Staffing

Total nurse staffing per resident per day: 4.39 hours
Registered nurse (RN) time per resident per day: 0.81 hours
Nurse aide time per resident per day: 3.05 hours
Total nurse staffing on weekends: 3.87 hours
Nursing staff turnover (yearly): 46%
RN turnover (yearly): 44%
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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