Nursing HomeInspections

Grand Oaks Care

Nursing home in Tulare, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (559) 687-1340Send a messageMap ↗

Public-record details

Address
897 North M Street, Tulare, CA 93274
Phone
(559) 687-1340
Listed under
For-profit, No fines in 3 years
Medicare CCN
555861
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
99
Average residents per day
93
Ownership
For-profit, limited Liability company
Legal business name
Grand Oaks Care LLC
Chain
Ajc Healthcare (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 26, 2009
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 555861. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 55 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 13, 2022 to Mar 12, 2026): 20 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 12, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 12, 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		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure 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
Feb 12, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Sep 2, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jul 29, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 3, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 9, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 29, 2025Develop 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

Showing the 12 most recent of 55. 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 no fines or payment denials for this facility in the last three years.

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
4.25 hours
Registered nurse (RN) time per resident per day
0.34 hours
Nurse aide time per resident per day
2.77 hours
Total nurse staffing on weekends
3.81 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
25%
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.

Other nursing homes in Tulare

Tulare Healthcare & Wellness Center, LP680 East Merritt Avenue · Tulare, CA 93274 · (559) 686-8581 · For-profit72 health citations in 3 inspection cycles · last standard inspection Mar 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)Orchards at Tulare604 E. Merritt Ave. · Tulare, CA 93274 · (559) 686-1601 · For-profit89 health citations in 3 inspection cycles · last standard inspection May 8, 2025 · $68,938 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 3 in Tulare →