Starfile / California

GRACE HEALTHCARE CENTER

2939 S. PEACH AVENUE, FRESNO, CA 93725 · CCN 555352

Abuse icon

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$50,106

Number of fines

7

Number of penalties

9

Payment denials

2

Inspection citations (70)1 actual harm

1. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-05 · Health · corrected 2025-10-15

   Actual harm

2. DF0727Have 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.2024-12-23 · Health · corrected 2025-01-23

   Potential for more than minimal harm

3. FF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

5. FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

6. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

7. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

8. EF0880Provide and implement an infection prevention and control program.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

9. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-10-02 · Health · corrected 2024-11-15

   Potential for more than minimal harm

10. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-10-02 · Health · corrected 2024-11-15

    Potential for more than minimal harm

11. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-10-02 · Health · corrected 2024-11-15

    Potential for more than minimal harm

12. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

14. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

15. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

16. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

17. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

18. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

19. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

21. EF0761Ensure 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.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

22. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

23. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

24. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

25. FF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

26. DF0908Keep all essential equipment working safely.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

27. CF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2024-09-13 · Health · corrected 2024-10-15

    Potential for minimal harm

28. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-09-13 · Health · corrected 2024-10-15

    Potential for more than minimal harm

29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-16 · Health · corrected 2024-06-04

    Potential for more than minimal harm

30. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-01-04 · Health · corrected 2024-03-01

    Potential for more than minimal harm

31. EF0584Honor 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.2023-08-22 · Health · corrected 2023-09-05

    Potential for more than minimal harm

32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-22 · Health · corrected 2023-09-05

    Potential for more than minimal harm

33. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

34. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

35. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

36. FF0641Ensure each resident receives an accurate assessment.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

37. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

38. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

39. DF0692Provide enough food/fluids to maintain a resident's health.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

40. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

41. DF0727Have 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.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

42. EF0759Ensure medication error rates are not 5 percent or greater.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

43. EF0760Ensure that residents are free from significant medication errors.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

44. EF0761Ensure 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.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

45. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

46. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

47. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

48. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

49. DF0814Dispose of garbage and refuse properly.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

50. FF0880Provide and implement an infection prevention and control program.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

51. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2023-06-16 · Health · corrected 2023-08-01

    Potential for minimal harm

52. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-16 · Health · corrected 2023-08-01

    Potential for more than minimal harm

53. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-05-30 · Health · corrected 2023-07-14

    Potential for more than minimal harm

54. FF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-05-30 · Health · corrected 2023-07-14

    Potential for more than minimal harm

55. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-05 · Health · corrected 2023-04-16

    Potential for more than minimal harm

56. FF0727Have 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.2023-04-05 · Health · corrected 2023-04-16

    Potential for more than minimal harm

57. EF0727Have 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.2023-03-16 · Health · corrected 2023-04-05

    Potential for more than minimal harm

58. EF0760Ensure that residents are free from significant medication errors.2023-03-16 · Health · corrected 2023-04-05

    Potential for more than minimal harm

59. EF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-03-16 · Health · corrected 2023-04-05

    Potential for more than minimal harm

60. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

61. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

62. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

63. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

64. EF0759Ensure medication error rates are not 5 percent or greater.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

65. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

66. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

67. FF0814Dispose of garbage and refuse properly.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

68. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

69. FF0880Provide and implement an infection prevention and control program.2019-10-31 · Health · corrected 2020-02-21

    Potential for more than minimal harm

70. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2019-10-31 · Health · corrected 2020-02-21

    Potential for minimal harm

Ownership

Other facilities in FRESNO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.