Palms Care Center

1010 Ventura Avenue · Chowchilla, CA · 93610 · 5596654826

65 certified beds For profit - Limited Liability company Chain: Ajc Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 88
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 76
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.323.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day3.86≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)none

Inspection citations (39 in the current record)

  • Potential for harm · E April 4, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 4, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 4, 2025

    Provide activities to meet all resident's needs.

    Corrected April 8, 2025 · Quality of Life and Care

  • Potential for harm · F April 4, 2025

    Post nurse staffing information every day.

    Corrected April 8, 2025 · Nursing and Physician Services

  • Potential for harm · D April 4, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected April 8, 2025 · Nutrition and Dietary

  • Potential for harm · D April 4, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 4, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 8, 2025 · Infection Control

  • Potential for harm · D April 4, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected April 8, 2025 · Environmental

  • Actual harm · G July 30, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 4, 2024 · Quality of Life and Care

  • Potential for harm · D April 19, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 12, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected May 12, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

    Honor 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.

    Corrected May 12, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

    Ensure each resident receives an accurate assessment.

    Corrected May 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 19, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 19, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 19, 2024

    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 locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 12, 2024 · Pharmacy Service

  • Potential for harm · F April 19, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected May 12, 2024 · Nutrition and Dietary

  • Potential for harm · F April 19, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 12, 2024 · Nutrition and Dietary

  • Potential for harm · D April 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 12, 2024 · Infection Control

  • Potential for harm · E November 29, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 11, 2023 · Quality of Life and Care

  • Immediate jeopardy · K November 10, 2021

    Try 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.

    Corrected March 4, 2022 · Quality of Life and Care

  • Potential for harm · D November 10, 2021

    Keep residents' personal and medical records private and confidential.

    Corrected March 4, 2022 · Resident Rights

  • Potential for harm · D November 10, 2021

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 4, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E November 10, 2021

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 4, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D November 10, 2021

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 4, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055047 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.