Nursing home
Fowler Care Center
8448 East Adams Avenue, Fowler, CA 93625 · Map
For profit - Limited Liability company · Part of Ajc Healthcare (14 facilities) · 46 certified beds
Fowler Care Center is a Medicare-certified nursing home in Fowler, California. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.52 hours per resident per day, above the California average of 4.51. Its most recent inspection on Mar 7, 2025 cited 12 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Fowler Care Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.52 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.80 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 60.7% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 total penalty, 1 Medicare payment denial.
What inspectors found at Fowler Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 7, 2025 · Full report (PDF) - Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Mar 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 8448 East Adams Avenue
Fowler, CA 93625 - CMS certification #
- 555918
- Ownership
- For profit - Limited Liability company
- Certified beds
- 46
- Avg residents/day
- 41.3
- Provider type
- Medicare and Medicaid
- First certified
- 2019-11-09
- Chain
- Ajc Healthcare (14 facilities)
- Setting
- Urban
Part of Ajc Healthcare
Ajc Healthcare operates 14 nursing facilities across the United States. View all Ajc Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Fowler Care Center using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2017, 6 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Apr 27, 2020: follow-up inspection, partial (safety). Case closed Jun 12, 2020. No violations cited. OSHA record. OSHA recorded the employer as Fowler Care Center LLC.
- Feb 27, 2019: complaint inspection, partial (health). Case closed Oct 9, 2019. 4 violations cited (4 other). Penalties: $2,385 proposed, $2,385 now. OSHA record. OSHA recorded the employer as Invigorate Healthcare, INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 3203(B). Penalty $375 proposed, $375 now. To be fixed by Jul 5, 2019.
- Other than serious: Cited rule 4300.29(a). Penalty $375 proposed, $375 now. To be fixed by Jul 5, 2019.
- Other than serious: Cited rule 3342(C). Penalty $700 proposed, $700 now. To be fixed by Jul 5, 2019.
- Other than serious: Cited rule 5193(C)(1)(B). Penalty $935 proposed, $935 now. To be fixed by Jul 5, 2019.
- Feb 6, 2017: complaint inspection, partial (safety). Case closed Mar 8, 2018. 2 violations cited (1 serious, 1 other). Penalties: $5,225 proposed, $3,875 now. OSHA record. OSHA recorded the employer as Nia Healthcare Services, INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 5193(C)(2). Penalty $275 proposed, $275 now. To be fixed by Aug 18, 2017.
- Serious: Cited rule 4070(A). Penalty $4,950 proposed, $3,600 now. Contested by the employer.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 10.9 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Vineyards at Fowler, Fowler. 1.7 miles away, straight line.
- Nearest home health agency office
- Mountain Valley Healthcare LLC, Fresno. 8.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- FOWLER PHARMACY. 2.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93625 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Selma Dialysis, Selma, 4.3 miles away, straight line (CMS rating 2 of 5 stars)
Davita Sanger Sequoia Dialysis, Sanger, 6.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita Jensen Avenue Dialysis, Fresno, 8.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 93625.
Ardent Hospice Of Fresno, office in Fresno, 10.6 miles away, straight line
St Mary'S Hospice Services, Inc, office in Fresno, 12.4 miles away, straight line
Sequoia Hospice Inc, office in Clovis, 12.6 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 16.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively moderate, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Fowler Care Center a good nursing home?
CMS gives Fowler Care Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Fowler Care Center staffed?
Fowler Care Center reports 4.52 total nurse hours per resident per day, compared with the California average of 4.51.
Has Fowler Care Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Fowler Care Center have?
Fowler Care Center is certified for 46 beds.