For profit - Limited Liability company ·
99 certified beds ·
Medicare and Medicaid
· Part of Ajc Healthcare (14 facilities)
2
Overall CMS Rating
★★☆☆☆
Grand Oaks Care is a Medicare-certified nursing home in Tulare, California. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.20 hours per resident per day, below the California average of 4.51. Its most recent inspection on Oct 10, 2024 cited 21 deficiencies.
1 fine totaling $34,492 in CMS records.
1 total penalty
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★☆☆☆ 2/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★☆☆☆ 2/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
★★★☆☆ 3/5
How Grand Oaks Care 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
Total nurse staffing (hrs/resident/day)
4.20
4.51
3.89
below avg
RN staffing (hrs/resident/day)
0.36
0.65
0.68
below avg
Aide staffing (hrs/resident/day)
2.78
2.64
2.34
above avg
Nursing staff turnover
44.8%
38.1%
46.4%
above avg
Deficiencies cited, last inspection
21.0
15.4
9.5
above avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
4.20
Total Nurse Hrs/Resident/Day
0.36
RN Hrs/Resident/Day
1.06
LPN Hrs/Resident/Day
2.78
Aide Hrs/Resident/Day
3.86
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
44.8%
Registered Nurses
27.3%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Oct 10, 2024
Most Recent Inspection Date
21
Total Deficiencies Found
148
Health Inspection Score
1
Number of Fines
What inspectors found at Grand Oaks Care
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
Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Mar 12, 2026
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Feb 12, 2026
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 · Feb 12, 2026
Potential for harm
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.Pharmacy Service Deficiencies · Feb 12, 2026
Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and Care Deficiencies · Feb 12, 2026
Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Feb 12, 2026
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 · Feb 12, 2026
Potential for harm
Provide 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 Deficiencies · Sep 2, 2025
Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Jul 29, 2025
Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Jul 3, 2025
Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · May 9, 2025
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 · Jan 29, 2025
About This Facility
Address
897 North M Street Tulare, CA 93274
CMS Certification #
555861
Ownership
For profit - Limited Liability company
Certified Beds
99
Avg Residents/Day
91.7
Provider Type
Medicare and Medicaid
First Certified
2009-06-26
Chain
Ajc Healthcare (14 facilities)
Setting
Urban
Part of Ajc Healthcare
14
Facilities Nationwide
Ajc Healthcare operates 14 nursing facilities across the United States.
CMS gives Grand Oaks Care an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Grand Oaks Care reports 4.20 total nurse hours per resident per day, compared with the California average of 4.51.
Its most recent CMS inspection cited 21 deficiencies.
Grand Oaks Care is certified for 99 beds.
Admissions at Grand Oaks Care
For admissions, availability and rehab questions, call (559) 687-1340. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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