Quick answers
- Where is Grand Oaks Care?
- 897 North M Street, Tulare, CA 93274, in Tulare County, California.
- What is the phone number of Grand Oaks Care?
- (559) 687-1340, as listed by Medicare (CMS).
- What is the Medicare star rating of Grand Oaks Care?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Grand Oaks Care been fined?
- Medicare lists no fines for Grand Oaks Care.
- What did inspectors find at Grand Oaks Care?
- In its last three inspection cycles (October 13, 2022 to March 12, 2026), Medicare lists 55 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 13, 2022 to March 12, 2026), Grand Oaks Care had 55 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.37 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 12, 2026 — 7 health citations
Inspections in this cycle: February 12, 2026 (standard health inspection); March 12, 2026 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0761 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Previous cycle: October 10, 2024 — 22 health citations
Inspections in this cycle: October 10, 2024 (standard health inspection); January 29, 2025 (complaint investigation); May 9, 2025 (complaint investigation); July 3, 2025 (complaint investigation); July 29, 2025 (complaint investigation); September 2, 2025 (complaint investigation).
Show 22 citations (levels A to F, no actual harm)
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0578 Level E
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0688 Level E
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0726 Level E
“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.”
F0745 Level E
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0584 Level D
“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.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
Earlier cycle: October 13, 2022 — 26 health citations
Inspections in this cycle: October 13, 2022 (standard health inspection); October 10, 2023 (complaint investigation); November 2, 2023 (complaint investigation); December 22, 2023 (complaint investigation); February 7, 2024 (complaint investigation); February 13, 2024 (complaint investigation); April 23, 2024 (complaint investigation); May 7, 2024 (complaint investigation); June 20, 2024 (complaint investigation).
Show 26 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0837 Level E
“Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.”
F0698 Level E
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0676 Level E
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0698 Level E
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (17)
K0711 Level F
“Provide a written emergency evacuation plan.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
E0032 Level C
“Provide primary/alternate means for communication.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0161 Level D
“Use approved construction type or materials.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
E0039 Level C
“Conduct testing and exercise requirements.”
K0918 Level C
“Have generator or other power source capable of supplying service within 10 seconds.”
K0347 Level D
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.37 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.15 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.85 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.37 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.92 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.16 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 46.2% | 36.6% | 45.3% |
| RN turnover (per year) | 37.5% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 16 nursing homes: Ajc Healthcare.
Legal business name: Grand Oaks Care LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| SWC Ca Opco 2 LLC | Direct owner | 100% | May 1, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 93.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Ajc Healthcare |
| Legal business name | Grand Oaks Care LLC |
| First approved by Medicare/Medicaid | 2009-06-26 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 897 North M Street, Tulare, CA 93274 |
| County | Tulare County |
| State | California |
| Phone | (559) 687‑1340 |
| CMS Certification Number | 555861 |
| Name in Medicare records | GRAND OAKS CARE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Orchards at Tulare0.1 mi · Tulare, CA · 2 of 5 stars
- Tulare Healthcare & Wellness Center, LP0.1 mi · Tulare, CA · 2 of 5 stars
- Westgate Gardens Care Center6.9 mi · Visalia, CA · 4 of 5 stars
- Sequoia Vista6.9 mi · Visalia, CA · 1 of 5 stars
- Linwood Meadows Care Center7.0 mi · Visalia, CA · 3 of 5 stars
Nearest hospital emergency rooms
- Adventist Health Tulare3.7 mi · Tulare, CA · Acute Care Hospital
- Kaweah Health Medical Center7.8 mi · Visalia, CA · Acute Care Hospital
- Adventist Health Hanford17 mi · Hanford, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13