Quick answers
- Where is Palms Care Center?
- 1010 Ventura Avenue, Chowchilla, CA 93610, in Madera County, California.
- What is the phone number of Palms Care Center?
- (559) 665-4826, as listed by Medicare (CMS).
- What is the Medicare star rating of Palms Care Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Palms Care Center been fined?
- Medicare lists no fines for Palms Care Center.
- What did inspectors find at Palms Care Center?
- In its last three inspection cycles (November 10, 2021 to July 27, 2026), Medicare lists 40 health citations; the most serious was level K. 3 were level G or higher (actual harm or immediate jeopardy). 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 (November 10, 2021 to July 27, 2026), Palms Care Center had 40 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.18 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: April 4, 2025 — 9 health citations
Inspections in this cycle: April 4, 2025 (standard health inspection); July 27, 2026 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 8 less serious citations (levels A to F)
F0732 Level F
“Post nurse staffing information every day.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
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.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0801 Level D
“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.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
Previous cycle: April 19, 2024 — 10 health citations
Inspections in this cycle: April 19, 2024 (standard health inspection).
Show 10 citations (levels A to F, no actual harm)
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0553 Level D
“Allow resident to participate in the development and implementation of his or her person-centered plan of care.”
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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
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.”
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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: November 10, 2021 — 21 health citations
Inspections in this cycle: November 10, 2021 (standard health inspection); November 29, 2023 (complaint investigation); July 30, 2024 (complaint investigation).
F0700 Level K
“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.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 19 less serious citations (levels A to F)
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.”
F0726 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0813 Level F
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0921 Level F
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
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.”
F0802 Level D
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0943 Level D
“Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.”
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 (23)
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0781 Level D
“Have restrictions on the use of portable space heaters.”
K0351 Level C
“Install an approved automatic sprinkler system.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
K0161 Level E
“Use approved construction type or materials.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
E0006 Level D
“Conduct risk assessment and an All-Hazards approach.”
E0030 Level D
“List the names and contact information of those in the facility.”
E0037 Level D
“Establish staff and initial training requirements.”
K0232 Level D
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0341 Level D
“Install a fire alarm system that can be heard throughout the facility.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0500 Level D
“Meet other general requirements that are deficient.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0712 Level D
“Have simulated fire drills held at unexpected times.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
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 | 0.26 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.17 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.74 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.18 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.78 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.23 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 37.8% | 36.6% | 45.3% |
| RN turnover (per year) | 16.7% | 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: Palms Care Center LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Palms Care Center Holdings LLC | Direct owner | 100% | May 17, 2019 |
| SWC Ca Opco, LLC | Indirect owner | 100% | February 1, 2021 |
| Palms Care Center Holdings LLC | Management company (operational or managerial control) | NOT APPLICABLE | May 17, 2019 |
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 | 65 |
| Average residents per day | 60.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Ajc Healthcare |
| Legal business name | Palms Care Center LLC |
| First approved by Medicare/Medicaid | 1967-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1010 Ventura Avenue, Chowchilla, CA 93610 |
| County | Madera County |
| State | California |
| Phone | (559) 665‑4826 |
| CMS Certification Number | 055047 |
| Name in Medicare records | PALMS CARE CENTER |
| 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).
- Chowchilla Memorial Healthcare District0.0 mi · Chowchilla, CA · 4 of 5 stars
- Madera Care Center16 mi · Madera, CA · 4 of 5 stars
- Merced Behavioral Center16 mi · Merced, CA · 5 of 5 stars
- Madera Rehabilitation & Nursing Center16 mi · Madera, CA · 1 of 5 stars
- Anberry Post Acute17 mi · Merced, CA · 4 of 5 stars
Nearest hospital emergency rooms
- Madera Community Hospital17 mi · Madera, CA · Acute Care Hospital
- Mercy Medical Center19 mi · Merced, CA · Acute Care Hospital
- Valley Children's Hospital30 mi · Madera, CA · Children's 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