Quick answers
- Where is Rolling Hills Care Center?
- 2108 Stillman, Selma, CA 93662, in Fresno County, California.
- What is the phone number of Rolling Hills Care Center?
- (559) 896-4990, as listed by Medicare (CMS).
- What is the Medicare star rating of Rolling Hills Care Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Rolling Hills Care Center been fined?
- Medicare lists no fines for Rolling Hills Care Center.
- What did inspectors find at Rolling Hills Care Center?
- In its last three inspection cycles (January 14, 2024 to May 22, 2026), Medicare lists 35 health citations; the most serious was level G. 1 was 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 (January 14, 2024 to May 22, 2026), Rolling Hills Care Center had 35 health citations; the most serious was level G (actual harm to residents). 1 of them was 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 4.43 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: May 22, 2026 — 15 health citations
Inspections in this cycle: May 22, 2026 (standard health inspection).
Show 15 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.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0732 Level E
“Post nurse staffing information every day.”
F0803 Level E
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
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.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
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.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: November 25, 2024 — 10 health citations
Inspections in this cycle: November 25, 2024 (standard health inspection).
Show 10 citations (levels A to F, no actual harm)
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0912 Level F
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
F0925 Level F
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
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.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
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.”
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.”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
Earlier cycle: January 14, 2024 — 10 health citations
Inspections in this cycle: January 14, 2024 (complaint investigation); January 14, 2024 (standard health inspection); May 6, 2024 (complaint investigation); September 20, 2024 (complaint investigation).
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 9 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0585 Level D
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
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.”
F0908 Level D
“Keep all essential equipment working safely.”
F0912 Level C
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
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 (21)
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0200 Level D
“Meet other general requirements.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0541 Level D
“Install properly constructed and protected linen or trash chutes.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0015 Level D
“Address subsistence needs for staff and patients.”
E0030 Level D
“List the names and contact information of those in the facility.”
E0031 Level D
“Provide emergency officials' contact information.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
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 | 0.42 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.02 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 3.00 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.43 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.96 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.27 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 41.5% | 36.6% | 45.3% |
| Administrators who left in the last year | 1.0 | 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: Rolling Hills Care Center LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Rolling Hills Care Center Holdings LLC | Direct owner | 100% | July 17, 2019 |
| SWC Ca Opco, LLC | Indirect owner | 100% | February 1, 2021 |
| Rolling Hills 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 | 34 |
| Average residents per day | 31 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Ajc Healthcare |
| Legal business name | Rolling Hills Care Center LLC |
| First approved by Medicare/Medicaid | 2014-06-17 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2108 Stillman, Selma, CA 93662 |
| County | Fresno County |
| State | California |
| Phone | (559) 896‑4990 |
| CMS Certification Number | 555892 |
| 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).
- Bethel Lutheran Home0.7 mi · Selma, CA · 3 of 5 stars
- Kingsburg Center4.3 mi · Kingsburg, CA · 3 of 5 stars
- Fowler Care Center4.6 mi · Fowler, CA · 5 of 5 stars
- Vineyards at Fowler5.0 mi · Fowler, CA · 2 of 5 stars
- Manning Gardens Care Center, Inc8.1 mi · Fresno, CA · 5 of 5 stars
Nearest hospital emergency rooms
- Adventist Health Reedley9.1 mi · Reedley, CA · Acute Care Hospital
- Community Regional Medical Center15 mi · Fresno, CA · Acute Care Hospital
- Fresno VA Medical Center (VA Central California Healthcare System)17 mi · Fresno, CA · Federal/VA 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