Quick answers
- Where is Vineyards at Fowler?
- 1306 East Sumner Avenue, Fowler, CA 93625, in Fresno County, California.
- What is the phone number of Vineyards at Fowler?
- (559) 834-2542, as listed by Medicare (CMS).
- What is the Medicare star rating of Vineyards at Fowler?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Vineyards at Fowler been fined?
- Medicare lists no fines for Vineyards at Fowler.
- What did inspectors find at Vineyards at Fowler?
- In its last three inspection cycles (May 19, 2021 to March 4, 2026), Medicare lists 53 health citations; the most serious was level K. 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 (May 19, 2021 to March 4, 2026), Vineyards at Fowler had 53 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 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 4.50 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: January 9, 2026 — 19 health citations
Inspections in this cycle: December 10, 2025 (complaint investigation); January 9, 2026 (standard health inspection); March 4, 2026 (complaint investigation).
Show 19 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.”
F0814 Level F
“Dispose of garbage and refuse properly.”
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.”
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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0732 Level D
“Post nurse staffing information every day.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0810 Level D
“Provide special eating equipment and utensils for residents who need them and appropriate assistance.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0911 Level B
“Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Previous cycle: September 20, 2024 — 13 health citations
Inspections in this cycle: September 20, 2024 (standard health inspection); February 20, 2025 (complaint investigation); August 22, 2025 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0838 Level F
“Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0726 Level D
“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.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0727 Level D
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0911 Level B
“Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Earlier cycle: May 19, 2021 — 21 health citations
Inspections in this cycle: May 19, 2021 (standard health inspection); May 29, 2024 (complaint investigation).
F0684 Level K
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
Show 20 less serious citations (levels A to F)
F0585 Level E
“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.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0800 Level E
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0809 Level E
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
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.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
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.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0911 Level B
“Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.”
F0912 Level B
“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 (29)
E0039 Level F
“Conduct testing and exercise requirements.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
E0015 Level C
“Address subsistence needs for staff and patients.”
E0023 Level F
“Establish policies and procedures for medical documentation.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
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.”
K0325 Level D
“Have properly installed hallway dispensers for alcohol-based hand rub.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0929 Level D
“Ensure precautions for handling oxygen cylinders and equipment are correctly followed.”
E0004 Level C
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level C
“Conduct risk assessment and an All-Hazards approach.”
E0015 Level C
“Address subsistence needs for staff and patients.”
E0030 Level C
“List the names and contact information of those in the facility.”
E0032 Level C
“Provide primary/alternate means for communication.”
K0351 Level C
“Install an approved automatic sprinkler system.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
K0918 Level C
“Have generator or other power source capable of supplying service within 10 seconds.”
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.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
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 | 0.42 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.18 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.90 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.50 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.90 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.31 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 58.9% | 36.6% | 45.3% |
| 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: The Vineyards at Fowler LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| SWC Ca Opco 2 LLC | Direct owner | 100% | November 1, 2021 |
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 | 49 |
| Average residents per day | 45 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Ajc Healthcare |
| Legal business name | The Vineyards at Fowler LLC |
| First approved by Medicare/Medicaid | 1973-07-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1306 East Sumner Avenue, Fowler, CA 93625 |
| County | Fresno County |
| State | California |
| Phone | (559) 834‑2542 |
| CMS Certification Number | 055454 |
| Name in Medicare records | VINEYARDS AT FOWLER |
| 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).
- Fowler Care Center1.7 mi · Fowler, CA · 5 of 5 stars
- Manning Gardens Care Center, Inc4.7 mi · Fresno, CA · 5 of 5 stars
- Rolling Hills Care Center5.0 mi · Selma, CA · 3 of 5 stars
- Grace Healthcare Center5.5 mi · Fresno, CA · 1 of 5 stars
- Bethel Lutheran Home5.7 mi · Selma, CA · 3 of 5 stars
Nearest hospital emergency rooms
- Community Regional Medical Center10 mi · Fresno, CA · Acute Care Hospital
- Fresno VA Medical Center (VA Central California Healthcare System)12 mi · Fresno, CA · Federal/VA Acute Care Hospital
- Adventist Health Reedley12 mi · Reedley, 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