Data / Nursing homes / California / Grace Healthcare Center
Grace Healthcare Center, Fresno, CA: 1 star rating, no fines but 1 payment denial
Grace Healthcare Center in Fresno, CA is owned by 1 individual whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and had no fines but 1 payment denial in the three years to October 1, 2026. CMS lists 54 health citations from inspections in that time, the latest survey on August 5, 2026, and 1 of them found actual harm or immediate jeopardy.
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- Address
- 2939 S. Peach Avenue, Fresno, CA 93725
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 101
- Residents per day
- 60 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- R. Fellen, Inc.
- Fines
- $0 across 0 fines, three years to October 1, 2026
- Payment denials
- 1
- Health citations
- 54, of which 1 with actual harm or immediate jeopardy
- Latest survey
- August 5, 2026
- CMS Certification Number
- 555352
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| September 5, 2025 | Payment denial | Not listed | October 11, 2025 | 4 | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 5, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 28, 2026 | data.cms.gov |
| July 24, 2026 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | September 18, 2026 | data.cms.gov |
| July 24, 2026 | F727 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | September 18, 2026 | data.cms.gov |
| July 10, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 29, 2026 | data.cms.gov |
| July 10, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 29, 2026 | data.cms.gov |
| July 10, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 29, 2026 | data.cms.gov |
| May 27, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 20, 2026 | data.cms.gov |
| May 27, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 20, 2026 | data.cms.gov |
| March 20, 2026 | F926 | Have policies on smoking. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F801 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F730 | Observe each nurse aide's job performance and give regular training. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F726 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| March 20, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 16, 2026 | data.cms.gov |
| September 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | October 15, 2025 | data.cms.gov |
| December 23, 2024 | F727 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 23, 2025 | data.cms.gov |
| October 2, 2024 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| October 2, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| September 13, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | C: widespread, minimal harm potential | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F908 | Keep all essential equipment working safely. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F803 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F761 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F700 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| September 13, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 15, 2024 | data.cms.gov |
| May 16, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 4, 2024 | data.cms.gov |
| January 4, 2024 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (1 owners, 1 managers, 2 officers, directors or trustees). Their names are not shown on this page.
Also on SpecStream
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.