The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
GRACE HEALTHCARE CENTER
FRESNO, CA · Medicare-certified · 101 beds
Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall
GRACE HEALTHCARE CENTER in Fresno has a 1-star overall rating, with a 1-star health inspection rating and the lowest overall rating flag. Staffing is 4 stars and reported nurse staffing is 4.39 hours per resident per day, above the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3934 hrs/resident/day
Quality measures
Last inspection: July 24, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3934.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.53
- Nurse aides
- 3.05
- Weekend nursing
- 3.87
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%11.4%Improving
Residents with a fall causing major injury
0%4.9%Worsening
Residents with pressure ulcers (bedsores)
4.5%8.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.4%6.4%Improving
Residents whose ability to walk got worse
—13.6%—
Long-stay residents on antianxiety or sleep medication
25.5%28.1%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
3.4%2.2%Improving
Residents with new or worsening incontinence
6.4%18.2%Worsening
Residents with depressive symptoms
18.9%10%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—76.8%—
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited July 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to ensure resident rooms were limited to the allowed number of people. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 911 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Sep 5, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 58.4 residents on an average day (58% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.