nursing home in Chowchilla, CA

Palms Care Center

1010 Ventura Avenue, Chowchilla, CA 93610 · (559) 665-4826

★★★★★3

Average
CMS overall star rating

Health inspections★★★★★3
Staffing★★★★★3
Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Palms Care Center at a glance

Palms Care Center is a 65-bed for-profit nursing home in Chowchilla, California (Madera County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.

Residents receive about 4.2 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (April 4, 2025) found 9 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 37.3% per year (state average 36.7%).

Facility details

Type: Nursing home
Ownership: For Profit - Limited Liability Company
Beds: 65
Certified for: Medicare and Medicaid
Chain / affiliated entity: Ajc Healthcare
Medicare-certified since: January 1, 1967
Resident/family council: Resident
County: Madera County
CMS Certification Number: 055047

Ratings

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Overall star rating ⓘ (higher is better)	3 / 5	3.2 / 5	3 / 5	Average
Health inspection rating ⓘ (higher is better)	3 / 5	2.8 / 5	2.8 / 5	Average
Staffing rating ⓘ (higher is better)	3 / 5	3.3 / 5	2.9 / 5	Average
Quality measures rating ⓘ (higher is better)	3 / 5	4.1 / 5	3.6 / 5	Worse
Long-stay quality rating (higher is better)	4 / 5	4.4 / 5	3.8 / 5	Average
Short-stay (rehab) quality rating (higher is better)	2 / 5	3.6 / 5	3.3 / 5	Worse

Staffing

Total nurse staff hours per resident per day: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)	4.15 hrs	4.52 hrs	3.86 hrs	Better
Registered nurse hours per resident per day (higher is better)	0.27 hrs	0.67 hrs	0.69 hrs	Worse
Nurse aide hours per resident per day (higher is better)	2.69 hrs	2.65 hrs	2.32 hrs	Better
Weekend nurse staff hours per resident per day (higher is better)	3.71 hrs	4.09 hrs	3.42 hrs	Better
Nursing staff turnover (yearly) (lower is better)	37.3%	36.7%	45.8%	Better
Registered nurse turnover (yearly) (lower is better)	16.7%	38.1%	42.9%	Better
Administrators who left in the past year (lower is better)	0	0	1	Better

Inspections

Health citations in the most recent inspection: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Health citations in the most recent inspection (lower is better)	9	16	9	Average
Citations from complaint investigations (latest cycle) (lower is better)	1	4	3	Better
Weighted health inspection score ⓘ (lower is better)	78	105.8	80.6	Average

Penalties

Fines in the past 3 years: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Fines in the past 3 years (lower is better)	0	1	1	Better
Total fines in the past 3 years (lower is better)	$0	$23,986	$30,972	Better
All federal penalties in the past 3 years (lower is better)	0	1	1	Better

Size

Measure	This facility	California avg.	U.S. avg.
Certified beds	65	99	107
Average residents per day	60	88	86
Occupancy	91.5%	88.4%	80.9%

Long-stay residents

Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)	5.3%	1.6%	3.2%	Worse
Long-stay residents with pressure ulcers (lower is better)	3.2%	4.3%	4.6%	Better
Long-stay residents given antipsychotic medication (lower is better)	2.4%	12%	15.4%	Better
Long-stay residents with a urinary tract infection (lower is better)	0%	1.2%	1.6%	Better
Long-stay residents with a catheter left in the bladder (lower is better)	0%	0.8%	0.8%	Better
Long-stay residents needing more help with daily activities (lower is better)	13.1%	10.2%	13.9%	Better
Long-stay residents whose walking worsened (lower is better)	12.4%	9.8%	14.1%	Better
Long-stay residents who lose too much weight (lower is better)	0%	4%	5.2%	Better
Long-stay residents with depressive symptoms (lower is better)	50.5%	7.3%	12.8%	Worse
Long-stay residents who were physically restrained (lower is better)	0%	0.4%	0.1%	Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)	16.6%	13.7%	19.5%	Better
Long-stay residents with new or worse incontinence (lower is better)	18.4%	10.2%	19%	Average
Long-stay residents given a flu vaccine (higher is better)	94.9%	98.2%	95.5%	Average
Long-stay residents given a pneumonia vaccine (higher is better)	98.6%	98.6%	93.6%	Better

Short-stay residents

Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages

Measure	This facility	California avg.	U.S. avg.	vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)	2.2%	1.5%	1.6%	Worse
Short-stay residents given a flu vaccine (higher is better)	68.9%	93.2%	79.8%	Worse
Short-stay residents given a pneumonia vaccine (higher is better)	84.6%	94.4%	82%	Average

Inspection citations

State inspectors cited this home for 40 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".

Date	Citation	Severity	Status
July 27, 2026 Complaint	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684	G Actual harm, isolated	Corrected August 18, 2026
April 4, 2025 Fire safety	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920	E Potential harm, pattern	Corrected April 20, 2025
April 4, 2025 Fire safety	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781	D Potential harm, isolated	Corrected April 20, 2025
April 4, 2025 Fire safety	Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293	D Potential harm, isolated	Corrected April 20, 2025
April 4, 2025 Fire safety	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355	D Potential harm, isolated	Corrected April 20, 2025
April 4, 2025 Fire safety	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353	C No harm, widespread	Corrected April 20, 2025
April 4, 2025 Fire safety	Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351	C No harm, widespread	Corrected April 20, 2025
April 4, 2025 Standard	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732	F Potential harm, widespread	Corrected April 8, 2025
April 4, 2025 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	E Potential harm, pattern	Corrected April 8, 2025
April 4, 2025 Standard	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656	E Potential harm, pattern	Corrected April 8, 2025
April 4, 2025 Standard	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658	D Potential harm, isolated	Corrected April 8, 2025
April 4, 2025 Standard	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919	D Potential harm, isolated	Corrected April 8, 2025
April 4, 2025 Standard	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842	D Potential harm, isolated	Corrected April 8, 2025
April 4, 2025 Standard	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. Nutrition and Dietary Deficiencies · Tag F0801	D Potential harm, isolated	Corrected April 8, 2025
April 4, 2025 Standard	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679	D Potential harm, isolated	Corrected April 8, 2025
July 30, 2024 Complaint	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689	G Actual harm, isolated	Corrected September 4, 2024
April 19, 2024 Fire safety	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712	E Potential harm, pattern	Corrected May 5, 2024
April 19, 2024 Fire safety	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920	E Potential harm, pattern	Corrected May 5, 2024
April 19, 2024 Fire safety	Use approved construction type or materials. Construction Deficiencies · Tag K0161	E Potential harm, pattern	Corrected May 5, 2024
April 19, 2024 Standard	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. Nutrition and Dietary Deficiencies · Tag F0801	F Potential harm, widespread	Corrected May 12, 2024
April 19, 2024 Standard	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812	F Potential harm, widespread	Corrected May 12, 2024
April 19, 2024 Standard	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658	E Potential harm, pattern	Corrected May 12, 2024
April 19, 2024 Standard	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. Resident Rights Deficiencies · Tag F0584	D Potential harm, isolated	Corrected May 12, 2024
April 19, 2024 Standard	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552	D Potential harm, isolated	Corrected May 12, 2024
April 19, 2024 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	D Potential harm, isolated	Corrected May 12, 2024
April 19, 2024 Standard	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. Pharmacy Service Deficiencies · Tag F0761	D Potential harm, isolated	Corrected May 12, 2024
April 19, 2024 Standard	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553	D Potential harm, isolated	Corrected May 12, 2024
April 19, 2024 Standard	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656	D Potential harm, isolated	Corrected May 12, 2024
April 19, 2024 Standard	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641	D Potential harm, isolated	Corrected May 12, 2024
November 29, 2023 Complaint	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689	E Potential harm, pattern	Corrected October 11, 2023
November 10, 2021 Fire safety	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355	E Potential harm, pattern	Corrected November 29, 2021
November 10, 2021 Fire safety	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321	E Potential harm, pattern	Corrected November 29, 2021
November 10, 2021 Fire safety	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363	E Potential harm, pattern	Corrected November 29, 2021
November 10, 2021 Fire safety	Meet other general requirements that are deficient. Services Deficiencies · Tag K0500	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Fire safety	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711	D Potential harm, isolated	Corrected November 29, 2021
November 10, 2021 Standard	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. Quality of Life and Care Deficiencies · Tag F0700	K Immediate jeopardy, pattern	Corrected March 4, 2022
November 10, 2021 Standard	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	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. Nursing and Physician Services Deficiencies · Tag F0726	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880	F Potential harm, widespread	Corrected March 4, 2022
November 10, 2021 Standard	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658	E Potential harm, pattern	Corrected March 4, 2022
November 10, 2021 Standard	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760	E Potential harm, pattern	Corrected March 4, 2022
November 10, 2021 Standard	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759	E Potential harm, pattern	Corrected March 4, 2022
November 10, 2021 Standard	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690	D Potential harm, isolated	Corrected March 4, 2022
November 10, 2021 Standard	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802	D Potential harm, isolated	Corrected March 4, 2022
November 10, 2021 Standard	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943	D Potential harm, isolated	Corrected March 4, 2022
November 10, 2021 Standard	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. Quality of Life and Care Deficiencies · Tag F0693	D Potential harm, isolated	Corrected March 4, 2022
November 10, 2021 Standard	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. Pharmacy Service Deficiencies · Tag F0761	D Potential harm, isolated	Corrected March 4, 2022
November 10, 2021 Standard	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657	D Potential harm, isolated	Corrected March 4, 2022
November 10, 2021 Standard	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583	D Potential harm, isolated	Corrected March 4, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

Name	Role	Share	Since
PALMS CARE CENTER HOLDINGS LLC Organization	5% or greater direct ownership interest	100%	05/17/2019
CHESLEY, AARON Individual	5% or greater indirect ownership interest	—	02/01/2021
SWC CA OPCO, LLC Organization	5% or greater indirect ownership interest	—	02/01/2021
CHESLEY, AARON Individual	corporate officer	NOT APPLICABLE	02/01/2021
GAMETT, JAMES Individual	corporate officer	NOT APPLICABLE	02/01/2021
PALMS CARE CENTER HOLDINGS LLC Organization	operational/managerial control	NOT APPLICABLE	05/17/2019
HAWK, REGAN Individual	w-2 managing employee	NOT APPLICABLE	02/01/2021

Other nursing homes near Palms Care Center

Chowchilla Memorial Healthcare District
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Non-profit · 29 beds
★★★★★4Above average
Madera Care Center
1700 Howard Road, Madera, CA 93637 · 15.7 mi
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★★★★★4Above average
Merced Behavioral Center
1255 B Street, Merced, CA 95341 · 16.1 mi
For-profit · 96 beds
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★★★★★5Much above average
Madera Rehabilitation & Nursing Center
517 South A Street, Madera, CA 93638 · 16.5 mi
For-profit · 176 beds · Part of Cambridge Healthcare Services
★★★★★1Much below average
Anberry Post Acute
1000 West Yosemite Avenue, Merced, CA 95341 · 16.9 mi
For-profit · 120 beds
★★★★★3Average
La Sierra Care Center
2424 M Street, Merced, CA 95340 · 17.4 mi
For-profit · 68 beds · Part of Cambridge Healthcare Services
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Frequently asked questions

What is Palms Care Center's rating?

Palms Care Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Palms Care Center receive?

Its most recent standard health inspection found 9 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Palms Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Palms Care Center?

It is for profit - limited liability company and part of Ajc Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Palms Care Center and how do I contact it?

Palms Care Center is at 1010 Ventura Avenue, Chowchilla, CA 93610. Phone: (559) 665-4826.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.