nursing home in Merced, CA
Franciscan Post-Acute Care Center
3169 M Street, Merced, CA 95348 · (209) 722-6231
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Franciscan Post-Acute Care Center at a glance
Franciscan Post-Acute Care Center is a 71-bed for-profit nursing home in Merced, California (Merced County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the California average of 3.2.
Residents receive about 4.3 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 4.5 hours.
Its most recent standard health inspection (April 10, 2025) found 4 health citations. The California average is 15.5.
Federal regulators fined it 1 time in the past three years, totaling $9,110.
Nursing staff turnover is 31.3% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 71
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avalon Health Care
- Medicare-certified since
- July 31, 1969
- Resident/family council
- Resident
- County
- Merced County
- CMS Certification Number
- 055979
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.30 hrs | 4.52 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.67 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.96 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 31.3% | 36.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 16 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 47 | 105.8 | 80.6 | Better |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,110 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 71 | 99 | 107 | |
| Average residents per day | 64 | 88 | 86 | |
| Occupancy | 90.6% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.2% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 4.3% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 16.2% | 12% | 15.4% | Worse |
| 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) | 0.3% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.2% | 10.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.9% | 9.8% | 14.1% | Worse |
| 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) | 0% | 7.3% | 12.8% | Better |
| 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) | 25.8% | 13.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.9% | 10.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.3% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 85% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 20, 2026 Complaint | 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 1, 2026 |
| April 20, 2026 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 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 20, 2026 Complaint | 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 May 1, 2026 |
| June 12, 2025 Complaint | 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 | G Actual harm, isolated | Corrected July 4, 2025 |
| June 12, 2025 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected July 4, 2025 |
| April 10, 2025 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected April 24, 2025 |
| April 10, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected April 24, 2025 |
| April 10, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected May 2, 2025 |
| February 5, 2025 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 February 28, 2025 |
| February 5, 2025 Complaint | 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 February 28, 2025 |
| February 5, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 28, 2025 |
| January 13, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected February 12, 2025 |
| December 11, 2024 Complaint | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected December 30, 2024 |
| September 17, 2024 Complaint | 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 October 10, 2024 |
| August 29, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | E Potential harm, pattern | Corrected September 30, 2024 |
| August 16, 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 | D Potential harm, isolated | Corrected September 10, 2024 |
| April 17, 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 May 16, 2024 |
| January 30, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected February 21, 2024 |
| October 2, 2023 Complaint | 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 October 24, 2023 |
| October 2, 2023 Complaint | 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 | D Potential harm, isolated | Corrected October 24, 2023 |
| December 1, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 5, 2023 |
| December 1, 2022 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected January 5, 2023 |
| December 1, 2022 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 January 5, 2023 |
| December 1, 2022 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 | E Potential harm, pattern | Corrected December 22, 2022 |
| December 1, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected December 22, 2022 |
| December 1, 2022 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected December 22, 2022 |
| December 1, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 22, 2022 |
| February 15, 2019 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected March 20, 2019 |
| February 15, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 20, 2019 |
| February 15, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 3, 2019 |
| February 15, 2019 Standard | 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 April 3, 2019 |
| February 15, 2019 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 3, 2019 |
| February 15, 2019 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 | E Potential harm, pattern | Corrected April 3, 2019 |
| February 15, 2019 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 3, 2019 |
| February 15, 2019 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 3, 2019 |
| February 15, 2019 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 | D Potential harm, isolated | Corrected April 3, 2019 |
| February 15, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 3, 2019 |
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 1 federal penalty in the past three years, including $9,110 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 13, 2025 | Fine | $9,110 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AVALON OF CALIFORNIA LLC Organization | 5% or greater direct ownership interest | 100% | 12/01/2003 |
| AVALON CARE LLC Organization | 5% or greater indirect ownership interest | 100% | 12/01/2003 |
| AVALON HEALTH CARE INC Organization | adp of the snf | NOT APPLICABLE | 05/20/2025 |
| AVALON HEALTH CARE MANAGEMENT INC Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| BORISEVICH, MARIA Individual | adp of the snf | NOT APPLICABLE | 01/08/2024 |
| HASH, ALAN Individual | adp of the snf | NOT APPLICABLE | 08/15/2017 |
| HENRIE, BRIAN Individual | adp of the snf | NOT APPLICABLE | 04/19/2021 |
| KIRTON, HYRUM Individual | adp of the snf | NOT APPLICABLE | 03/29/2022 |
| PAIK-TESCH, JOHN Individual | adp of the snf | NOT APPLICABLE | 09/01/2017 |
| SMITH, NICOLE Individual | adp of the snf | NOT APPLICABLE | 03/01/2023 |
| SOUZA, JOANNE Individual | adp of the snf | NOT APPLICABLE | 08/26/2025 |
| DANGERFIELD, DAVID Individual | corporate director | NOT APPLICABLE | 04/05/2007 |
| KIRTON, BYRON Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| KIRTON, HYRUM Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| KIRTON, SPENCER Individual | corporate director | NOT APPLICABLE | 08/27/2024 |
| WOLTIL, ROBERT Individual | corporate director | NOT APPLICABLE | 05/23/2012 |
| BORISEVICH, MARIA Individual | corporate officer | NOT APPLICABLE | 01/08/2024 |
| HASH, ALAN Individual | corporate officer | NOT APPLICABLE | 08/15/2017 |
| KIRTON, HYRUM Individual | corporate officer | NOT APPLICABLE | 03/29/2022 |
| SMITH, NICOLE Individual | corporate officer | NOT APPLICABLE | 03/01/2023 |
| DANGERFIELD, DAVID Individual | managing control - governing body | NOT APPLICABLE | 04/05/2007 |
| KIRTON, BYRON Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| KIRTON, HYRUM Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| KIRTON, SPENCER Individual | managing control - governing body | NOT APPLICABLE | 08/27/2024 |
| WOLTIL, ROBERT Individual | managing control - governing body | NOT APPLICABLE | 05/23/2012 |
| AVALON HEALTH CARE INC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2003 |
| AVALON HEALTH CARE MANAGEMENT INC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2003 |
| BORISEVICH, MARIA Individual | operational/managerial control | NOT APPLICABLE | 01/08/2024 |
| HASH, ALAN Individual | operational/managerial control | NOT APPLICABLE | 08/15/2017 |
| HENRIE, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 04/19/2021 |
| KIRTON, HYRUM Individual | operational/managerial control | NOT APPLICABLE | 03/29/2022 |
| PAIK-TESCH, JOHN Individual | operational/managerial control | NOT APPLICABLE | 09/01/2017 |
| SMITH, NICOLE Individual | operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| SOUZA, JOANNE Individual | operational/managerial control | NOT APPLICABLE | 08/26/2025 |
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★★★★★3AverageMerced Nursing & Rehabilitation Ctr
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★★★★★4Above averageLa Sierra Care Center
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★★★★★3AverageMerced Behavioral Center
1255 B Street, Merced, CA 95341 · 2.1 mi
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- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Anberry Nursing and Rehabilitation Center
1685 Shaffer Rd, Atwater, CA 95301 · 6.8 mi
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★★★★★5Much above average
Frequently asked questions
What is Franciscan Post-Acute Care Center's rating?
Franciscan Post-Acute Care Center has 4 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 Franciscan Post-Acute Care Center receive?
Its most recent standard health inspection found 4 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Franciscan Post-Acute 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 Franciscan Post-Acute Care Center?
It is for profit - corporation and part of Avalon Health Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Franciscan Post-Acute Care Center and how do I contact it?
Franciscan Post-Acute Care Center is at 3169 M Street, Merced, CA 95348. Phone: (209) 722-6231.
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.