At a glance
Official CMS profileCMS overall rating
5 / 5
Certified beds
46
Residents / day
41.8
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Fresno
- Certified beds
- 46
- Average residents per day
- 41.8
- First certified
- November 9, 2019
CMS quality ratings
- Overall
- 5 / 5
- Health inspections
- 4 / 5
- Staffing
- 2 / 5
- Quality measures
- 5 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Fresno, California. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 5.00 | 3.14 (n=29) | 3.21 |
| Nurse hours / resident / day | 4.38 | 4.18 (n=29) | 4.54 (n=1138) |
| Weekend nurse hours / resident / day | 3.97 | 3.77 (n=29) | 4.10 (n=1138) |
| Nursing staff turnover (%) | 45.50 | 42.01 (n=24) | 36.55 (n=1011) |
CMS overall rating / 5
- This home
- 5.00
- County peers
- 3.14
- n=29
- State peers
- 3.21
Nurse hours / resident / day
- This home
- 4.38
- County peers
- 4.18
- n=29
- State peers
- 4.54
- n=1138
Weekend nurse hours / resident / day
- This home
- 3.97
- County peers
- 3.77
- n=29
- State peers
- 4.10
- n=1138
Nursing staff turnover (%)
- This home
- 45.50
- County peers
- 42.01
- n=24
- State peers
- 36.55
- n=1011
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 9.2% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 45.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 21
- Health citations
- 34
- Resident measures
- 17
- Ownership records
- 6
- Penalties
- 0
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 4.37586
- Reported RN Staffing Hours per Resident per Day
- 0.28645
- Reported LPN Staffing Hours per Resident per Day
- 1.27933
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.81008
- Total number of nurse staff hours per resident per day on the weekend
- 3.97221
- Registered Nurse hours per resident per day on the weekend
- 0.23759
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.02056
- Total nursing staff turnover
- 45.5
- Registered Nurse turnover
- Not reported
- Number of administrators who have left the nursing home
- 1
- Chain Name
- AJC HEALTHCARE
- Number of Facilities in Chain
- 16
- Chain Average Overall 5-star Rating
- 2.4
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Both
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- CA
- Urban
- Y
- Chain ID
- 616
- Latitude
- 36.6344
- Location
- 8448 EAST ADAMS AVENUE,FOWLER,CA,93625
- ZIP Code
- 93625
- City/Town
- FOWLER
- Longitude
- -119.64
- QM Rating
- 5
- Abuse Icon
- N
- Chain Name
- AJC HEALTHCARE
- County/Parish
- Fresno
- Provider Name
- FOWLER CARE CENTER
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 5
- Ownership Type
- For profit - Corporation
- Number of Fines
- 0
- Processing Date
- 2026-10-01
- Staffing Rating
- 2
- Provider Address
- 8448 EAST ADAMS AVENUE
- Telephone Number
- 5598342519
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- FOWLER CARE CENTER LLC
- Long-Stay QM Rating
- 5
- High Performing Icon
- N
- Short-Stay QM Rating
- 3
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.65321
- Chain Average QM Rating
- 3.9
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 4
- Number of Certified Beds
- 46
- Provider SSA County Code
- 090
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- Not reported
- Total Number of Penalties
- 0
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 1.17228
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 45.5
- Chain Average Staffing Rating
- 2.4
- Number of Facilities in Chain
- 16
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 555918
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 0.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 44
- Registered Nurse turnover footnote
- 27
- Total Weighted Health Survey Score
- 63.000
- With a Resident and Family Council
- Both
- Average Number of Residents per Day
- 41.8
- Chain Average Overall 5-star Rating
- 2.4
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 120
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 2.0
- Rating Cycle 1 Health Deficiency Score
- 44
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 120
- Rating Cycle 1 Standard Survey Health Date
- 2026-07-02
- Rating Cycle 2 Standard Health Survey Date
- 2025-03-07
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.24244
- Case-Mix RN Staffing Hours per Resident per Day
- 0.81079
- Reported RN Staffing Hours per Resident per Day
- 0.28645
- Adjusted LPN Staffing Hours per Resident per Day
- 1.08276
- Case-Mix LPN Staffing Hours per Resident per Day
- 1.01034
- Reported LPN Staffing Hours per Resident per Day
- 1.27933
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 8
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 18
- Rating Cycle 1 Number of Standard Health Deficiencies
- 6
- Rating Cycle 2 Number of Standard Health Deficiencies
- 12
- Reported Licensed Staffing Hours per Resident per Day
- 1.56578
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 2
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.37830
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.75175
- Number of administrators who have left the nursing home
- 1
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.81008
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 3.70349
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 4.57288
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 6
- Reported Total Nurse Staffing Hours per Resident per Day
- 4.37586
- Registered Nurse hours per resident per day on the weekend
- 0.23759
- Date First Approved to Provide Medicare and Medicaid Services
- 2019-11-09
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.02056
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 3.36186
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 4.02447
- Total number of nurse staff hours per resident per day on the weekend
- 3.97221
COMMUNITY EXPERIENCE
Reviews of FOWLER CARE CENTER
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026