ElderGrade
C

59/100

Average

Grace Healthcare Center

2939 S. Peach Avenue, Fresno, CA 93725

CMS 1/5 stars #25 of 30 in Fresno County (559) 233-6248
Certified beds
101
Occupancy
58%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $32,110 in federal fines

    CMS has fined this facility across 5 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 50 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.2 total nurse hours per resident per day (national median 3.77)
  • 0.81 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 46% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $32,110 in federal fines across 5 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.39 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.81 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.87 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 45.70%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 70 citations

Last standard health inspection: March 20, 2026 (5 months ago).

E May 27, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

E May 27, 2026 F0692 From a complaint

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

F Mar 20, 2026 F0801

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

F Mar 20, 2026 F0911

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

No actual harm, potential for more than minimal harm

E Mar 20, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Mar 20, 2026 F0926

Environmental Deficiencies

Have policies on smoking.

No actual harm, potential for more than minimal harm

D Mar 20, 2026 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Mar 20, 2026 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
GONZALEZ, LLATISHA Individual W-2 MANAGING EMPLOYEE
GONZALEZ, LLATISHA Individual CORPORATE DIRECTOR
GONZALEZ, LLATISHA Individual CORPORATE OFFICER
GONZALEZ, LLATISHA Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Grace Healthcare Center

What is the ElderGrade for Grace Healthcare Center? +

Grace Healthcare Center holds an ElderGrade of C (59 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Grace Healthcare Center? +

Residents receive an average of 4.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Grace Healthcare Center been cited for harming residents? +

Yes. 1 of the 70 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Grace Healthcare Center accept Medicaid? +

Yes, Grace Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.