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Nursing homeFAID #13896

Fowler Care Center

8448 EAST ADAMS AVENUE, FOWLER, CA, 93625
(559) 834-2519
46 licensed beds
★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
46
CMS facility ID
555918
Care type
Nursing home
County
Fresno
Facility name
Fowler Care Center
Street address
8448 EAST ADAMS AVENUE
City / state / ZIP
Fowler, CA 93625
Phone
(559) 834-2519

About this facility — Fowler Care Center

Fowler Care Center is a Medicare/Medicaid-certified skilled nursing facility in Fowler, California. It is licensed for 46 beds — well below the median for skilled nursing facilities in California (98 beds).

It is one of 4 senior care facilities in Fowler and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Fowler Care Center 67 times across 13 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Ajc Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Chesley, Aaron
Indirect owner · Officer — since 2021
Fowler Care Center Holdings Llc
Indirect owner · Operational control — since 2019
Gamett, James
Officer — since 2021
Smith, Phylicia
Managing employee — since 2021
Swc Ca Opco, Llc
Indirect owner — since 2021

Regulatory standing

Licensed / certified since
2019-11-09
CMS overall rating
3 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-03-07
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$395 per day (≈ $12,010/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
78% Medicaid · 7% Medicare · 15% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
23% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
46
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-07Health inspectionComplaint-triggered1 citation
F-0726
F · No harm foundFrom a 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.
Corrected 2026-05-11
2026-04-03Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-20
11 earlier / fire-safety inspections (65 citations)
2025-03-07Health inspection12 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-17
F-0557
E · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-03-17
F-0584
D · No harm found
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.
Corrected 2025-03-17
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-17
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-17
F-0726
D · No harm found
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.
Corrected 2025-03-17
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-17
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-03-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-17
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-03-17
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-17
2024-11-13Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-03
2024-09-26Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-14
2024-06-27Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-06
2024-06-07Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-27
2024-03-15Health inspection8 citations
F-0585
E · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-04-15
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-15
F-0761
D · No harm found
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.
Corrected 2024-04-15
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-15
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-15
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-04-15
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-15
2024-01-23Health inspectionComplaint-triggered2 citations
F-0726
D · No harm foundFrom a 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.
Corrected 2024-03-06
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-03-06
2023-05-08Health inspection13 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-01
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-01
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-06-01
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-06-01
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-01
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-06-01
F-0761
D · No harm found
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.
Corrected 2023-06-01
F-0802
F · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-06-01
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-01
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-01
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-01
F-0912
E · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-06-01
F-0925
F · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-06-01
2025-03-07Fire-safety inspection5 citations
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-03-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-14
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-14
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2025-03-14
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-14
2024-03-15Fire-safety inspection9 citations
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2024-04-05
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-04-05
K-0347
D · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-04-05
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-05
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-05
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-05
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2024-04-05
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-05
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-05
2023-05-08Fire-safety inspection12 citations
E-0037
D · No harm found
Establish staff and initial training requirements.
Corrected 2023-06-06
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2023-06-06
E-0041
D · No harm found
Implement emergency and standby power systems.
Corrected 2023-06-06
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2023-06-06
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-06-06
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-06-06
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-06
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-06-06
K-0711
E · No harm found
Provide a written emergency evacuation plan.
Corrected 2023-06-06
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-06-06
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-06
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-06
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555918.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 67 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered