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Nursing homeFAID #967

Franciscan Post-acute Care Center

3169 M STREET, MERCED, CA, 95348
(209) 722-6231
71 licensed beds

CMS rates Franciscan Post-acute Care Center 4 out of 5 overall. Federal inspectors issued 37 citations across 17 inspections in the last three years, with $9,110 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
71
CMS facility ID
055979
Care type
Nursing home
County
Merced
Facility name
Franciscan Post-acute Care Center
Street address
3169 M STREET
City / state / ZIP
Merced, CA 95348
Phone
(209) 722-6231

Franciscan Post-acute Care Center is a Medicare/Medicaid-certified skilled nursing facility in Merced, California. It is licensed for 71 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 27 senior care facilities in Merced 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.

It is listed as part of Avalon Health Care, a group of 16 facilities on this site.

Federal inspectors have cited Franciscan Post-acute Care Center 37 times across 17 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $9,110 in fines. 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 November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Avalon Health Care
Ownership type
For profit - Corporation

Registered owners & officers

Avalon Care Llc
Indirect owner — 100% stake — since 2003
Avalon of California Llc
Direct owner — 100% stake — since 2003
Avalon Health Care Inc
Operational control · Additional disclosable party — since 2003
Avalon Health Care Management Inc
Operational control · Additional disclosable party — since 2003
Borisevich, Maria
Officer · Operational control · Additional disclosable party — since 2024
Dangerfield, David
Governing body · Director — since 2007
Hash, Alan
Officer · Operational control · Additional disclosable party — since 2017
Henrie, Brian
Operational control · Additional disclosable party — since 2021
Kirton, Byron
Governing body · Director — since 2024
Kirton, Hyrum
Governing body · Director · Officer · Operational control · Additional disclosable party — since 2022
Kirton, Spencer
Governing body · Director — since 2024
Paik-tesch, John
Operational control · Additional disclosable party — since 2017
Smith, Nicole
Officer · Operational control · Additional disclosable party — since 2023
Souza, Joanne
Operational control · Additional disclosable party — since 2025
Woltil, Robert
Governing body · Director — since 2012

Regulatory standing

Federal court records
15 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1969-07-31
CMS overall rating
4 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
$9,110 total
Last standard inspection
2025-04-10
Nurse staffing
4.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$451 per day (≈ $13,710/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 15% Medicare · 13% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
12% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
71
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 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-20Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-01
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-05-01
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 2026-05-01
2025-06-12Health inspectionComplaint-triggered2 citations
F-0657
G · Actual harmFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-04
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-04
15 earlier / fire-safety inspections (32 citations)
2025-04-10Health inspection1 citation
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-02
2025-02-05Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-02-28
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-28
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-28
2025-01-13Health inspectionComplaint-triggered1 citation
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-12
2024-12-11Health inspectionComplaint-triggered1 citation
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-12-30
2024-09-17Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-10
2024-08-29Health inspectionComplaint-triggered1 citation
F-0604
E · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-09-30
2024-08-16Health 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 2024-09-10
2024-04-17Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-16
2024-01-30Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-21
2023-10-02Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-24
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 2023-10-24
2022-12-01Health inspection4 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-12-22
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-22
F-0812
E · 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 2022-12-22
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-12-22
2019-02-15Health inspection8 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 2019-04-03
F-0584
E · 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 2019-04-03
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 2019-04-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-04-03
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-04-03
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 2019-04-03
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-04-03
F-0921
D · 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 2019-04-03
2025-04-10Fire-safety inspection2 citations
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-04-24
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-24
2022-12-01Fire-safety inspection3 citations
E-0031
D · No harm found
Provide emergency officials' contact information.
Corrected 2023-01-05
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-05
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-05
2019-02-15Fire-safety inspection2 citations
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2019-03-20
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-03-20

Federal penalties

2025-01-13Fine$9,110
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 055979.
How it compares in California.
Inspection citations, 3 years
37
More than 12% of nursing homes in the state
State median: 65
Federal fines, 3 years
$9,110
More than 66% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
4.0
Higher than 26% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
31%
Higher than 32% of nursing homes in the state
State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 5 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased18.4%10.2%13.5%Worse than state
Lose too much weight1.2%4.1%5.1%Better than state
With a catheter inserted and left in their bladder0.8%0.7%0.7%Worse than state
With a urinary tract infection1.1%1.2%1.5%Near state average
Have depressive symptoms1.5%7.6%13.5%Better than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury1.7%1.6%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine100.0%98.7%93.7%Near state average
Ability to walk independently worsened19.6%8.9%12.7%Worse than state
Received an antianxiety or hypnotic medication25.7%13.7%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine96.0%97.9%95.3%Near state average
With pressure ulcers4.0%4.3%4.5%Near state average
With new or worsened bowel or bladder incontinence23.2%9.8%18.3%Worse than state
Received an antipsychotic medication16.8%12.3%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.282.211.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.821.501.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine98.9%94.6%82.3%Near state average
Newly received an antipsychotic medication0.3%1.3%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine94.5%93.1%80.1%Near state average
Were rehospitalized after a nursing home admission21.8%22.6%23.4%Near state average
Had an outpatient emergency department visit23.4%11.1%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 5 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  • F-0641 2 inspections. Ensure each resident receives an accurate assessment.
  • F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

What its owners also hold

  • Avalon Care Llc has an ownership stake on file at 8 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in California

  • Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
  • File a complaint: 844-538-8766 · Online
  • Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
  • Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Mercy Medical Center, about 1.6 miles. CMS rating 3 of 5.
  • Emanuel Medical Center, about 24 miles. CMS rating 2 of 5.
  • Memorial Hospital Los Banos, about 27 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

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 37 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.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
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