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Nursing homeFAID #13573

Grace Healthcare Center

2939 S. PEACH AVENUE, FRESNO, CA, 93725
(559) 233-6248
101 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
101
State license
107209365
CMS facility ID
555352
Care type
Nursing home
Facility name
Grace Healthcare Center
Street address
2939 S. PEACH AVENUE
City / state / ZIP
Fresno, CA 93725
Phone
(559) 233-6248
State license #
107209365

Grace Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 101 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 213 senior care facilities in Fresno 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 Grace Healthcare Center 113 times across 13 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $13,761 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 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.

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Gonzalez, Llatisha
Direct owner · Managing employee · Director · Officer — 100% stake — since 2017

Regulatory standing

Licensed / certified since
1989-06-01
CMS overall rating
1 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
$13,761 total
Last standard inspection
2026-03-20
Nurse staffing
4.4 hours per resident per day

Services & coverage

Licensed beds
101
Licensed as
RCFE
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. 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 10 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-27Health inspectionComplaint-triggered2 citations
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-20
F-0692
E · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-06-20
2026-03-20Health inspection16 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 2026-04-16
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-04-16
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-16
F-0646
D · No harm found
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2026-04-16
F-0656
D · 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 2026-04-16
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 2026-04-16
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 2026-04-16
F-0730
D · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2026-04-16
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-04-16
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 2026-04-16
F-0801
F · No harm foundFood safety
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.
Corrected 2026-04-16
F-0812
D · 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 2026-04-16
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 2026-04-16
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-16
F-0911
F · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2026-04-16
F-0926
E · No harm found
Have policies on smoking.
Corrected 2026-04-16
11 earlier / fire-safety inspections (95 citations)
2025-09-05Health 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 2025-10-15
2024-12-23Health inspectionComplaint-triggered1 citation
F-0727
D · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-01-23
2024-10-02Health inspectionComplaint-triggered9 citations
F-0602
F · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-11-15
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-15
F-0755
F · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-15
F-0757
E · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-11-15
F-0835
E · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-11-15
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-11-15
F-0940
E · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-11-15
F-0944
E · No harm foundFrom a complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-11-15
F-0945
D · No harm foundFrom a complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2024-11-15
2024-09-13Health inspection17 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 2024-10-15
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-15
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 2024-10-15
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-10-15
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-15
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 2024-10-15
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-15
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-10-15
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-15
F-0761
E · 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 2024-10-15
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 2024-10-15
F-0803
F · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-10-15
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 2024-10-15
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-15
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-10-15
F-0911
C · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-10-15
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 2024-10-15
2024-05-16Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-04
2024-01-04Health inspectionComplaint-triggered1 citation
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-03-01
2023-08-22Health inspectionComplaint-triggered2 citations
F-0584
E · No harm foundFrom a complaint
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 2023-09-05
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-05
2023-06-16Health inspection20 citations
F-0636
E · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-08-01
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-08-01
F-0640
E · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-08-01
F-0641
F · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-01
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-01
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-01
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-01
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-08-01
F-0727
D · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-08-01
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-01
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-08-01
F-0761
E · 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 2023-08-01
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-08-01
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-08-01
F-0806
E · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-08-01
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 2023-08-01
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-08-01
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-01
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2023-08-01
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-01
2026-03-20Fire-safety inspection14 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-04-03
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-03-26
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-04-06
K-0346
C · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2026-03-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-29
K-0354
C · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2026-04-03
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-03-28
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-04-04
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-03-29
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2026-04-03
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-13
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2026-03-26
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-03-27
K-0926
D · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2026-04-06
2024-09-13Fire-safety inspection8 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-10
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-10-10
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-10-10
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-10-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-10-10
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-10
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-10
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-10
2023-06-16Fire-safety inspection21 citations
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-07-21
E-0007
C · No harm found
Address patient/client population and determine types of services needed.
Corrected 2023-07-21
E-0020
C · No harm found
Establish policies and procedures including evacuation.
Corrected 2023-07-21
E-0030
C · No harm found
List the names and contact information of those in the facility.
Corrected 2023-07-21
E-0031
C · No harm found
Provide emergency officials' contact information.
Corrected 2023-07-21
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2023-07-21
E-0041
E · No harm found
Implement emergency and standby power systems.
Corrected 2023-07-21
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2023-07-21
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-07-21
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-07-21
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-21
K-0347
E · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-07-21
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-21
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-07-21
K-0500
D · No harm found
Meet other general requirements that are deficient.
Corrected 2023-07-21
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-21
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-21
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-21
K-0919
C · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2023-07-21
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-21
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-07-21

Federal penalties

2023-09-05Fine$4,587
2023-08-28Fine$4,587
2023-08-21Fine$4,587
2025-09-05Medicare payment denial — 4 days
Total fines$13,761
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 555352.
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 113 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 2026-08-31
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