Nursing homeFAID #13846
Grand Oaks Care
897 NORTH M STREET, TULARE, CA, 93274
(559) 687-1340
99 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
99
CMS facility ID
555861
Care type
Nursing home
County
Tulare
Facility name
Grand Oaks Care
Street address
897 NORTH M STREET
City / state / ZIP
Tulare, CA 93274
Phone
(559) 687-1340
About this facility — Grand Oaks Care
Grand Oaks Care is a Medicare/Medicaid-certified skilled nursing facility in Tulare, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).
It is one of 9 senior care facilities in Tulare 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 Grand Oaks Care 72 times across 20 inspections in the last three years, including 7 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
Swc Ca Opco 2 Llc
Direct owner — 100% stake — since 2022
Chesley, Aaron
Indirect owner · Officer — 50% stake — since 2022
Gamett, James
Officer — since 2022
Lawrence, Michelle
Managing employee — since 2022
Regulatory standing
Licensed / certified since
2009-06-26
CMS overall rating
3 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-02-12
Nurse staffing
4.2 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$372 per day (≈ $11,310/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
64% Medicaid · 13% Medicare · 24% private/other
Occupancy
89% (fiscal year 2023)
Vs. state median
28% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
99
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 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-12Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-31
2026-02-12Health inspection6 citations
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 2026-02-23
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-23
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-02-23
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 2026-02-23
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 2026-02-23
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-02-23
18 earlier / fire-safety inspections (65 citations)
2025-09-02Health inspectionComplaint-triggered1 citation
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-09-03
2025-07-29Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-07-03Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-07
2025-05-09Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-09
2025-01-29Health inspectionComplaint-triggered1 citation
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 2025-02-13
2024-10-10Health inspection17 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-24
F-0578
E · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-10-24
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 2024-10-24
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 2024-10-24
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-24
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-24
F-0688
E · 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 2024-10-24
F-0726
E · 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 2024-10-24
F-0745
E · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-10-24
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 2024-10-24
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-24
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 2024-10-24
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-10-24
F-0806
D · 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 2024-10-24
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-10-24
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-24
F-0921
E · 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 2024-10-24
2024-06-20Health inspectionComplaint-triggered3 citations
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 2024-06-21
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-21
F-0837
E · No harm foundFrom a complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2024-06-21
2024-05-07Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-08
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-08
2024-04-23Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-25
2024-02-13Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-29
2024-02-07Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-29
F-0755
D · 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 2024-02-29
2023-12-22Health inspectionComplaint-triggered2 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-22
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-22
2023-11-02Health inspectionComplaint-triggered2 citations
F-0698
E · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-28
F-0755
D · 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 2023-12-28
2023-10-10Health 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 2023-10-30
2022-10-13Health inspection12 citations
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-11-17
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 2022-11-17
F-0676
E · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-11-17
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-17
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2022-11-17
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 2022-11-17
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-11-17
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-11-17
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-11-17
F-0806
D · 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 2022-11-17
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 2022-11-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-11-17
2026-02-12Fire-safety inspection5 citations
E-0032
C · No harm found
Provide primary/alternate means for communication.
Corrected 2026-02-23
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-02-23
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2026-02-27
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-02-27
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-02-27
2024-10-10Fire-safety inspection8 citations
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2024-10-31
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-10-31
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-10-31
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-31
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-10-31
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-31
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-10-31
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-31
2022-10-13Fire-safety inspection4 citations
K-0347
D · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-11-17
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-17
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-11-17
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2022-11-17
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 555861.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 72 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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