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Nursing homeFAID #626

Palms Care Center

1010 VENTURA AVENUE, CHOWCHILLA, CA, 93610
(559) 665-4826
65 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
65
CMS facility ID
055047
Care type
Nursing home
County
Madera
Facility name
Palms Care Center
Street address
1010 VENTURA AVENUE
City / state / ZIP
Chowchilla, CA 93610
Phone
(559) 665-4826

Palms Care Center is a Medicare/Medicaid-certified skilled nursing facility in Chowchilla, California. It is licensed for 65 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 5 senior care facilities in Chowchilla 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 Palms Care Center 62 times across 8 inspections in the last three years, including 6 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.

What the public record shows.

Ownership & operator

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

Registered owners & officers

Palms Care Center Holdings Llc
Direct owner · Operational control — 100% stake — since 2019
Chesley, Aaron
Indirect owner · Officer — since 2021
Gamett, James
Officer — since 2021
Hawk, Regan
Managing employee — since 2021
Swc Ca Opco, Llc
Indirect owner — since 2021

Regulatory standing

Licensed / certified since
1967-01-01
CMS overall rating
4 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-04-04
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$350 per day (≈ $10,640/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 14% Medicare · 17% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
32% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
65
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2025-04-04Health inspection8 citations
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 2025-04-08
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-08
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-04-08
F-0732
F · No harm found
Post nurse staffing information every day.
Corrected 2025-04-08
F-0801
D · 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 2025-04-08
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 2025-04-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-08
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-04-08
2024-07-30Health 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 2024-09-04
6 earlier / fire-safety inspections (53 citations)
2024-04-19Health inspection10 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-12
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-05-12
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 2024-05-12
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-12
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 2024-05-12
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-12
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 2024-05-12
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 2024-05-12
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 2024-05-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-12
2023-11-29Health 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 2023-10-11
2021-11-10Health inspection19 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2022-03-04
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 2022-03-04
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-04
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-03-04
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2022-03-04
F-0700
K · Immediate jeopardy
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 2022-03-04
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-03-04
F-0726
F · 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 2022-03-04
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-04
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2022-03-04
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 2022-03-04
F-0802
D · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-03-04
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 2022-03-04
F-0813
F · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-03-04
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-03-04
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-03-04
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-03-04
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 2022-03-04
F-0943
D · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-03-04
2025-04-04Fire-safety inspection6 citations
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-04-20
K-0351
C · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-04-20
K-0353
C · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-20
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-20
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2025-04-20
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-20
2024-04-19Fire-safety inspection3 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2024-05-05
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-05
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-05
2021-11-10Fire-safety inspection14 citations
E-0006
D · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-11-29
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2021-11-29
E-0037
D · No harm found
Establish staff and initial training requirements.
Corrected 2021-11-29
K-0232
D · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2021-11-29
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 2021-11-29
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-11-29
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-29
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-11-29
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-11-29
K-0500
D · No harm found
Meet other general requirements that are deficient.
Corrected 2021-11-29
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2021-11-29
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2021-11-29
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-29
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2021-11-29
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 055047.
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 62 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