Home›Browse›California›Selma›Rolling Hills Care Center

Nursing homeFAID #13871

Rolling Hills Care Center

2108 STILLMAN, SELMA, CA, 93662

(559) 896-4990

34 licensed beds

CMS rates Rolling Hills Care Center 3 out of 5 overall. Federal inspectors issued 56 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

2108 Stillman

Selma, CA 93662

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Public record summary

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Bed capacity

CMS facility ID

555892

Care type

Nursing home

County

Fresno

Facility name

Rolling Hills Care Center

Street address

2108 STILLMAN

City / state / ZIP

Selma, CA 93662

Phone

(559) 896-4990

About this facility — Rolling Hills Care Center

Rolling Hills Care Center is a Medicare/Medicaid-certified skilled nursing facility in Selma, California. It is licensed for 34 beds — well below the median for skilled nursing facilities in California (98 beds).

It is one of 5 senior care facilities in Selma 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 Ajc Healthcare, a group of 16 facilities on this site.

Federal inspectors have cited Rolling Hills Care Center 56 times across 9 inspections in the last three years, including 8 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 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.

Facility background

What the public record shows.

Ownership & operator

Parent company

Ajc Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Rolling Hills Care Center Holdings Llc

Direct owner · Operational control — 100% stake — since 2019

Swc Ca Opco, Llc

Indirect owner — 100% stake — since 2021

Chesley, Aaron

Officer — since 2021

Cook, Brett

Managing employee — since 2021

Gamett, James

Officer — since 2021

Regulatory standing

Licensed / certified since

2014-06-17

CMS overall rating

3 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-05-22

Nurse staffing

4.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$423 per day (≈ $12,860/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

69% Medicaid · 13% Medicare · 18% private/other

Occupancy

95% (fiscal year 2023)

Vs. state median

18% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

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.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-22Health inspection15 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-06-12

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 2026-06-12

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-06-12

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 2026-06-12

F-0732

E · No harm found

Post nurse staffing information every day.

Corrected 2026-06-12

F-0756

D · 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 2026-06-12

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-06-12

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 2026-06-12

F-0803

E · 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 2026-06-12

F-0804

D · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-06-12

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 2026-06-12

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 2026-06-12

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 2026-06-12

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-12

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2026-06-12

2024-11-25Health inspection10 citations

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 2024-12-31

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 2024-12-31

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-31

F-0661

D · No harm found

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-12-31

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 2024-12-31

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 2024-12-31

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 2024-12-31

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-31

F-0912

F · 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 2024-12-31

F-0925

F · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-12-31

6 earlier / fire-safety inspections (31 citations)

2024-09-20Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-30

2024-05-06Health 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 2024-06-25

2024-01-14Health inspectionComplaint-triggered8 citations

F-0585

D · No harm foundFrom a complaint

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 2024-02-24

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-02-24

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-02-24

F-0761

D · No harm found

Corrected 2024-02-24

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 2024-02-24

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 2024-02-24

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2024-02-24

F-0912

C · 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 2024-02-24

2026-05-22Fire-safety inspection6 citations

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 2026-06-09

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2026-06-07

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 2026-06-07

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-06-21

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-06-09

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-06-07

2024-11-25Fire-safety inspection7 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-12-23

K-0200

D · No harm found

Meet other general requirements.

Corrected 2024-12-23

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-23

K-0541

D · No harm found

Install properly constructed and protected linen or trash chutes.

Corrected 2024-12-23

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-12-23

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-23

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-12-23

2024-01-14Fire-safety inspection8 citations

E-0015

D · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-02-24

E-0030

D · No harm found

List the names and contact information of those in the facility.

Corrected 2024-02-24

E-0031

D · No harm found

Provide emergency officials' contact information.

Corrected 2024-02-24

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-24

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-24

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-02-24

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-24

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2024-02-24

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 555892.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 36% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

4.4

Higher than 62% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

42%

Higher than 67% of nursing homes in the state

State median: 36%

Resident outcomes

On 19 federal quality measures, this facility does better than the California average on 12 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	0.0%	10.2%	13.5%	Better than state
Lose too much weight	0.0%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	18.4%	7.6%	13.5%	Worse than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	0.0%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	14.9%	13.7%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	1.8%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	1.1%	9.8%	18.3%	Better than state
Received an antipsychotic medication	1.8%	12.3%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.5%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	14.6%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	32.3%	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-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0757 2 inspections. Ensure each resident’s drug regimen must be free from unnecessary drugs.
F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What its owners also hold

Swc Ca Opco, Llc has an ownership stake on file at 5 nursing homes, averaging 3.2 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

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

Community Regional Medical Center, about 15 miles. CMS rating 1 of 5.
Fresno Va Medical Center (va Central California Healthcare System), about 17 miles. CMS rating 5 of 5.
Saint Agnes Medical Center, about 20 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Bethel Assisted Living, Selma, about 0.6 miles. 0 state visits on record.
Bethel Lutheran Home, Selma, about 0.7 miles. CMS rating 3 of 5.
Goldridge Home, Selma, about 1.1 miles. 5 state visits on record.
Kingsburg Center, Kingsburg, about 4.3 miles. CMS rating 3 of 5.
Fowler Care Center, Fowler, about 4.6 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 56 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

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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 2026-11-06

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