★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle4
Findings with harm or immediate jeopardy, 3 cycles3
Fines, 3 years$9,110
Beds71
Inspection findings
Inspectors recorded 30 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 20, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 1, 2026 |
| Apr 20, 2026 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 1, 2026 |
| Apr 20, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 1, 2026 |
| Jun 12, 2025 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 4, 2025 |
| Jun 12, 2025 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | Actual harm to a resident isolated · from a complaint | Corrected: Jul 4, 2025 |
| Apr 10, 2025 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: May 2, 2025 |
Earlier inspections (24)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Feb 5, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated · from a complaint | Corrected: Feb 28, 2025 |
| Feb 5, 2025 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 28, 2025 |
| Feb 5, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 28, 2025 |
| Jan 13, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 12, 2025 |
| Dec 11, 2024 | Quality of life and care | Provide or get specialized rehabilitative services as required for a resident. (F0825) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 30, 2024 |
| Sep 17, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 10, 2024 |
| Aug 29, 2024 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 30, 2024 |
| Aug 16, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 10, 2024 |
| Apr 17, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated · from a complaint | Corrected: May 16, 2024 |
| Jan 30, 2024 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 21, 2024 |
| Oct 2, 2023 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 24, 2023 |
| Oct 2, 2023 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 24, 2023 |
| Dec 1, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Dec 22, 2022 |
| Dec 1, 2022 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Dec 22, 2022 |
| Dec 1, 2022 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm pattern | Corrected: Dec 22, 2022 |
| Dec 1, 2022 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: Dec 22, 2022 |
| Feb 15, 2019 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2019 |
| Feb 15, 2019 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2019 |
Fines and payment denials
Federal fines in the last three years: $9,110 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jan 13, 2025 | Fine | $9,110 |
Staffing
| Nurse staff hours per resident per day | 4.02 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.43 | California median: 0.52 |
| Nurse staff hours on weekends | 3.69 | California median: 3.85 |
| Nursing staff who left within a year | 30.6% | California median: 36.0% |
About this home
| Beds | 71 |
| Residents per day, average | 69.0 |
| Ownership | For-profit, corporation |
| Legal business name | Avalon Care Center-Merced Franciscan, LLC |
| Chain | Avalon Health Care (16 homes) |
| In Medicare/Medicaid since | Jul 31, 1969 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error
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