Nursing home

Grand Oaks Care

897 North M Street, Tulare, CA 93274

★★★★★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 cycle7
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds99

Inspection findings

Inspectors recorded 55 findings in the last three inspection cycles.

55 No harm, but a risk of harm

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 dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Mar 12, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Mar 31, 2026
Feb 12, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Feb 23, 2026
Feb 12, 2026Food and nutritionProcure 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
isolated
Corrected: Feb 23, 2026
Feb 12, 2026Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2026
Feb 12, 2026Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2026
Feb 12, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Feb 23, 2026
Feb 12, 2026Resident assessment and care planningDevelop 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
Corrected: Feb 23, 2026
Sep 2, 2025Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
widespread · from a complaint
Corrected: Sep 3, 2025
Earlier inspections (47)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 29, 2025Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
past non-compliance, corrected before the inspection
Jul 3, 2025Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 7, 2025
May 9, 2025Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 9, 2025
Jan 29, 2025Resident assessment and care planningDevelop 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: Feb 13, 2025
Oct 10, 2024Building and environmentMake 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
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024AdministrationSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867)No harm, but a risk of harm
widespread
Corrected: Oct 24, 2024
Oct 10, 2024Food and nutritionEnsure 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
Corrected: Oct 24, 2024
Oct 10, 2024Food and nutritionEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805)No harm, but a risk of harm
isolated
Corrected: Oct 24, 2024
Oct 10, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Oct 24, 2024
Oct 10, 2024Quality of life and careProvide medically-related social services to help each resident achieve the highest possible quality of life. (F0745)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Nursing and physician servicesEnsure 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
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated
Corrected: Oct 24, 2024
Oct 10, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated
Corrected: Oct 24, 2024
Oct 10, 2024Resident rightsHonor 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
isolated
Corrected: Oct 24, 2024
Oct 10, 2024Resident rightsHonor 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. (F0578)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Oct 10, 2024Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
pattern
Corrected: Oct 24, 2024
Jun 20, 2024AdministrationEstablish 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. (F0837)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jun 21, 2024
Jun 20, 2024Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern · from a complaint
Corrected: Jun 21, 2024
Jun 20, 2024Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 21, 2024
May 7, 2024Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 8, 2024
May 7, 2024Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 8, 2024
Apr 23, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 25, 2024
Feb 13, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 29, 2024
Feb 7, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 29, 2024
Feb 7, 2024Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 29, 2024
Dec 22, 2023Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 22, 2024
Dec 22, 2023Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 22, 2024
Nov 2, 2023Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 28, 2023
Nov 2, 2023Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
pattern · from a complaint
Corrected: Dec 28, 2023
Oct 10, 2023Quality of life and careEnsure 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: Oct 30, 2023
Oct 13, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Nov 17, 2022
Oct 13, 2022Food and nutritionProcure 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
widespread
Corrected: Nov 17, 2022
Oct 13, 2022Food and nutritionEnsure 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
Corrected: Nov 17, 2022
Oct 13, 2022Food and nutritionEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804)No harm, but a risk of harm
pattern
Corrected: Nov 17, 2022
Oct 13, 2022Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Nov 17, 2022
Oct 13, 2022Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
pattern
Corrected: Nov 17, 2022
Oct 13, 2022Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
isolated
Corrected: Nov 17, 2022
Oct 13, 2022Quality of life and careProvide activities to meet all resident's needs. (F0679)No harm, but a risk of harm
pattern
Corrected: Nov 17, 2022
Oct 13, 2022Quality of life and careProvide care and assistance to perform activities of daily living for any resident who is unable. (F0677)No harm, but a risk of harm
isolated
Corrected: Nov 17, 2022
Oct 13, 2022Quality of life and careEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676)No harm, but a risk of harm
pattern
Corrected: Nov 17, 2022
Oct 13, 2022Resident assessment and care planningDevelop 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
Corrected: Nov 17, 2022
Oct 13, 2022Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: Nov 17, 2022

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.37California median: 4.27
Registered nurse hours per resident per day0.37California median: 0.52
Nurse staff hours on weekends3.92California median: 3.85
Nursing staff who left within a year46.2%California median: 36.0%

About this home

Beds99
Residents per day, average93.5
OwnershipFor-profit, limited liability company
Legal business nameGrand Oaks Care LLC
ChainAJC Healthcare (16 homes)
In Medicare/Medicaid sinceJun 26, 2009

Questions to ask when you call

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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