About Grand Oaks Care
Grand Oaks Care, located in TULARE, CA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Grand Oaks Care
- More Nursing Time: Staff spends 4.10 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 4.10 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the AJC HEALTHCARE network. This chain operates 14 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Grand Oaks Care provides less care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 4 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 60 | Feb 12, 2026 |
| Weighted Average | 98 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 28.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 21.5% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.7% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 11.1% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.4% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 7.3% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 99.7% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 16.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 100.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 0.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 18.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 3.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 4 complaints
- 2024: 11 complaints
- 2025: 4 complaints
- 2026: 2 complaints
- Total: 21 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Sep 03, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Jul 07, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| May 09, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 13, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jun 21, 2024 | 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. |
| Jun 21, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| Jun 21, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| May 08, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| May 08, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Apr 25, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Feb 29, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 29, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 29, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Jan 22, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Jan 22, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Dec 28, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| Dec 28, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Oct 30, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 22, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jun 21, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Jun 21, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
Nearby Hospitals
KAWEAH HEALTH MEDICAL CENTER
VISALIA, CA
ADVENTIST HEALTH HANFORD
HANFORD, CA
SIERRA VIEW MEDICAL CENTER
PORTERVILLE, CA
ADVENTIST HEALTH TULARE
TULARE, CA
PORTERVILLE DEVELOPMENTAL CENTER
PORTERVILLE, CA
Owner & Operator Information
Business Entity
GRAND OAKS CARE LLC
Ownership Structure
- AARON CHESLEY Indirect
- SWC CA OPCO 2 LLC Direct: 100%
Management & Direction
- AARON CHESLEY CORPORATE OFFICER
- JAMES GAMETT CORPORATE OFFICER
- MICHELLE LAWRENCE W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Kings Healthcare and Wellness Center LP | N/A | 5 |
| Kaweah Health Skilled Nursing Center | N/A | 5 |
| Sierra View Medical Center | N/A | 4 |
| Dinuba Healthcare | N/A | 4 |
| Brighton Post Acute | N/A | 4 |
| Delta Healthcare and Wellness Center, LP | N/A | 4 |
| Lindsay Gardens Nursing and Rehabilitation | N/A | 5 |
| Sequoia Transitional Care | N/A | 4 |
| Bethel Lutheran Home | N/A | 2 |
| Rolling Hills Care Center | N/A | 3 |
Related Analysis
Best Nursing Homes in TULARE, CA
Compare Grand Oaks Care to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Grand Oaks Care directly at 5596871340. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.