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PALMS CARE CENTER Inspection Report, Violations & Safety Grade (CHOWCHILLA, California)

1010 VENTURA AVENUE, CHOWCHILLA, California 93610

Phone: 5596654826

CMS Overall:3/5

Overview & Bed Count

Certified Beds
65
Avg Residents/Day
60.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Madera
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityCalifornia AvgDifference
RN Hours per Resident per Day0.260.68-0.42
Total Nurse Hours per Resident per Day4.184.54-0.36
CMS Staffing Rating3/53.3/5-
Nursing Staff Turnover37.8%36.6%-

Health Citation History

40 health citations on record

DateCategoryDescriptionSeverity
2026-07-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2025-04-04Nursing and Physician Services DeficienciesPost nurse staffing information every day.F – Moderate Harm Potential
2025-04-04Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2025-04-04Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-04-04Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-04-04Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2025-04-04Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D – Moderate Harm Potential
2025-04-04Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-04-04Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2024-07-30Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-04-19Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2024-04-19Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-04-19Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2024-04-19Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.D – Moderate Harm Potential
2024-04-19Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2024-04-19Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-04-19Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-04-19Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-04-19Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-04-19Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-11-29Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2021-11-10Quality of Life and Care DeficienciesTry 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.K – Immediate Jeopardy
2021-11-10Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2021-11-10Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2021-11-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2021-11-10Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.F – Moderate Harm Potential
2021-11-10Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.F – Moderate Harm Potential
2021-11-10Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2021-11-10Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2021-11-10Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F – Moderate Harm Potential
2021-11-10Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2021-11-10Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2021-11-10Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2021-11-10Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2021-11-10Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2021-11-10Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2021-11-10Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2021-11-10Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2021-11-10Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D – Moderate Harm Potential
2021-11-10Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D – Moderate Harm Potential

Fire Safety Citation History

23 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2025-04-04Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2025-04-04Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-04-04Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2025-04-04Smoke DeficienciesInstall an approved automatic sprinkler system.C – Minimal Harm Potential
2025-04-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.C – Minimal Harm Potential
2024-04-19Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2024-04-19Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2024-04-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2021-11-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2021-11-10Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2021-11-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2021-11-10Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.D – Moderate Harm Potential
2021-11-10Emergency Preparedness DeficienciesList the names and contact information of those in the facility.D – Moderate Harm Potential
2021-11-10Emergency Preparedness DeficienciesEstablish staff and initial training requirements.D – Moderate Harm Potential
2021-11-10Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.D – Moderate Harm Potential
2021-11-10Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2021-11-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2021-11-10Services DeficienciesMeet other general requirements that are deficient.D – Moderate Harm Potential
2021-11-10Miscellaneous DeficienciesProvide a written emergency evacuation plan.D – Moderate Harm Potential
2021-11-10Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2021-11-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2021-11-10Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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