Grand Oaks Care
897 North M Street, Tulare, CA, 93274
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Ajc Healthcare
- Certified beds
- 99 · avg 93 residents/day
- Total nursing staff turnover
- 49.7% — higher than most California nursing homesCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 30% — lower than most California nursing homesCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 555861
- Certified beds
- 99 beds · avg 93 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Grand Oaks Care Llc
- Chain affiliation
- Ajc Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Ajc Healthcare chain — 14 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (6 on record)
- Aaron Chesley
Corporate Officer · since 2022
- Ajc Healthcare Llc
5% or Greater Indirect Ownership Interest · 50% · since 2022
- James b Gamett
5% or Greater Indirect Ownership Interest · 50% · since 2022
- Jbg Partners Llc
5% or Greater Indirect Ownership Interest · 50% · since 2022
- Michelle Lawrence
W-2 Managing Employee · since 2022
- Swc ca Opco 2 Llc
5% or Greater Direct Ownership Interest · 100% · since 2022
Recent change of ownership
May 2022 (4 years ago) · acquired from Twin Oaks Rehabilitation & Nursing Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 55)
- D0658·Mar 12, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0880·Feb 12, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Feb 12, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Feb 12, 2026
Pharmacy Service Deficiencies
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.
- D0698·Feb 12, 2026
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0658·Feb 12, 2026
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0656·Feb 12, 2026
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0725·Sep 2, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Feb 12, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Grand Oaks Careinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.