All states › California › Fowler › Fowler Care Center
8448 East Adams Avenue Fowler, CA 93625 · Fresno County
All 2 nursing homes in Fowler, CA (2 take Medicaid)
CMS certification number 555918 · See this home on Medicare Care Compare
Is Fowler Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Fowler Care Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.38 hours per resident per day at Fowler Care Center, above the California median of 4.27 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 3.97 hours, 9% below its all-week average. 45.5% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Fowler Care Center: Medicare and Medicaid
Fowler Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 2, 2026 and found 6 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 34 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 34 citations at Fowler Care Center across 10 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 32 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were environmental (6) and quality of life and care (5). The most serious was cited under the CMS rule to "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" (tag F0726, level F, May 7, 2026).
July 2, 2026 · 6 citations
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure services provided by the nursing facility meet professional standards of quality.
DPost nurse staffing information every day.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
May 7, 2026 · 1 citation · includes complaint inspection
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
April 3, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 7, 2025 · 12 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
November 13, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 26, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 27, 2024 · 1 citation · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 7, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 15, 2024 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
DKeep all essential equipment working safely.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
January 23, 2024 · 2 citations · includes complaint inspection
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Questions to ask on a tour of Fowler Care Center
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 2/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
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Location
Hospitals near Fowler Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.6 mi
Adventist Health Reedley ReedleyEmergency roomMedian ER visit 2h 24m for patients treated and sent home
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11.0 mi
Community Regional Medical Center FresnoEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 52m for patients treated and sent home
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12.3 mi
Fresno VA Medical Center (VA Central California Healthcare System) FresnoEmergency room ★★★★★ Medicare overall 5 of 5
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Fowler Care Center › All nursing homes in Fowler ›
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Other Ajc Healthcare nursing homes in California
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- Rolling Hills Care Center · Selma · 3 stars
- Grand Oaks Care · Tulare · 3 stars
- Palms Care Center · Chowchilla · 3 stars
- Orchards at Tulare · Tulare · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 16 Ajc Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.