F

GRAND OAKS CARE

897 NORTH M STREET, TULARE, CA 93274
Score: 38 / 100

With a score of 38/100, Grand Oaks Care ranks in the bottom tier of California nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Grand Oaks Care provides above-average staffing with 4.20 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 63 deficiencies at Grand Oaks Care. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.20 3.8 Above Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 1.06 0.7 Above Average
Certified Nursing Assistants (CNA) 2.78 2.4 Above Average
Weekend Total Nursing 3.86 3.8 Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

63
Total Deficiencies
Sep 1, 2025
Most Recent Inspection
🟠 63 Moderate
View recent deficiencies (5 shown)
  • Tag 0725 Severity F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Sep 1, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jul 28, 2025 · Resident Rights Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jul 2, 2025 · Resident Rights Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    May 8, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 28, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.0% 4.5% Better
Falls with major injury 1.9% 3.0% Better
On antipsychotic medication 5.0% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 11.0% 14.0% Better
Excessive weight loss 3.7% 7.5% Better
New/worsened incontinence 20.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $34,492

How This Grade Was Calculated

This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
99
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 9, 2024
Deficiencies (Cycle 1)
21