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Nursing HomeMedicaid

Fowler Care Center

Strong Medicare quality ratings; families often praise professional rehabilitation and therapy teams. Still worth an in-person visit.

8448 East Adams Avenue, Fowler, CA 9362546 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 30 Google reviews

5
4
3
2
1
Fowler Care Center Nursing Home in Fowler, CA — Street View
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What this means for your family

This facility offers an impressive rehabilitation and physical therapy program that many families find highly effective. However, you must perform due diligence regarding medical oversight, as multiple reviewers have reported serious issues with blood sugar management and nighttime neglect.

Google Reviews

Google Reviews

30 reviews on Google
Families may find a high-quality rehabilitation experience here, as several reviewers praise the professional therapy teams and caring nursing staff. However, there are serious allegations regarding medical neglect, such as failure to manage blood sugar levels and inadequate nighttime supervision, which should be investigated closely.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean7.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Professional rehabilitation and therapy teams
  • Caring and attentive nursing staff
  • Clean and well-maintained environment
  • Welcoming and friendly atmosphere

Concerns

  • Medical mismanagement and neglect (mentioned by 2 reviewers)
  • Inadequate nighttime monitoring/supervision
  • Issues with administrative responsiveness and records

Rating Trends

Tap a year to see what changed

234'16(2)'18(1)'20(1)'22(2)'25(16)'26(7)

Distribution · 34 analyzed

5
20
4
1
3
1
2
0
1
12

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your rehab and therapy teams; could you tell us more about how they work with residents to maintain their mobility?
  • 2How does the nursing team manage medication schedules and ensure everything is documented accurately throughout the day and night?
  • 3What specific protocols do you have in place for monitoring residents during the overnight hours to ensure they are safe and comfortable?
  • 4In the event of a medical emergency after hours, what is the immediate process for contacting doctors and notifying the family?
  • 5What kind of daily activities or social events do you have planned to keep the residents engaged and part of the community?
  • 6How does the administration handle communication with families if there are updates regarding a resident's care or changes in their records?

Personalized based on this facility's data


Key Review Excerpts

Fowler Care center has a great Rehab team! The Physical and Occupational therapy team is very friendly and motivated to يعمل to help patients reach their goals and treat each patient with respect.

Rehab patient's family · 2025★★★★★

The nurses here are caring, loving, and patient with the residents. I highly recommend this facility as first choice for the surrounding area and even from afar if you have reliable transportation!

Long-term resident's family · 2025★★★★★

My sister is diabetic and has only been there one week. After a few days of being admitted she was sent back to the Fresno community hospital by ambulance because of high blood sugar.

Short-term resident's family · 2025☆☆☆☆
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
28%
Registered nurses for medical care
Total Nursing
4.31hrs
OK
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
19.4%
CA
10.7%
Fresno
12.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
15.4%
CA
11.6%
Fresno
9.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.3%
CA
10.5%
Fresno
12.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
19.5%
CA
13.7%
Fresno
15.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
12.1%
CA
7.0%
Fresno
5.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
14.4%
CA
10.4%
Fresno
11.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Worse than Avg
Here
77.8%
US
79.7%
CA
93.2%
Fresno
94.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.7%
Mixed vs Avgs
Here
92.7%
US
81.8%
CA
94.2%
Fresno
94.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Fresno
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Near state avg (15.4)
8 complaint-triggered

Fowler Care Center shows concerning patterns with recurring deficiencies in accident prevention, fire safety systems, and food service across multiple surveys. Families have filed eight complaints, primarily about accident hazards and nursing staff competency. The facility has repeatedly struggled with the same safety issues - room size violations, sprinkler system maintenance, and food handling - suggesting systemic problems that persist despite corrections.

Mar 7, 2025Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0557Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0656Potential for harm · PatternCorrected

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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Nov 13, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 26, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 27, 2024Complaint
1
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 7, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 15, 2024Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0761Potential for harm · IsolatedCorrected

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.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0347Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fowler Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Ajc Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 2.2/5 · Rank 1 of 13 (Best)

Ownership & Management

Owners

Fowler Care Center Holdings LLC

Owner (parent company) · Organization

Swc CA Opco, LLC

Owner (parent company) · Organization

Chesley, Aaron

Owner (parent company)

Key personnel

Smith, PhyliciaW-2 Managing EmployeeChesley, AaronOfficer / DirectorGamett, JamesOfficer / DirectorFowler Care Center Holdings LLCManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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