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Nursing HomeMedicaid Investigative

Vineyards at Fowler

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1306 East Sumner Avenue, Fowler, CA 9362549 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 40 Google reviews

5
4
3
2
1
Vineyards at Fowler Nursing Home in Fowler, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (19 vs median 13.0)

Below average in CA · Critically understaffed (RN) · Above recommended total nurse staffing · No penalties on record

Source: Medicare data

What this means for your family

The facility offers excellent rehabilitation results and a very friendly staff that many families find comforting. However, you must closely monitor hygiene and responsiveness, as there are documented patterns of poor cleanliness and delayed assistance for resident needs.

Google Reviews

Google Reviews

40 reviews on Google
Families considering Vineyards at Fowler will find a facility with a highly praised, friendly, and professional nursing and therapy staff. However, there are serious, recurring allegations regarding poor hygiene, including unpleasant odors and cleanliness issues, as well as critical concerns regarding patient safety and responsiveness to call lights.

Quality Themes

Tap a score for details
Food2.0Staff8.0Clean2.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Friendly and professional staff
  • Effective rehabilitation and therapy services
  • Engaging resident activities
  • Welcoming atmosphere for visitors

Concerns

  • Unpleasant facility odors (urine/decay) (mentioned by 3 reviewers)
  • Poor responsiveness to call lights or resident needs (mentioned by 3 reviewers)
  • Issues with cleanliness and hygiene (dirty linens/floors) (mentioned by 3 reviewers)
  • Lack of communication with families (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02023(1)1.02024(4)4.32025(30)3.42026(7)

Distribution · 42 analyzed

5
26
4
3
3
2
2
0
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your therapy and rehab services; could you tell us more about how the team supports residents during their recovery?
  • 2What specific steps is the facility taking to ensure the rooms and common areas are kept fresh and impeccably clean for the residents?
  • 3How does the nursing team manage medication schedules and ensure that every dose is administered accurately and on time?
  • 4How do you ensure that staff members are able to respond quickly to call lights and individual resident needs throughout the day and night?
  • 5What is the best way for us to stay in regular, consistent contact with the nursing staff regarding updates on our loved one's health?
  • 6Could you describe the daily activity calendar and how you ensure residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

Her therapy was so great that she discharged back home ambulating independently. Thank you, team Vineyards at Fowler!

Rehab patient's family · 2025★★★★★

The staff there was real polite and helpful place itself was very clean bathrooms are very clean the driveway and check in was really easy to maneuver

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

Some residents have been kept waiting up to one hour and forty five minutes asking to go to the restroom. They claim it was because they were having a staff meeting.

Long-term resident's family · 2026☆☆☆☆
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
4.49hrs
OK
All nurses + aides combined
Staff Turnover
49%
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
4/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.3%
CA
10.5%
Fresno
12.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
15.4%
CA
11.6%
Fresno
9.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
19.5%
CA
13.7%
Fresno
15.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
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 whose bladder or bowel control got worse

↓ Lower is better
This Facility18.5%
Mixed vs Avgs
Here
18.5%
US
19.4%
CA
10.7%
Fresno
12.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Fresno
98.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.0%
Worse than Avg
Here
65.0%
US
79.7%
CA
93.2%
Fresno
94.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.5%
Mixed vs Avgs
Here
90.5%
US
81.8%
CA
94.2%
Fresno
94.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Mixed vs Avgs
Here
1.3%
US
1.6%
CA
1.5%
Fresno
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
Above state avg (15.4)
14 complaint-triggered

This facility shows significant concerns with recent uncorrected violations and multiple family complaints spanning several years. The most frequent problems involve medication management, food service and dietary care, and care planning and assessments. While older issues from 2021-2024 were corrected, a January 2026 survey revealed serious ongoing deficiencies including medication errors, food safety violations, and inadequate resident assessments that remain without correction plans, suggesting persistent operational challenges that families should carefully evaluate.

Mar 4, 2026Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jan 9, 2026Routine
19
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

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.

0761Potential for harm · PatternCorrected

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.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0911Minimal · Pattern

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

0912Minimal · Pattern

Environmental Deficiencies

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

Dec 10, 2025Complaint
4
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.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Aug 22, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Feb 20, 2025Complaint
2
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.

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.

Sep 20, 2024Routine
27
0023Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0838Potential for harm · WidespreadCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0929Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0842Potential for harm · IsolatedCorrected

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.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0030Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0032Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0351Minimal · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0912Minimal · Pattern

Environmental Deficiencies

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

0911Minimal · PatternCorrected

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Vineyards at Fowler

Organization Type

for profit

Chain Affiliation

Chain Name

Ajc Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 2.2/5 · Rank 6 of 13

Ownership & Management

Owners

Swc CA Opco 2 LLC

Owner · Organization

100%

Chesley, Aaron

Owner (parent company)

50%

Key personnel

Holguin, SimonW-2 Managing EmployeeChesley, AaronOfficer / DirectorGamett, JamesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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