Skilled nursing facility · CMS certification number 555352
GRACE HEALTHCARE CENTER
FRESNO, California · Medicare and Medicaid · 101 certified beds in Care Compare
Download GRACE HEALTHCARE CENTER’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: September 5, 2025, Payment Denial. Every penalty on file ↓
GRACE HEALTHCARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2019, covering February 1, 2019 to April 11, 2019 (69 days, not a full year), and CMS processed it on February 16, 2022.
- Net patient revenue rose from $4.4M in fiscal year 2008 to $4.5M in fiscal year 2009.
- Its result from service to patients: −$210K (2005), −$317K (2008), −$98K (2009).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2019.
- Since its cost report for fiscal year 2017 was filed on March 8, 2022, 6 changes are listed on this record: 6 deficiencies.
GRACE HEALTHCARE CENTER: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2019 · report 1310509 | 2018 · report 1306285 | 2017 · report 1311629 | 2016 · report 1310508 | 2015 · report 1116928 | 2014 · report 1081427 | 2013 · report 1053663 | 2012 · report 1004259 |
|---|---|---|---|---|---|---|---|---|
| Period began | February 1, 2019 | February 1, 2017 | February 1, 2016 | February 1, 2015 | February 1, 2014 | February 1, 2013 | February 1, 2012 | February 1, 2011 |
| Period ended | April 11, 2019 | January 31, 2018 | January 31, 2017 | January 31, 2016 | January 31, 2015 | January 31, 2014 | January 31, 2013 | January 31, 2012 |
| Days, where not a full year | 69 | — | — | — | — | — | — | — |
| Processed by CMS | February 16, 2022 | December 3, 2021 | March 8, 2022 | February 16, 2022 | January 20, 2016 | December 3, 2014 | January 27, 2014 | September 14, 2012 |
None of these figures is carried on the report for fiscal years 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012.
| Form CMS-2540-96 | 2011 · report 420402 | 2010 · report 434139 | 2009 · report 358408 | 2008 · report 328526 | 2007 · report 291240 | 2005 · report 236968 | 2004 · report 203408 | 2003 · report 173813 | 2002 · report 170680 | 2001 · report 97990 | 2000 · report 97988 | 1999 · report 97987 | 1998 · report 97985 | 1997 · report 97984 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | February 1, 2010 | February 1, 2009 | February 1, 2008 | February 1, 2007 | February 1, 2006 | February 1, 2004 | February 1, 2003 | February 1, 2002 | February 1, 2001 | February 1, 2000 | February 1, 1999 | February 1, 1998 | February 1, 1997 | February 1, 1996 |
| Period ended | January 31, 2011 | January 31, 2010 | January 31, 2009 | January 31, 2008 | January 31, 2007 | January 31, 2005 | January 31, 2004 | January 31, 2003 | January 31, 2002 | January 31, 2001 | January 31, 2000 | January 31, 1999 | January 31, 1998 | January 31, 1997 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | November 18, 2011 | January 31, 2013 | October 29, 2009 | November 17, 2008 | August 7, 2007 | November 16, 2005 | December 23, 2004 | April 27, 2004 | March 9, 2004 | February 26, 2002 | September 24, 2001 | November 12, 1999 | March 11, 1999 | March 9, 1998 |
| Net patient revenue | — | — | $4,469,708 | $4,351,089 | — | $3,851,267 | $3,782,257 | $3,570,285 | $3,354,745 | $3,124,840 | $2,591,945 | — | $2,785,278 | $3,196,112 |
| Total operating expenses | — | — | $4,567,563 | $4,667,971 | — | $4,060,971 | $3,855,557 | $3,698,115 | $3,318,885 | $2,989,112 | $2,676,988 | — | $2,830,368 | $3,228,487 |
| Net income from service to patients | — | — | −$97,855 | −$316,882 | — | −$209,704 | −$73,300 | −$127,830 | $35,860 | $135,728 | −$85,043 | — | −$45,090 | −$32,375 |
| Total other income | — | — | — | $4,187 | — | $3,185 | $5,945 | $2,425 | $2,029 | $2,033 | $2,141 | — | $2,458 | $31,101 |
| Total other expenses | — | — | $800 | $800 | — | $800 | — | −$100 | $6,645 | $48,467 | $4,509 | — | — | — |
| Net income | — | — | −$98,655 | −$313,495 | — | −$207,319 | −$67,355 | −$125,305 | $31,244 | $89,294 | −$87,411 | — | −$42,632 | −$1,274 |
| Total facility beds, all components | — | — | 99 | 107 | — | 107 | 116 | 116 | 116 | 116 | 116 | 116 | 116 | 116 |
| Total patient days, all components | — | — | 28,434 | 28,238 | — | 32,325 | 31,079 | 29,126 | 29,830 | 29,059 | 27,210 | 29,474 | 32,484 | 37,880 |
| Total discharges, all components | — | — | 63 | 39 | — | 47 | 66 | 68 | 33 | 32 | 27 | 26 | 79 | 58 |
| Average length of stay, Medicare, in days | — | — | 45.17 | 25 | — | 20.2 | 28.14 | 103 | 58.33 | 42 | 69 | 127.67 | 34.55 | 33.96 |
| Average length of stay, Medicaid, in days | — | — | 527.66 | 967.55 | — | 787.65 | 593.82 | 575.4 | 994.1 | 977.24 | 1,101.71 | 1,353.71 | 580.26 | 1,263.69 |
| Average length of stay, all patients, in days | — | — | 451.33 | 724.05 | — | 687.77 | 470.89 | 428.32 | 903.94 | 908.09 | 1,007.78 | 1,133.62 | 411.19 | 653.1 |
Net income, fiscal years 2009, 2008, 2005, 2004, 2003, 2002, 2001, 2000, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal years 2011, 2010, 2007.
GRACE HEALTHCARE CENTER: nurse staffing hours by quarter →
Who owns GRACE HEALTHCARE CENTER, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: GONZALEZ, LLATISHA (individual), 100%%, since 08/31/2017
- CORPORATE DIRECTOR: GONZALEZ, LLATISHA (individual), NOT APPLICABLE, since 07/20/2017
- CORPORATE OFFICER: GONZALEZ, LLATISHA (individual), NOT APPLICABLE, since 07/20/2017
- W-2 MANAGING EMPLOYEE: GONZALEZ, LLATISHA (individual), NOT APPLICABLE, since 07/20/2017
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of R. FELLEN, INC. (enrollment ID O20071211000042).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: LLATISHA M GONZALEZ (individual), 100.00%, since 08/31/2017
- CORPORATE DIRECTOR: LLATISHA M GONZALEZ (individual), 100.00%, since 07/20/2017
- CORPORATE OFFICER: LLATISHA M GONZALEZ (individual), 100.00%, since 07/20/2017
- W-2 MANAGING EMPLOYEE: LLATISHA M GONZALEZ (individual), 100.00%, since 07/20/2017
Private equity company, real estate investment trust and holding company: “Paused by CMS” for every owner listed here. Paused by CMS: Form CMS-855A, December 11, 2025.
Recent changes on this record
- August 5, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Oct2026.csv
- July 24, 2026: A deficiency was cited under tag F 0882, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 24, 2026: A deficiency was cited under tag F 0727, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0692, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 10, 2026: A deficiency was cited under tag F 0658, scope and severity E. NH_HealthCitations_Sep2026_2.csv
Inspections of GRACE HEALTHCARE CENTER
- Cycle 1: health March 20, 2026 (24 deficiencies), fire safety March 20, 2026 (14)
- Cycle 2: health September 13, 2024 (28 deficiencies), fire safety September 13, 2024 (8)
- Cycle 3: health June 16, 2023 (22 deficiencies), fire safety June 16, 2023 (21)
Deficiencies cited at GRACE HEALTHCARE CENTER
76 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 23 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: August 5, 2026 (D, from a complaint, corrected August 28, 2026); March 20, 2026 (D, corrected April 16, 2026); September 13, 2024 (E, corrected October 15, 2024).
- F 0727, nursing and physician services: July 24, 2026 (F, from a complaint, corrected September 18, 2026); December 23, 2024 (D, from a complaint, corrected January 23, 2025); June 16, 2023 (D, corrected August 1, 2023).
- F 0882, infection control: July 24, 2026 (F, from a complaint, corrected September 18, 2026).
- F 0658, resident assessment and care planning: July 10, 2026 (E, from a complaint, corrected July 29, 2026); May 27, 2026 (E, from a complaint, corrected June 20, 2026); September 13, 2024 (E, corrected October 15, 2024); June 16, 2023 (E, corrected August 1, 2023).
- F 0692, quality of life and care: July 10, 2026 (E, from a complaint, corrected July 29, 2026); May 27, 2026 (E, from a complaint, corrected June 20, 2026); June 16, 2023 (D, corrected August 1, 2023).
- F 0880, infection control: July 10, 2026 (E, from a complaint, corrected July 29, 2026); March 20, 2026 (E, corrected April 16, 2026); October 2, 2024 (E, from a complaint, corrected November 15, 2024); September 13, 2024 (F, corrected October 15, 2024); June 16, 2023 (F, corrected August 1, 2023).
- F 0550, resident rights: March 20, 2026 (D, corrected April 16, 2026); September 13, 2024 (D, corrected October 15, 2024).
- F 0580, resident rights: March 20, 2026 (D, corrected April 16, 2026).
- F 0641, resident assessment and care planning: March 20, 2026 (D, corrected April 16, 2026); June 16, 2023 (F, corrected August 1, 2023).
- F 0646, resident assessment and care planning: March 20, 2026 (D, corrected April 16, 2026).
- F 0657, resident assessment and care planning: March 20, 2026 (D, corrected April 16, 2026).
- F 0726, nursing and physician services: March 20, 2026 (D, corrected April 16, 2026).
- F 0730, nursing and physician services: March 20, 2026 (D, corrected April 16, 2026).
- F 0757, pharmacy service: March 20, 2026 (D, corrected April 16, 2026); October 2, 2024 (E, from a complaint, corrected November 15, 2024).
- F 0761, pharmacy service: March 20, 2026 (D, corrected April 16, 2026); September 13, 2024 (E, corrected October 15, 2024); June 16, 2023 (E, corrected August 1, 2023).
- F 0801, nutrition and dietary: March 20, 2026 (F, corrected April 16, 2026).
- F 0812, nutrition and dietary: March 20, 2026 (D, corrected April 16, 2026); September 13, 2024 (E, corrected October 15, 2024); June 16, 2023 (F, corrected August 1, 2023).
- F 0842, resident assessment and care planning: March 20, 2026 (D, corrected April 16, 2026).
- F 0911, environmental: March 20, 2026 (F, corrected April 16, 2026); September 13, 2024 (C, corrected October 15, 2024); June 16, 2023 (B, corrected August 1, 2023).
- F 0926, environmental: March 20, 2026 (E, corrected April 16, 2026).
- F 0689, quality of life and care: September 5, 2025 (G, from a complaint, corrected October 15, 2025).
- F 0602, freedom from abuse, neglect, and exploitation: October 2, 2024 (F, from a complaint, corrected November 15, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: October 2, 2024 (D, from a complaint, corrected November 15, 2024).
- F 0755, pharmacy service: October 2, 2024 (F, from a complaint, corrected November 15, 2024); September 13, 2024 (D, corrected October 15, 2024).
- F 0835, administration: October 2, 2024 (E, from a complaint, corrected November 15, 2024).
- F 0940, administration: October 2, 2024 (E, from a complaint, corrected November 15, 2024).
- F 0944, administration: October 2, 2024 (E, from a complaint, corrected November 15, 2024).
- F 0945, infection control: October 2, 2024 (D, from a complaint, corrected November 15, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: September 13, 2024 (D, corrected October 15, 2024).
- F 0623, resident rights: September 13, 2024 (D, corrected October 15, 2024).
- F 0640, resident assessment and care planning: September 13, 2024 (D, corrected October 15, 2024); June 16, 2023 (E, corrected August 1, 2023).
- F 0644, resident assessment and care planning: September 13, 2024 (D, corrected October 15, 2024).
- F 0700, quality of life and care: September 13, 2024 (D, corrected October 15, 2024); June 16, 2023 (E, corrected August 1, 2023).
- F 0802, nutrition and dietary: September 13, 2024 (F, corrected October 15, 2024); June 16, 2023 (E, corrected August 1, 2023).
- F 0803, nutrition and dietary: September 13, 2024 (F, corrected October 15, 2024).
- F 0908, environmental: September 13, 2024 (D, corrected October 15, 2024).
- F 0921, environmental: September 13, 2024 (F, corrected October 15, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: May 16, 2024 (D, from a complaint, corrected June 4, 2024).
- F 0573, resident rights: January 4, 2024 (D, from a complaint, corrected March 1, 2024).
- F 0584, resident rights: August 22, 2023 (E, from a complaint, corrected September 5, 2023).
- F 0677, quality of life and care: August 22, 2023 (D, from a complaint, corrected September 5, 2023).
- F 0636, resident assessment and care planning: June 16, 2023 (E, corrected August 1, 2023).
- F 0638, resident assessment and care planning: June 16, 2023 (E, corrected August 1, 2023).
- F 0684, quality of life and care: June 16, 2023 (E, corrected August 1, 2023).
- F 0759, pharmacy service: June 16, 2023 (E, corrected August 1, 2023).
- F 0760, pharmacy service: June 16, 2023 (E, corrected August 1, 2023).
- F 0805, nutrition and dietary: June 16, 2023 (E, corrected August 1, 2023).
- F 0806, nutrition and dietary: June 16, 2023 (E, corrected August 1, 2023).
- F 0814, nutrition and dietary: June 16, 2023 (D, corrected August 1, 2023).
- F 0925, environmental: June 16, 2023 (D, corrected August 1, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 5, 2025 | Payment Denial | October 11, 2025 | 4 | ||
| September 5, 2023 | Fine | $4,587 | 128678 | ||
| August 28, 2023 | Fine | $4,587 | 128615 | ||
| August 21, 2023 | Fine | $4,587 | 128554 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
GRACE HEALTHCARE CENTER in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: R. FELLEN, INC.
- Date First Approved to Provide Medicare and Medicaid Services: 1989-06-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Fresno
- Telephone Number: 5592336248
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 60.2
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 3
- Long-Stay QM Rating: 3
- Short-Stay QM Rating: 2
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for GRACE HEALTHCARE CENTER: no change in ownership since September 20, 2022.
Other nursing facilities in FRESNO
Report a figure on GRACE HEALTHCARE CENTER’s record that differs from its CMS file, quoting 555352.