Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 555352

GRACE HEALTHCARE CENTER

FRESNO, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 101

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 February 2019 to 11 April 2019 — a reporting period of 69 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 February 2022.

None of these figures is carried on this report.

CMS report record 1310509, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 January 2018

Cost report for 1 February 2017 to 31 January 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2021.

None of these figures is carried on this report.

CMS report record 1306285, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 31 January 2017

Cost report for 1 February 2016 to 31 January 2017 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 March 2022.

None of these figures is carried on this report.

CMS report record 1311629, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 31 January 2016

Cost report for 1 February 2015 to 31 January 2016 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 February 2022.

None of these figures is carried on this report.

CMS report record 1310508, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 31 January 2015

Cost report for 1 February 2014 to 31 January 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.

None of these figures is carried on this report.

CMS report record 1116928, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 31 January 2014

Cost report for 1 February 2013 to 31 January 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2014.

None of these figures is carried on this report.

CMS report record 1081427, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 31 January 2013

Cost report for 1 February 2012 to 31 January 2013 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.

None of these figures is carried on this report.

CMS report record 1053663, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 31 January 2012

Cost report for 1 February 2011 to 31 January 2012 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 September 2012.

None of these figures is carried on this report.

CMS report record 1004259, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended 31 January 2011

Cost report for 1 February 2010 to 31 January 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 November 2011.

None of these figures is carried on this report.

CMS report record 420402, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 31 January 2010

Cost report for 1 February 2009 to 31 January 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2013.

None of these figures is carried on this report.

CMS report record 434139, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 31 January 2009

Cost report for 1 February 2008 to 31 January 2009 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2009.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,469,708CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,567,563CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$97,855CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$98,655 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,434CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days527.66CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days451.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358408, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 31 January 2008

Cost report for 1 February 2007 to 31 January 2008 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 November 2008.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,351,089CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,667,971CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$316,882CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,187CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$313,495 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components107CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,238CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components39CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days967.55CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days724.05CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 328526, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 31 January 2007

Cost report for 1 February 2006 to 31 January 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 August 2007.

None of these figures is carried on this report.

CMS report record 291240, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 January 2005

Cost report for 1 February 2004 to 31 January 2005 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2005.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,851,267CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,060,971CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$209,704CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,185CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$207,319 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components107CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,325CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components47CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days787.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days687.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236968, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended 31 January 2004

Cost report for 1 February 2003 to 31 January 2004 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2004.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,782,257CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,855,557CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$73,300CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,945CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$67,355 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,079CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components66CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days593.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days470.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 203408, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended 31 January 2003

Cost report for 1 February 2002 to 31 January 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,570,285CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,698,115CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$127,830CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,425CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$100CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$125,305 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,126CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components68CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days103CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days575.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days428.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173813, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended 31 January 2002

Cost report for 1 February 2001 to 31 January 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,354,745CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,318,885CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$35,860CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,029CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,645CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $31,244 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,830CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components33CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days994.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days903.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 170680, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended 31 January 2001

Cost report for 1 February 2000 to 31 January 2001 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 February 2002.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,124,840CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,989,112CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$135,728CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,033CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$48,467CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $89,294 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,059CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components32CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days977.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days908.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 97990, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended 31 January 2000

Cost report for 1 February 1999 to 31 January 2000 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2001.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,591,945CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,676,988CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$85,043CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,141CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$4,509CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$87,411 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,210CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components27CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days69CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,101.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,007.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 97988, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended 31 January 1999

Cost report for 1 February 1998 to 31 January 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 12 November 1999.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,474CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components26CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days127.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,353.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,133.62CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 97987, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended 31 January 1998

Cost report for 1 February 1997 to 31 January 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,785,278CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,830,368CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$45,090CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,458CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$42,632 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,484CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components79CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days580.26CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days411.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 97985, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended 31 January 1997

Cost report for 1 February 1996 to 31 January 1997 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 March 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,196,112CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,228,487CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$32,375CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,101CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,274 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components116CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,880CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.96CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,263.69CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days653.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 97984, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GONZALEZ, LLATISHA5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual100%since 08/31/2017
GONZALEZ, LLATISHACORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/20/2017
GONZALEZ, LLATISHACORPORATE OFFICERIndividualNOT APPLICABLEsince 07/20/2017
GONZALEZ, LLATISHAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 07/20/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of R. FELLEN, INC. (enrollment ID O20071211000042).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
LLATISHA M GONZALEZIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST1008/31/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LLATISHA M GONZALEZIndividualCORPORATE DIRECTOR1007/20/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LLATISHA M GONZALEZIndividualCORPORATE OFFICER1007/20/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LLATISHA M GONZALEZIndividualW-2 MANAGING EMPLOYEE1007/20/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Recent changes on this record

  • 8 March 2022: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
  • 16 February 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 16 February 2022: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
  • 10 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
  • 3 December 2021: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
  • 20 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
  • 3 December 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
  • 27 January 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
  • 31 January 2013: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
  • 14 September 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
  • 18 November 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
  • 29 October 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
  • 17 November 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
  • 7 August 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
  • 16 November 2005: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
  • 23 December 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
  • 27 April 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
  • 9 March 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
  • 26 February 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
  • 24 September 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
  • 12 November 1999: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
  • 11 March 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
  • 9 March 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
120 March 202620 March 20261914
213 September 202413 September 2024278
316 June 202316 June 20232421

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

70 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 May 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.EYesDeficient, Provider has date of correction20 June 2026
27 May 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.EYesDeficient, Provider has date of correction20 June 2026
20 March 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0646Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0911Environmental DeficienciesEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.FNoDeficient, Provider has date of correction16 April 2026
20 March 2026HealthF 0926Environmental DeficienciesHave policies on smoking.ENoDeficient, Provider has date of correction16 April 2026
5 September 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction15 October 2025
23 December 2024HealthF 0727Nursing and Physician Services DeficienciesHave 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.DYesDeficient, Provider has date of correction23 January 2025
2 October 2024HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.FYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.EYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.EYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.EYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0944Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EYesDeficient, Provider has date of correction15 November 2024
2 October 2024HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DYesDeficient, Provider has date of correction15 November 2024
13 September 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0911Environmental DeficienciesEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.CNoDeficient, Provider has date of correction15 October 2024
13 September 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FNoDeficient, Provider has date of correction15 October 2024
16 May 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction4 June 2024
4 January 2024HealthF 0573Resident Rights DeficienciesLet each resident or the resident's legal representative access or purchase copies of all the resident's records.DYesDeficient, Provider has date of correction1 March 2024
22 August 2023HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correction5 September 2023
22 August 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction5 September 2023
16 June 2023HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.FNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0727Nursing and Physician Services DeficienciesHave 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.DNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.ENoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0911Environmental DeficienciesEnsure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BNoDeficient, Provider has date of correction1 August 2023
16 June 2023HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.DNoDeficient, Provider has date of correction1 August 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
5 September 2025Payment Denial11 October 20254
5 September 2023Fine$4,587128678
28 August 2023Fine$4,587128615
21 August 2023Fine$4,587128554

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameR. FELLEN, INC.
Date First Approved to Provide Medicare and Medicaid Services1989-06-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishFresno
Telephone Number5592336248
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds101
Average Number of Residents per Day58.4
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating3
Short-Stay QM Rating3
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on GRACE HEALTHCARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 8 March 2022: A cost report was filed for fiscal year 2017, on form CMS-2540-10. That is one line of the alert.

What the alerts are, and what a day of them looks like, is on the alerts page.

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for GRACE HEALTHCARE CENTER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555352.