Skilled nursing facility · CMS certification number 555918
FOWLER CARE CENTER
FOWLER, California · Medicare and Medicaid · 46 certified beds in Care Compare
Download FOWLER CARE CENTER’s record (CSV, each figure with its worksheet, line and column)
FOWLER CARE 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 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
- Net patient revenue fell from $8.2M in fiscal year 2023 to $7.6M in fiscal year 2024.
- Its result from service to patients: −$615K (2022), $2.8M (2023), $995K (2024).
- Its cost reports on file run from fiscal year 2019 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on August 29, 2025, 9 changes are listed on this record: an owner change, a change in the Care Compare provider file, 6 deficiencies and an inspection.
- Its net patient revenue of $7.6M ranks 849th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
FOWLER CARE CENTER: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1438365 | 2023 · report 1395307 | 2022 · report 1367104 | 2021 · report 1334140 | 2020 · report 1301328 | 2019 · report 1269938 |
|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | November 9, 2019 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 |
| Days, where not a full year | — | — | — | — | — | 52 |
| Processed by CMS | August 29, 2025 | September 19, 2024 | October 25, 2023 | September 26, 2022 | September 28, 2021 | September 28, 2020 |
| Total patient revenue | $11,132,065 | $6,154,434 | $4,806,783 | $3,871,987 | $3,494,876 | — |
| Contractual allowances and discounts | $3,518,694 | −$2,016,052 | $72,938 | −$309,577 | −$443,697 | — |
| Net patient revenue | $7,613,371 | $8,170,486 | $4,733,845 | $4,181,564 | $3,938,573 | — |
| Total operating expenses | $6,618,464 | $5,351,392 | $5,348,436 | $4,539,110 | $4,551,896 | — |
| Net income from service to patients | $994,907 | $2,819,094 | −$614,591 | −$357,546 | −$613,323 | — |
| Total other income | — | $6,287 | −$1,888 | $155,192 | $285,749 | — |
| Net income after other income | $994,907 | $2,825,381 | −$616,479 | −$202,354 | −$327,574 | — |
| Net income | $994,907 | $2,825,381 | −$616,479 | −$202,354 | −$327,574 | — |
| Total facility beds, all components | 46 | 46 | 46 | 46 | 46 | — |
| Bed days available, all components | 16,836 | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 445 | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 13,278 | — | — | — | — | — |
| Other-payer patient days | 2,148 | — | — | — | — | — |
| Total patient days, all components | 15,871 | 15,593 | 15,610 | 14,271 | 14,068 | — |
| Medicare discharges | 10 | — | — | — | — | — |
| Medicaid discharges | 54 | — | — | — | — | — |
| Other-payer discharges | 15 | — | — | — | — | — |
| Total discharges, all components | 79 | 101 | 68 | 31 | 28 | — |
| Average length of stay, Medicare, in days | 44.5 | 107.1 | 69.26 | 260.4 | 585 | — |
| Average length of stay, Medicaid, in days | 245.89 | 212.23 | 366.47 | 738.94 | 744.63 | — |
| Average length of stay, all patients, in days | 200.9 | 154.39 | 229.56 | 460.35 | 502.43 | — |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal year 2019.
FOWLER CARE CENTER: nurse staffing hours by quarter →
Who owns FOWLER CARE CENTER, as filed with CMS
Care Compare
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: FOWLER CARE CENTER HOLDINGS LLC (organization), NO PERCENTAGE PROVIDED, since 05/17/2019; SWC CA OPCO, LLC (organization), NO PERCENTAGE PROVIDED, since 02/01/2021
- CORPORATE OFFICER: CHESLEY, AARON (individual), NOT APPLICABLE, since 02/01/2021; GAMETT, JAMES (individual), NOT APPLICABLE, since 02/01/2021
- OPERATIONAL/MANAGERIAL CONTROL: FOWLER CARE CENTER HOLDINGS LLC (organization), NOT APPLICABLE, since 05/17/2019
- W-2 MANAGING EMPLOYEE: SMITH, PHYLICIA (individual), NOT APPLICABLE, since 02/01/2021
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FOWLER CARE CENTER LLC (enrollment ID O20190909003530).
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: AARON CHESLEY (individual), 50.00%, since 02/01/2021; AJC HEALTHCARE LLC (organization), 50.00%, since 02/01/2021; FOWLER CARE CENTER HOLDINGS LLC (organization), 100.00%, since 05/17/2019; JAMES B GAMETT (individual), 50.00%, since 02/01/2021; JBG PARTNERS LLC (organization), 50.00%, since 02/01/2021; SWC CA OPCO, LLC (organization), 100.00%, since 02/01/2021
- CORPORATE OFFICER: AARON CHESLEY (individual), since 02/01/2021; JAMES B GAMETT (individual), since 02/01/2021
- OPERATIONAL/MANAGERIAL CONTROL: FOWLER CARE CENTER HOLDINGS LLC (organization), 100.00%, since 05/17/2019
- W-2 MANAGING EMPLOYEE: PHYLICIA SMITH (individual), since 02/01/2021
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: AARON CHESLEY; JAMES B GAMETT; AARON CHESLEY; JAMES B GAMETT; PHYLICIA SMITH.
Private equity company, real estate investment trust and holding company: No: AJC HEALTHCARE LLC; FOWLER CARE CENTER HOLDINGS LLC; JBG PARTNERS LLC; SWC CA OPCO, LLC; FOWLER CARE CENTER HOLDINGS LLC.
Changes in ownership
- October 1, 2026, Care Compare ownership file; no longer listed: CHESLEY, AARON (5% OR GREATER INDIRECT OWNERSHIP INTEREST). NH_Ownership_Oct2026.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Limited Liability company → For profit - Corporation. NH_ProviderInfo_Sep2026_3.csv
- July 2, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0812, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0732, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0658, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: A deficiency was cited under tag F 0554, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 2, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
Inspections of FOWLER CARE CENTER
- Cycle 1: health July 2, 2026 (8 deficiencies), fire safety July 2, 2026 (7)
- Cycle 2: health March 7, 2025 (13 deficiencies), fire safety March 7, 2025 (5)
- Cycle 3: health March 15, 2024 (13 deficiencies), fire safety March 15, 2024 (9)
- Cycle 3: health May 8, 2023 (17 deficiencies), fire safety May 8, 2023 (12)
Deficiencies cited at FOWLER CARE CENTER
47 deficiencies on file, by tag, newest citation first
every one from a health inspection; 8 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0554, resident rights: July 2, 2026 (D, Deficient, Provider has date of correction, corrected July 20, 2026).
- F 0658, resident assessment and care planning: July 2, 2026 (D, Deficient, Provider has date of correction, corrected July 20, 2026); March 7, 2025 (E, Deficient, Provider has date of correction, corrected March 17, 2025); March 15, 2024 (D, Deficient, Provider has date of correction, corrected April 15, 2024); May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0732, nursing and physician services: July 2, 2026 (D, Deficient, Provider has date of correction, corrected July 20, 2026).
- F 0755, pharmacy service: July 2, 2026 (D, Deficient, Provider has date of correction, corrected July 20, 2026).
- F 0812, nutrition and dietary: July 2, 2026 (D, Deficient, Provider has date of correction, corrected July 20, 2026); March 7, 2025 (F, Deficient, Provider has date of correction, corrected March 17, 2025); March 15, 2024 (F, Deficient, Provider has date of correction, corrected April 15, 2024); May 8, 2023 (F, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0880, infection control: July 2, 2026 (D, Deficient, Provider has date of correction, corrected July 20, 2026); March 7, 2025 (E, Deficient, Provider has date of correction, corrected March 17, 2025); May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0726, nursing and physician services: May 7, 2026 (F, from a complaint, Deficient, Provider has date of correction, corrected May 11, 2026); March 7, 2025 (D, Deficient, Provider has date of correction, corrected March 17, 2025); January 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected March 6, 2024).
- F 0689, quality of life and care: April 3, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected April 20, 2026); November 13, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 3, 2024); September 26, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 14, 2024); June 27, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected August 6, 2024); June 7, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected June 27, 2024).
- F 0550, resident rights: March 7, 2025 (D, Deficient, Provider has date of correction, corrected March 17, 2025); May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0557, resident rights: March 7, 2025 (E, Deficient, Provider has date of correction, corrected March 17, 2025).
- F 0584, resident rights: March 7, 2025 (D, Deficient, Provider has date of correction, corrected March 17, 2025).
- F 0656, resident assessment and care planning: March 7, 2025 (E, Deficient, Provider has date of correction, corrected March 17, 2025).
- F 0759, pharmacy service: March 7, 2025 (E, Deficient, Provider has date of correction, corrected March 17, 2025).
- F 0810, nutrition and dietary: March 7, 2025 (D, Deficient, Provider has date of correction, corrected March 17, 2025).
- F 0912, environmental: March 7, 2025 (B, Deficient, Provider has date of correction, corrected March 17, 2025); March 15, 2024 (B, Deficient, Provider has no plan of correction); May 8, 2023 (E, Waiver has been granted, corrected June 1, 2023).
- F 0921, environmental: March 7, 2025 (F, Deficient, Provider has date of correction, corrected March 17, 2025); March 15, 2024 (F, Deficient, Provider has date of correction, corrected April 15, 2024).
- F 0585, resident rights: March 15, 2024 (E, Deficient, Provider has date of correction, corrected April 15, 2024).
- F 0761, pharmacy service: March 15, 2024 (D, Deficient, Provider has date of correction, corrected April 15, 2024); May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0842, resident assessment and care planning: March 15, 2024 (E, Deficient, Provider has date of correction, corrected April 15, 2024); May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0908, environmental: March 15, 2024 (D, Deficient, Provider has date of correction, corrected April 15, 2024).
- F 0919, environmental: January 23, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected March 6, 2024).
- F 0623, resident rights: May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0641, resident assessment and care planning: May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0657, resident assessment and care planning: May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0688, quality of life and care: May 8, 2023 (D, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0802, nutrition and dietary: May 8, 2023 (F, Deficient, Provider has date of correction, corrected June 1, 2023).
- F 0925, environmental: May 8, 2023 (F, Deficient, Provider has date of correction, corrected June 1, 2023).
FOWLER CARE CENTER in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: FOWLER CARE CENTER LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2019-11-09
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Fresno
- Telephone Number: 5598342519
- Chain Name: AJC HEALTHCARE
- Chain ID: 616
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 41.8
- Overall Rating: 5
- Health Inspection Rating: 4
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for FOWLER CARE CENTER: no penalty in Care Compare.
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Report a figure on FOWLER CARE CENTER’s record that differs from its CMS file, quoting 555918.