Gift of Grace Care Home

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionDeficient, Provider has no plan of correction

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionDeficient, Provider has no plan of correction

• Have a battery powered remote alarm panel in a location accessible by operating personnel.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 3, 2026

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 29, 2026

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 3, 2026

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 13, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 29, 2026

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 6, 2026

• Have properly located and lighted "Exit" signs.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 26, 2026

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 16, 2026

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 16, 2026

• Have policies on smoking.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2026

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 4, 2026

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2026

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• Observe each nurse aide's job performance and give regular training.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026

• Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 6, 2026

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Meet requirements for the use of electrical equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 26, 2026

• Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 3, 2026

• Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 28, 2026

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 15, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 23, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Nov 15, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Nov 15, 2024

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 15, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 15, 2024

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 15, 2024

• Develop, implement, and/or maintain an effective training program for all new and existing staff members.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 15, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 15, 2024

• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 15, 2024

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 15, 2024

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 15, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 15, 2024

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2024

• Have properly located and lighted "Exit" signs.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2024

• Ensure 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 15, 2024

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2024

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

• Try 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

• Keep all essential equipment working safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 10, 2024

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 10, 2024

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 10, 2024

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

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 15, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 4, 2024

• Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 1, 2024

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 5, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 21, 2023

• Ensure proper usage of power strips and extension cords.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 21, 2023

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 21, 2023

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 1, 2023

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 1, 2023

• Ensure each resident receives an accurate assessment.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 1, 2023

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 21, 2023

• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Ensure that residents are free from significant medication errors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Try 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Assure that each resident’s assessment is updated at least once every 3 months.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Implement emergency and standby power systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 21, 2023

• Have properly located and lighted "Exit" signs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 21, 2023

• Properly provide smoke detection systems in areas open to corridors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 21, 2023

• Have simulated fire drills held at unexpected times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 21, 2023

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 21, 2023

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 1, 2023

• Dispose of garbage and refuse properly.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 1, 2023

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 1, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 1, 2023

• Meet other general requirements that are deficient.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 1, 2023

• Conduct risk assessment and an All-Hazards approach.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

• Conduct testing and exercise requirements.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 21, 2023

• Address patient/client population and determine types of services needed.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 21, 2023

• Establish policies and procedures including evacuation.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 21, 2023

• Meet requirements for the use of electrical equipment.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 21, 2023

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

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 21, 2023

• Provide emergency officials' contact information.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 21, 2023

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

  Severity B of L: potential for minimal harm, patternCorrected Aug 1, 2023

Gift of Grace Care Home offers Skilled Nursing / Long Term Care.

Gift of Grace Care Home is located at 2939 S. Peach Avenue in Fresno, California.

Gift of Grace Care Home had 10 government inspection visits in the last three years, with 113 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Gift of Grace Care Home and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.