FOWLER CARE CENTER – FOWLER, CA

CMS Verified | 2026-03-01

Fowler Care Center

8448 EAST ADAMS AVENUE, Fowler, CA 93625
(559) 834-2519
46 beds
All Fowler facilities
4.0*
Overall
3.0*
Health Inspection
5.0*
Quality Care
3.0*
Staffing
84.98
Score /100
#1693
National Rank

#1693
of 14703 facilities
National
88.5% position
#239
of 1162 in CA
State Rank
#8
of 31 in Fresno
County Rank
#1
of 2 in Fowler
City Rank
#1
of 2 in ZIP 93625
ZIP Rank






About Fowler Care CenterFowler Care Center is located at 8448 East Adams Avenue, Fowler, CA, reachable at (559) 834-2519. This For profit – Limited Liability company facility operates 46.0 certified beds and serves an average of 41 residents per day. It is part of the Ajc Healthcare network (14 facilities nationwide). Medicare and Medicaid services have been provided since 2019-11-09. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Fowler Care Center

Address

8448 East Adams Avenue, Fowler, CA 93625

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 46 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: AJC HEALTHCARE

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 30 fine(s) over 5 years
5-Year Trend
Improving over 5 years
84.98
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#1693 of 14703 nationally – #239 of 1162 in California

Who Is This Facility Best For?

Fowler Care Center offers a mid-range care option in Fowler, CA.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

3 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightFowler Care Center currently provides 4 hours 31 minutes of total nurse staffing per resident per day, including 23 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover is high at 60.7%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 31 minutes
Nurse Aide Hours2 hours 48 minutes
Licensed Practical Nurse (LPN) Hours1 hour 20 minutes
Registered Nurse (RN) Hours23 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 59 minutes
Weekend Registered Nurse (RN) Hours18 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 30 fine(s) over the 5-year period, totaling $481,840. 11 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 1
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 91.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#1,693
of 14,703
National
Top 12%
#239
CA State
Top 21% in CA
#8
of 31
️ Fresno County
#8 of 31
#1
of 2
️ Fowler
Best in city
#1
of 2
ZIP 93625
Best in ZIP

Nationally, Fowler Care Center ranks 1693rd out of 14,703 facilities (composite score: 85.0/100), placing it in the top 25% nationwide. Within CA, it ranks 239th out of 1,162 nursing homes. In Fowler, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #2,318 nationally and RN hours rank #11,246 nationally (#775 in CA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 3.04 #11,502 / 14,703 #1,079 / 1,162 ⚠️ Bottom 25%
2023 4.45 #2,267 / 14,703 #308 / 1,162 Top 25%
2024 4.28 #2,868 / 14,703 #402 / 1,162 Top 25%
2025 4.06 #4,236 / 14,703 #682 / 1,162 Above average
2026 4.52 #2,318 / 14,703 #345 / 1,162 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 0.32 #12,254 / 14,703 #918 / 1,162 ⚠️ Bottom 25%
2023 0.32 #11,703 / 14,703 #822 / 1,162 ⚠️ Bottom 25%
2024 0.18 #13,842 / 14,703 #1,081 / 1,162 ⚠️ Bottom 10%
2025 0.19 #13,909 / 14,703 #1,096 / 1,162 ⚠️ Bottom 10%
2026 0.38 #11,246 / 14,703 #775 / 1,162 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Fowler Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2019-11-09. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (559) 834-2519 or your local Medicaid office to verify current eligibility.

Fowler Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 85.0/100, placing it #1693 of 14703 facilities nationally and #239 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Fowler Care Center receives a reported average of 4 hours 31 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 23 minutes; Licensed Practical Nurse (LPN) — 1 hour 20 minutes; Nurse Aide — 2 hours 48 minutes. On weekends, total nurse staffing is 3 hours 59 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 60.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 30 fine(s) over the 5-year period, totaling $481,840. 11 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 1 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 91.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Fowler Care Center ranks 1693rd out of 14,703 facilities (composite score: 85.0/100), placing it in the top 25% nationwide. Within CA, it ranks 239th out of 1,162 nursing homes. In Fowler, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #2,318 nationally and RN hours rank #11,246 nationally (#775 in CA). Our composite quality score of 85.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fowler, visit: https://nursinghomesnearme.org/california/fowler/

Contact and Location

ADR
Address

8448 EAST ADAMS AVENUE, Fowler, CA 93625
Get directions on Google Maps

TEL
LLC
Legal Name

FOWLER CARE CENTER LLC

MAP
Browse by Location

All California ·
Fresno County ·
Fowler ·
ZIP 93625

Facility Details

Number of Certified Beds 46
Average Residents / Day 41 (90% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Fresno County, CA
City Fowler, CA
ZIP Code 93625
Approved Since November 9, 2019
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 555918
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org