Grand Oaks Care: Staffing, Turnover, and Inspection Record
Grand Oaks Care is a 99-bed for-profit nursing home in Tulare, California, part of Ajc Healthcare. In the CMS August 2026 release it reported 2.77 nurse aide hours per resident per day, 5% above the California average of 2.65, and 50.4% nursing staff turnover (California average 36.7%).
Grand Oaks Care
897 North M StreetTulare, CA 93274
Tulare County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grand Oaks Care, nurse aides logged 2.77 hours per resident per day, 5% above the California average. With about 93 residents a day, that works out to roughly 258 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.77 | 2.65 | 2.32 |
| Licensed practical nurses | 1.14 | 1.20 | 0.86 |
| Registered nurses | 0.34 | 0.67 | 0.69 |
| All nursing staff | 4.25 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.81 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.4% of nursing staff at Grand Oaks Care left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 25.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grand Oaks Care holds 3 of 5 overall; the California average is 3.2.
About Grand Oaks Care
- Ownership: For profit - Limited Liability company
- Chain: Ajc Healthcare, 14 homes
- Legal name: Grand Oaks Care LLC
- Medicare and Medicaid certified since: Jun 26, 2009
- Councils: resident council
- Area: urban
Nursing homes near Grand Oaks Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Orchards at Tulare Tulare | 0.1 | 99 | 3.37 | 4.96 | 50.0% | 1 | $68,938 |
| Tulare Healthcare & Wellness Center, LP Tulare | 0.1 | 97 | 2.59 | 4.10 | — | 2 | None |
| Westgate Gardens Care Center Visalia | 6.9 | 140 | 2.65 | 4.13 | 45.3% | 3 | $10,317 |
| Sequoia Vista Visalia | 6.9 | 99 | 3.17 | 4.91 | 51.6% | 1 | $46,078 |
| Linwood Meadows Care Center Visalia | 7.0 | 98 | 2.75 | 4.03 | 36.4% | 3 | None |
| Kaweah Health Skilled Nursing Center Visalia | 7.2 | 70 | 2.79 | 7.00 | 23.6% | 5 | None |
| Delta Healthcare & Wellness Center, LP Visalia | 8.3 | 44 | 2.62 | 4.33 | — | 5 | None |
| Visalia Post Acute Visalia | 9.2 | 176 | 2.42 | 3.76 | 41.8% | 1 | $13,870 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.