Franciscan Post-Acute Care Center
Merced, Merced County, California · CCN 055979 · For-profit (Corporation) · part of Avalon Health Care (16 facilities, chain average 3.4 stars)
CMS rates Franciscan Post-Acute Care Center 4 of 5 overall as of August 2026. 71 certified beds, 64 residents a day on average. 30 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $9,110.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 4.29534 hours per resident per day |
|---|---|
| Registered nurses | 0.36993 hours per resident per day |
| Weekend total | 3.96013 hours per resident per day |
| Nursing staff turnover | 31.3% (registered nurses 71.4%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-20 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2026-04-20 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2026-04-20 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2025-06-12 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-07-04 |
| 2025-06-12 complaint survey |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-04 |
| 2025-04-10 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-02 |
| 2025-02-05 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2025-02-05 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2025-02-05 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2025-01-13 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-12 |
| 2024-12-11 complaint survey |
Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · tag F0825 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-30 |
| 2024-09-17 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-10 |
| 2024-08-29 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-30 |
| 2024-08-16 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-10 |
| 2024-04-17 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-16 |
| 2024-01-30 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-21 |
| 2023-10-02 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2023-10-02 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-24 |
| 2022-12-01 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-22 |
| 2022-12-01 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-22 |
| 2022-12-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-22 |
| 2022-12-01 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-22 |
| 2019-02-15 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-04-03 |
| 2019-02-15 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-04-03 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-13 | Fine | $9,110 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Avalon Of California LLC Organization | 5% or greater direct ownership interest | 100% | 2003-12-01 |
| Avalon Care LLC Organization | 5% or greater indirect ownership interest | 100% | 2003-12-01 |
| Avalon Health Care Inc. Organization | adp of the snf | — | 2025-05-20 |
| Avalon Health Care Management Inc. Organization | adp of the snf | — | 2025-04-04 |
| Avalon Health Care Inc. Organization | operational/managerial control | — | 2003-12-01 |
| Avalon Health Care Management Inc. Organization | operational/managerial control | — | 2003-12-01 |
| Borisevich, Maria Individual | adp of the snf | — | 2024-01-08 |
| Hash, Alan Individual | adp of the snf | — | 2017-08-15 |
| Henrie, Brian Individual | adp of the snf | — | 2021-04-19 |
| Kirton, Hyrum Individual | adp of the snf | — | 2022-03-29 |
| Paik-Tesch, John Individual | adp of the snf | — | 2017-09-01 |
| Smith, Nicole Individual | adp of the snf | — | 2023-03-01 |
| Souza, Joanne Individual | adp of the snf | — | 2025-08-26 |
| Dangerfield, David Individual | corporate director | — | 2007-04-05 |
| Kirton, Byron Individual | corporate director | — | 2024-08-27 |
| Kirton, Hyrum Individual | corporate director | — | 2024-08-27 |
| Kirton, Spencer Individual | corporate director | — | 2024-08-27 |
| Woltil, Robert Individual | corporate director | — | 2012-05-23 |
| Borisevich, Maria Individual | corporate officer | — | 2024-01-08 |
| Hash, Alan Individual | corporate officer | — | 2017-08-15 |
| Kirton, Hyrum Individual | corporate officer | — | 2022-03-29 |
| Smith, Nicole Individual | corporate officer | — | 2023-03-01 |
| Dangerfield, David Individual | managing control - governing body | — | 2007-04-05 |
| Kirton, Byron Individual | managing control - governing body | — | 2024-08-27 |
| Kirton, Hyrum Individual | managing control - governing body | — | 2024-08-27 |
| Kirton, Spencer Individual | managing control - governing body | — | 2024-08-27 |
| Woltil, Robert Individual | managing control - governing body | — | 2012-05-23 |
| Borisevich, Maria Individual | operational/managerial control | — | 2024-01-08 |
| Hash, Alan Individual | operational/managerial control | — | 2017-08-15 |
| Henrie, Brian Individual | operational/managerial control | — | 2021-04-19 |
| Kirton, Hyrum Individual | operational/managerial control | — | 2022-03-29 |
| Paik-Tesch, John Individual | operational/managerial control | — | 2017-09-01 |
| Smith, Nicole Individual | operational/managerial control | — | 2023-03-01 |
| Souza, Joanne Individual | operational/managerial control | — | 2025-08-26 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Franciscan Post-Acute Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Merced County.