Chowchilla · 93610
Palms Care Center
1010 Ventura Avenue
Chowchilla, CA 93610
Chowchilla Memorial Healthcare District
⌖ Chowchilla, CA · Madera County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds29
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (other)
About Chowchilla Memorial Healthcare District
Chowchilla Memorial Healthcare District is a 29-bed nonprofit nursing home in Chowchilla, CA. Medicare rates it 4 out of 5 stars overall (above average); the average in California is 3.2. At its last full inspection (Feb 2026), inspectors found 5 problems, fewer than the California average of 15.6. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 04 min a day with each resident, about the same as the California average of 4 hr 31 min. About 28% of its nursing staff left in the past year. Medicare fined it $93,847 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameChowchilla Memorial Healthcare District
LocationMadera County, California
Phone(559) 665-3781
Address1104 Ventura Ave., Chowchilla, CA 93610 · Madera County
CMS provider number555530
Ownership typeNon-profit (other)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 23, 1992 (33 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Feb 2026.Strength
- Health citations at last inspection5 (Feb 2026)California average: 15.6. Most citations are minor and corrected within weeks.Strength
- Nursing staff turnover28% a yearCalifornia average: 37%Strength
About average
- Nurse staffing per resident4 hr 04 min a dayCalifornia average: 4 hr 31 minAbout average
Things to ask about
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- Fines and penalties16 fines totaling $93,847Federal penalties from the last three years, most recently in Feb 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
- Registered nurse time per resident17 min a dayCalifornia average: 40 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the California average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.9%State average: 1.6%About average
- Pressure sores (bedsores)7.1%State average: 4.3%Worse than average
- Given antipsychotic drugs23.3%State average: 12.0%Worse than average
- Hospital stays per 1,000 resident days0.3State average: 2.2Better than average
Source: Medicare (CMS) quality measures, compared with the California average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In California, Medicaid pays for 7% of resident days at a typical home.
- 90% Medicaid
- 9% Medicare
- 1% Private pay, insurance and other
Beds in use, on average100%California typical: 90%
Cost of care per resident day$477California typical: $464
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 4 stars now, the same as 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 12 times.
Overall rating4★
Health inspections4★
Staffing3★
Quality of care4★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 5 | 1 | 3 | 4.3 |
| Jan 2020 | 3 | 4 | 1 | 4 | 4.9 |
| Jan 2021 | 1 | 1 | – | 3 | 4.9 |
| Jan 2022 | 1 | 1 | 1 | 4 | 4.3 |
| Jan 2023 | 2 | 1 | 1 | 5 | 4.4 |
| Jan 2024 | 1 | 1 | 4 | 4 | 4.3 |
| Feb 2025 | 2 | 2 | 3 | 4 | 4.4 |
| Feb 2026 | 3 | 3 | 3 | 3 | 4.4 |
| Sep 2026 | 4 | 4 | 3 | 4 | 4.1 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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