Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Dinuba Healthcare during CMS and state inspections, most recent first.
A resident who had an unwitnessed fall and was found on the floor bleeding was later identified in the care plan as being at risk for falls related to poor balance, with an intervention for nonskid tape at the bedside. Despite this documented intervention, an observation with the DON showed the resident in bed without nonskid tape at the bedside, and the DON acknowledged it should have been in place. Facility policy states that care plan interventions are specific actions or services to be provided, but the nonskid tape intervention was not implemented.
A resident experienced a significant delay in returning from a dialysis appointment due to the facility's failure to arrange timely transportation. The resident waited for nearly five hours, resulting in emotional distress and late medication administration. Interviews and record reviews revealed a lack of communication between the dialysis center and the facility.
The facility failed to provide palatable and appetizing meals, as residents reported food being tough, dry, and lacking flavor. Observations confirmed these issues, with the Dietary Supervisor acknowledging the need for better food preparation practices.
During a meal service, a dietary staff member failed to change gloves or wash hands after handling multiple food items and opening the oven, contrary to facility policy. Interviews with staff and supervisors confirmed the breach in protocol, with expectations for proper hand hygiene not being met.
The facility failed to provide the required SNF ABN Form CMS-10055 to two residents who had not exhausted their Medicare Part A skilled nursing services days. Despite having a policy in place, the facility did not document the provision of this form, and staff were unaware of the requirement. Interviews revealed that staff were familiar with the NOMNC but not the SNF ABN Form CMS-10055, leading to a deficiency in beneficiary notifications.
The facility failed to ensure accurate MDS assessments for two residents with schizophrenia, leading to discrepancies in their records. Both residents had PASRR screenings indicating serious mental illness, but their MDS assessments inaccurately reflected otherwise. Staff interviews revealed a lack of awareness of the residents' diagnoses, and the MDS Coordinator confirmed the inaccuracies.
The facility failed to post daily staffing information in a conspicuous location and did not update the postings to reflect changes due to call-ins. The staffing information was posted in an administrative hallway with limited visibility, and the postings were not updated to reflect actual staffing changes. The Staffing Coordinator was unaware of the need to update postings each shift, and the Administrator acknowledged the limited visibility and need for accurate updates.
Failure to Implement Fall-Prevention Care Plan Intervention
Penalty
Summary
The facility failed to implement a care plan intervention for a resident identified as being at risk for falls following a fall incident. According to the interdisciplinary team Post Fall Review dated 2/3/26, the resident experienced an unwitnessed fall at approximately 1:47 p.m., was found on the floor bleeding, and was observed lying on her right side in a cradle position. The Post Fall Review documented a recommendation for nonskid tape at the bedside. The resident’s care plan dated 2/4/26 identified her as at risk for falls related to poor balance and included an intervention for nonskid tape at the bedside, initiated on that date. During an observation and interview in the resident’s room on 2/9/26 at 11:43 a.m. with the DON, the resident was seen lying in bed covered with a blanket, and there was no nonskid tape at the bedside as required by the care plan. The DON stated that the nonskid tape should have been placed at the bedside right away. The facility’s policy on developing and implementing care plans with the interdisciplinary team states that interventions are the specific actions or services each discipline will provide to help the resident meet their goals, but the ordered intervention of nonskid tape at the bedside was not implemented for this resident.
Failure to Arrange Timely Transportation for Dialysis Appointment
Penalty
Summary
The facility failed to arrange timely transportation for a resident to return from a dialysis appointment, resulting in the resident waiting for almost five hours. The resident, who relies on dialysis due to kidney failure, was left at the dialysis center from 5 p.m. until 9:51 p.m. without transportation back to the facility. This delay led to the resident experiencing emotional distress, as evidenced by crying, and resulted in late administration of medication and feeding through a feeding tube. The deficiency was identified through observations, interviews, and record reviews. The facility's Dialysis Transportation Log indicated the resident left for the appointment at 2:30 p.m., but there was no established communication system between the dialysis center and the facility. Interviews with staff, including the Social Services representative, Licensed Vocational Nurses, and the Director of Nursing, revealed a lack of communication and coordination regarding the resident's transportation. The Dialysis Center Supervisor reported multiple unsuccessful attempts to contact the facility, further highlighting the communication breakdown.
Deficiency in Food Quality and Palatability
Penalty
Summary
The facility failed to ensure that food served to residents was palatable, attractive, and at a safe and appetizing temperature, as required by their policy. This deficiency was identified through observations, interviews, and reviews of records and facility documents. The facility's policy on Food and Nutrition Services, revised in October 2017, mandates that food trays be inspected to ensure meals are correct, palatable, attractive, and served at appropriate temperatures. However, residents consistently reported dissatisfaction with the food quality during Resident Council meetings in May and June 2024, citing issues such as food being too tough, dry, cold, and lacking taste. On July 15, 2024, interviews with three cognitively intact residents revealed complaints about the food quality, specifically mentioning that the meat was tough and the food was generally not good. A test tray observation on July 16, 2024, confirmed these complaints, with the Dietary Supervisor noting that the chicken was dry and the rice lacked flavor. The Dietary Supervisor acknowledged that the cook should have added broth to the chicken to maintain moisture. The facility administrator expressed an expectation for the food's taste and presentation to be acceptable, indicating a disconnect between expectations and the actual food quality provided to residents.
Improper Hand Hygiene by Dietary Staff During Meal Service
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by dietary staff during meal service, as observed on 07/16/2024. A staff member, identified as [NAME] #1, was seen using the same gloved hand to open the oven and then handle food items such as grilled cheese sandwiches, tater tots, chicken breasts, and rolls without changing gloves or washing hands. This practice was contrary to the facility's policy, which mandates that gloves be changed between tasks and that bare hand contact with food is prohibited. The policy also specifies that food and nutrition services staff must wash their hands before serving food to residents. Interviews conducted with the dietary staff, the Dietary Supervisor, the Director of Nursing (DON), and the Administrator confirmed the breach in protocol. [NAME] #1 admitted to not changing gloves after touching multiple items, acknowledging the oversight. The Dietary Supervisor stated that the cook should have requested assistance to open the oven and should have changed gloves after handling the oven and food items. The DON and the Administrator both expressed expectations that dietary staff adhere to proper hand hygiene practices, highlighting the failure to follow established guidelines.
Failure to Provide SNF ABN Form CMS-10055
Penalty
Summary
The facility failed to provide a Skilled Nursing Facility (SNF) Advanced Beneficiary Notice (ABN), CMS Form 10055, to residents who had not exhausted their Medicare Part A skilled nursing services days and planned to remain in the facility. This deficiency affected two residents who were reviewed for beneficiary notifications. The facility's policy required that residents be informed in advance when changes would occur to their bills, specifically when Medicare would not cover certain services. However, the facility did not adhere to this policy, as evidenced by the lack of documentation of the SNF ABN Form CMS-10055 in the medical records of the affected residents. Resident #57, who had severe cognitive impairment, was admitted to the facility and had 21 covered Part A skilled services days remaining at the time of the survey. Despite this, there was no evidence in the resident's medical record that a SNF ABN Form CMS-10055 was provided or signed by the resident or their representative. Similarly, Resident #61, also with severe cognitive impairment, had 49 covered Part A skilled services days remaining, yet there was no documentation indicating that the SNF ABN Form CMS-10055 was provided to the resident or their responsible party. Interviews with facility staff, including the Social Service Director, Director of Rehabilitation Services, Director of Nursing, and the Administrator, revealed a lack of awareness and understanding regarding the requirement to issue the SNF ABN Form CMS-10055. Staff members were familiar with providing the Notice of Medicare Non-Coverage (NOMNC) but did not know that the SNF ABN Form CMS-10055 was required for residents who remained in the facility with Part A benefit days remaining. The Administrator acknowledged that the facility had not focused on the SNF ABN Form CMS-10055 and had relied on the NOMNC instead.
Inaccurate MDS Assessments for Residents with Schizophrenia
Penalty
Summary
The facility failed to ensure the accuracy of Minimum Data Set (MDS) assessments for two residents, both diagnosed with schizophrenia, leading to discrepancies in their records. Resident #41 was admitted with a medical history of schizophrenia, and their Preadmission and Resident Review (PASRR) Level I Screening indicated a serious mental illness, requiring a Level II evaluation. Despite this, the annual MDS assessment inaccurately reflected that the resident was not considered to have a serious mental illness by the state Level II PASRR process. Similarly, Resident #63, also diagnosed with schizophrenia, had a PASRR Level I Screening that was positive for a serious mental illness, necessitating a Level II evaluation. However, their MDS assessment also inaccurately indicated the absence of a serious mental illness. Interviews with facility staff revealed a lack of awareness regarding the residents' diagnoses. The MDS Coordinator confirmed the inaccuracies in the assessments, acknowledging that Section A1500 should have been coded to reflect the presence of a serious mental illness as determined by the state Level II PASRR process. Both the Director of Nursing and the Administrator expressed expectations for accurate MDS assessments, highlighting a failure in the facility's processes to ensure the accuracy of resident assessments.
Failure to Post and Update Daily Staffing Information
Penalty
Summary
The facility failed to post daily staffing information in a conspicuous location and did not update the postings to reflect changes in staffing due to call-ins. The facility's policy required that nurse staffing data, including the number of nursing personnel responsible for providing direct care to residents, be posted daily in a prominent location. However, the staffing information was posted in an administrative hallway with limited visibility to residents and visitors, and the postings were not updated to reflect actual staffing changes. Observations and interviews revealed that the Staffing Coordinator was responsible for posting the daily staffing numbers but did not update them with changes due to call-ins. The Coordinator stated that she was unaware that the postings needed to be updated each shift and that the numbers posted were just projections. The HR Coordinator confirmed that the daily postings were not updated with call-ins, and the Director of Nursing (DON) acknowledged that the postings were not in a conspicuous area and that the nurses were supposed to update the forms with any changes. The Administrator admitted that the current location of the postings limited visibility to residents, visitors, and families, and agreed that the staffing sheets should be updated with call-ins per shift. The deficiency in posting accurate and updated staffing information had the potential to affect all residents residing in the facility, as the postings were not reflective of the actual staffing levels providing care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dinuba
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palm Village Retirement Comm. | 4.8 mi | — | 1 | 0 |
| Vineyard Care Center | 4.9 mi | — | 2 | 0 |
| Sierra View Homes | 5.3 mi | — | 18 | 0 |
| Kingsburg Center | 9.4 mi | — | 3 | 0 |
| Bethel Lutheran Home | 11.9 mi | — | 17 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.