01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-10 | 4 | 2025-04-10 | 2 |
| Cycle 2 | 2022-12-01 | 14 | 2022-12-01 | 3 |
| Cycle 3 | 2019-02-15 | 12 | 2019-02-15 | 2 |
CMS CCN 0559792026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Franciscan Post-Acute Care Center
3169 M Street · Merced, CA 95348 · Merced County
Certified beds71CMS provider file
Recent citation rows37current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-20 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2026-04-20 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2026-04-20 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2025-06-12 · HEALTHF0657Severity G · isolated actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-06-12 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-04-10 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-05-022025-04-10 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2025-04-242025-04-10 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-04-242025-02-05 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2025-02-05 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2025-02-05 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-28 · complaint2025-01-13 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-02-12 · complaint2024-12-11 · HEALTHF0825Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Correction field: Deficient, Provider has date of correction · 2024-12-30 · complaint2024-09-17 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-10-10 · complaint2024-08-29 · HEALTHF0604Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-09-30 · complaint2024-08-16 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-10 · complaint2024-04-17 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-05-16 · complaint2024-01-30 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-02-21 · complaint2023-10-02 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-10-24 · complaint2023-10-02 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-10-24 · complaint2022-12-01 · FIREE0031Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2023-01-052022-12-01 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2022-12-222022-12-01 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-12-222022-12-01 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-12-2203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-13 | Fine | $9,110 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVALON OF CALIFORNIA LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/01/2003
- AVALON CARE LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 12/01/2003
- DANGERFIELD, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/05/2007
- KIRTON, BYRONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- KIRTON, HYRUMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- KIRTON, SPENCERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- WOLTIL, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/23/2012
- DANGERFIELD, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/05/2007
- KIRTON, BYRONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
- KIRTON, HYRUMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
- KIRTON, SPENCERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
- WOLTIL, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/2012
- BORISEVICH, MARIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/08/2024
- HASH, ALANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/15/2017
- KIRTON, HYRUMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/29/2022
- SMITH, NICOLEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2023
- AVALON HEALTH CARE INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2003
- AVALON HEALTH CARE MANAGEMENT INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/01/2003
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.30per resident day
RN hours0.37per resident day
Weekend nurse hours3.96per resident day
Staff turnover31.3%CMS reported field
06 / LOCAL RECORDS
Open the Merced ledger →Other published facilities nearby
Anberry Post Acute120 beds · CMS overall 3/551 citation rowsGolden Merced Care Center121 beds · CMS overall 3/551 citation rowsLa Sierra Care Center68 beds · CMS overall 3/561 citation rowsMerced Nursing & Rehabilitation Ctr79 beds · CMS overall 4/543 citation rowsMerced Behavioral Center96 beds · CMS overall 5/540 citation rows