Nursing homeActive
Franciscan Post-Acute Care Center
3169 M Street, Merced, CA 95348209722623171 certified beds · 64 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
14
since 2019
Deficiencies
30
● 0● 27● 3
Penalties · 3 yrs
$9,110
1 fine
Last survey
2026-04-20
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-20 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-06-12 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-04-10 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-02-05 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2025-01-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-01-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-02 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2022-12-01 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2019-02-15 | Standard | 080 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 055979-20260420-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 055979-20260420-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 055979-20260420-F689
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-04Record 055979-20250612-F657
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-04Record 055979-20250612-F806
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-02Record 055979-20250410-F644
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-02-28Record 055979-20250205-F689
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 055979-20250205-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 055979-20250205-F657
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-12Record 055979-20250113-F600
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 055979-20241211-F825
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-10Record 055979-20240917-F658
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-30Record 055979-20240829-F604
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 055979-20240816-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-16Record 055979-20240417-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-21Record 055979-20240130-F600
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 055979-20231002-F658
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 055979-20231002-F726
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-22Record 055979-20221201-F641
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-22Record 055979-20221201-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-22Record 055979-20221201-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-22Record 055979-20221201-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F550
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-03Record 055979-20190215-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-01-13 | Civil money penalty | $9,110 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.37
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.30
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.96
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover31%
Facility
California
National
California 37% · National 46%
Registered nurse turnover71%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.8% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.2% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.2% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 25.8% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Avalon Of California LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Avalon Care LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Avalon Health Care Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avalon Health Care Management Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Borisevich, Maria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hash, Alan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Henrie, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Paik-Tesch, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Nicole Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Souza, Joanne Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avalon Health Care Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avalon Health Care Management Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Borisevich, Maria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Borisevich, Maria Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Dangerfield, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dangerfield, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hash, Alan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hash, Alan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Henrie, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirton, Byron Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kirton, Byron Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kirton, Spencer Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kirton, Spencer Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Paik-Tesch, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Nicole Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Nicole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Souza, Joanne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Woltil, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Woltil, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Avalon Health Care — 16 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Merced.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Golden Merced Care Center Merced | 0.5 mi | 2026-05-19 | 0250 |
| Merced Nursing & Rehabilitation Ctr Merced | 0.7 mi | 2026-03-23 | 2200 |
| La Sierra Care Center Merced | 0.8 mi | 2026-01-23 | 1270 |
| Merced Behavioral Center Merced | 2.1 mi | 2025-02-26 | 000 |
| Anberry Post Acute Merced | 3.7 mi | 2026-06-19 | 0380 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |