Franciscan Post-Acute Care Center — nursing home in Merced, CA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 71 CMS-certified beds (not state-licensed beds)
Licensed beds: 71 state-licensed beds · California Department of Public Health
State license: 040000192 active · licensee AVALON CARE CENTER - MERCED FRANCISCAN, LLC
Average residents per day: 69.0 CMS, MDS-derived
CMS Certification Number: 055979
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 31, 1969
Ownership type: For profit - Corporation
Operator (legal business name): Avalon Care Center-Merced Franciscan, LLC
CMS chain: Avalon Health Care 16 facilities
Phone: (209) 722-6231
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

7

2000–2016

Class AA / A

0

no class AA

Since 2019

0

$7,807 final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

17

latest Apr 20, 2026

Citations

37

30 health · 7 fire

Harm or worse

3

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D25	E9	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$9,110

Payment denials

0

Latest

Jan 13, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 055979
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 71
First approved: Jul 31, 1969
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 16, 2026
Evidence: Verified

State license

Authority: California Department of Public Health (CDPH), Licensing & Certification
License number: 040000192
State facility ID: 040000035
License type: Skilled Nursing Facility
License status: active
Licensed beds: 71
Licensee: AVALON CARE CENTER - MERCED FRANCISCAN, LLC · Limited Liability Company
Current license: Feb 12, 2026 → Nov 30, 2026
Certification (per state): Licensed and Certified
Federal programs (per state): Medicare (and possibly Medicaid)
As of: Oct 16, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 20, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Jun 12, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Apr 10, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 10, 2025	Health	Health Standard	1	Potential harm	—	Open →
Feb 5, 2025	Health	Health Complaint	3	Actual harm	—	Open →
Jan 13, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Sep 17, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 29, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 16, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Apr 17, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Jan 30, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 2, 2023	Health	Health Complaint	2	Potential harm	—	Open →
Dec 1, 2022	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 1, 2022	Health	Health Standard	4	Potential harm	—	Open →
Feb 15, 2019	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 15, 2019	Health	Health Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jan 13, 2025	Civil money penalty (fine)	$9,110	—	055979\|Fine\|131085

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Dec 8, 2016 violation Sep 16, 2016	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported	$2,000	Closed	040012798
Aug 21, 2012 violation Oct 6, 2011	Class B	Citation Citation B (HSC 1424)	Patient Rights	$2,000	Appealed Closed	040009448
Mar 27, 2012 violation Oct 2, 2011	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,050 initial $1,000	Appealed Closed	040009139
May 16, 2006 violation Sep 22, 2005	Class B	Citation Citation B (HSC 1424)	Patient Care	$500 initial $1,000	Appealed Closed	040003100
Sep 13, 2005 violation Jul 22, 2005	Class B	Citation Citation B (HSC 1424)	Patient Care	$800	Appealed Closed	040001376
Jan 9, 2003 violation Sep 29, 2002	Class B	Citation Citation B (HSC 1424)	Patient Care	$557 initial $1,000	Appealed Closed	040001327
Dec 8, 2000 violation Aug 11, 2000	Class B	Citation Citation B (HSC 1424)	Patient Rights	$900	Appealed Closed	040001197

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D25	E9	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 20, 2026	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected May 1, 2026	Complaint
Apr 20, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2026	Complaint
Apr 20, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2026	Complaint
Jun 12, 2025	F-0657	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 · Clinical care	G · Actual harm Isolated	Corrected Jul 4, 2025	Complaint
Jun 12, 2025	F-0806	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 · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 4, 2025	Complaint
Apr 10, 2025	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 24, 2025
Apr 10, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 24, 2025
Apr 10, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 2, 2025
Feb 5, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 28, 2025	Complaint
Feb 5, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 28, 2025	Complaint
Feb 5, 2025	F-0657	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 28, 2025	Complaint
Jan 13, 2025	F-0600	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 12, 2025	Complaint
Dec 11, 2024	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 30, 2024	Complaint
Sep 17, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 10, 2024	Complaint
Aug 29, 2024	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 30, 2024	Complaint
Aug 16, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 10, 2024	Complaint
Apr 17, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 16, 2024	Complaint
Jan 30, 2024	F-0600	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 21, 2024	Complaint
Oct 2, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 24, 2023	Complaint
Oct 2, 2023	F-0726	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 · Staffing & supervision	D · Potential harm Isolated	Corrected Oct 24, 2023	Complaint
Dec 1, 2022	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Jan 5, 2023
Dec 1, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 5, 2023
Dec 1, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 5, 2023
Dec 1, 2022	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 22, 2022
Dec 1, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 22, 2022
Dec 1, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 22, 2022
Dec 1, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 22, 2022
Feb 15, 2019	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Mar 20, 2019
Feb 15, 2019	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 20, 2019
Feb 15, 2019	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 3, 2019
Feb 15, 2019	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 3, 2019
Feb 15, 2019	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected Apr 3, 2019
Feb 15, 2019	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 3, 2019
Feb 15, 2019	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 3, 2019
Feb 15, 2019	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Apr 3, 2019
Feb 15, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 3, 2019
Feb 15, 2019	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 3, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 4.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.02

State avg 4.54US avg 3.90

Registered nurse (RN)0.43

State avg 0.68US avg 0.69

Licensed practical nurse1.08

State avg 1.20US avg 0.86

Nurse aide2.50

State avg 2.66US avg 2.35

Weekend total nurse3.69

State avg 4.10US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.17 (case-mix index 1.35).

Staff turnover

Total nursing staff turnover30.6%

State avg 36.6%US avg 45.3%

Registered nurse turnover50.0%

State avg 37.8%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Apr 10, 2025
Cycle 1 health score: 16
Total weighted score: 47

Operating entity

Avalon Care Center-Merced Franciscan, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avalon Health Care

16 facilities in 5 states. CMS chain ID 57.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

34

Organizations

4

Individuals

28

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Avalon of California LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2003
Avalon Care LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Dec 1, 2003

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Avalon of California LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2003
Avalon Care LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Dec 1, 2003
David Dangerfield	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 5, 2007
Byron Kirton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 27, 2024
Hyrum Kirton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 27, 2024
Spencer Kirton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 27, 2024
Robert Woltil	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 23, 2012
Avalon Health Care Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2003
Avalon Health Care Management Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2003
Maria Borisevich	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 8, 2024
Alan Hash	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 15, 2017
Brian Henrie	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 19, 2021
Hyrum Kirton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 29, 2022
John Paik-Tesch	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2017
Nicole Smith	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2023
Joanne Souza	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 26, 2025
David Dangerfield	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 5, 2007
Byron Kirton	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 27, 2024
Hyrum Kirton	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 27, 2024
Spencer Kirton	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 27, 2024
Robert Woltil	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 23, 2012
Maria Borisevich	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 8, 2024
Alan Hash	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 15, 2017
Hyrum Kirton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 29, 2022
Nicole Smith	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2023
Avalon Health Care Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 20, 2025
Avalon Health Care Management Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 4, 2025
Maria Borisevich	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 8, 2024
Alan Hash	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 15, 2017
Brian Henrie	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 19, 2021
Hyrum Kirton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 29, 2022
John Paik-Tesch	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2017
Nicole Smith	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2023
Joanne Souza	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 26, 2025

Same chain in California

All 15 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
San Luis Care Center 709 N Street, Newman, CA 95360 CCN 055839	71		Mar 6, 2026	564 harm	$46k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3169 M Street, Merced, CA 95348
ZIP: 95348
County: Merced County FIPS 06047
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Golden Merced Care Center 3170 M Street, Merced, CA 95340 CCN 0559882 state class AA/A	0.8 km	121	Aug 20, 2026	521 harm2 open	—
Merced Nursing & Rehabilitation Ctr 510 West 26th Street, Merced, CA 95340 CCN 055249	1.2 km	79	Jul 17, 2026	46	—
La Sierra Care Center 2424 M Street, Merced, CA 95340 CCN 055271	1.3 km	68	Jan 23, 2026	61	—
Merced Behavioral Center 1255 B Street, Merced, CA 95341 CCN 05A1471 state class AA/A	3.5 km	96	Aug 21, 2026	461 harm	—
Anberry Post Acute 1000 West Yosemite Avenue, Merced, CA 95341 CCN 555901	5.9 km	120	Jun 19, 2026	51	—
Anberry Nursing and Rehabilitation Center 1685 Shaffer Rd, Atwater, CA 95301 CCN 5552441 state class AA/A	11 km	99	Jan 23, 2026	36	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055979	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055979	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	040000035	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055979

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction