Almond View Care Center

Name: Almond View Care Center
Address: 1224 E STREET, Williams, CA, 95987, US
Telephone: 8883090022

1224 E Street, Williams, CA 95987 · Colusa County · 99 certified beds · avg 97 residents/day · certified since Jun 1, 1985

Part of chain: AJC HEALTHCARE (14 facilities, chain avg rating 2.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.29

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 4, 2026	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jun 4, 2026	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Jun 4, 2026	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint
Jun 4, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Nov 22, 2024	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Nov 22, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Nov 22, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 22, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Nov 15, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint
Nov 15, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 26, 2024	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint
Jul 26, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 23, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jan 23, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 8).

Year	Citations	Worst severity that year
2021	6	E
2024	15	F
2026	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.29	4.31	3.95	top 39% in California; top 29% in the U.S.
Registered Nurse hours	0.30	0.61	0.69	bottom 12% in California; bottom 10% in the U.S.
Weekend total nurse staffing	3.90	3.90	3.50	top 39% in California; top 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.51	0.48	bottom 20% in California; bottom 20% in the U.S.
Total nursing staff turnover (%)	49.1	36.7	45.8	bottom 16% in California; bottom 39% in the U.S.
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.15, RN 0.29, weekend 3.77. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chesley, Aaron	Individual	5% or Greater Indirect Ownership Interest	50%	03/01/2022
SWC Ca Opco 2 LLC	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2022
Chesley, Aaron	Individual	Corporate Officer	NOT APPLICABLE	03/01/2022
Gamett, James	Individual	Corporate Officer	NOT APPLICABLE	03/01/2022
Silvas, Deidre	Individual	W-2 Managing Employee	NOT APPLICABLE	03/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Colusa Medical Center - SNF	9.4 mi	Colusa, CA	★★★★☆	5/5

Compare this facility with the 1 closest →

All facilities in Williams →

Facility data as of CMS processing date 2026-08-01. CCN 555200.

The Care File

Visit checklist — Almond View Care Center

1224 E Street, Williams, CA 95987 · 8883090022

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555200 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)