Palm Village Retirement Comm.
703 W Herbert Ave, Reedley, CA 93654 · Fresno County · 120 certified beds · avg 111 residents/day · certified since Apr 1, 1992
2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
4.81
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 22, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 16, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (33)
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 |
|---|---|---|
| Jul 29, 2025 | F · Potential for harm, facility-wide | 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 29, 2025 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jul 29, 2025 | F · Potential for harm, facility-wide | 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 29, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jul 29, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 29, 2025 | E · Potential for harm, repeated | 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 29, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 29, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 29, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 29, 2025 | 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. |
| Jul 29, 2025 | 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. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 22, 2025 | 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. · from a complaint |
| Aug 2, 2024 | F · Potential for harm, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 2, 2024 | F · Potential for harm, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 2, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jul 22, 2019 | ▲ G · Actual 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. |
| Jul 22, 2019 | E · Potential for harm, repeated | 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. |
| Jul 22, 2019 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jul 22, 2019 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 22, 2019 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 22, 2019 | 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. |
| Jul 22, 2019 | E · Potential for harm, repeated | 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 22, 2019 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 22, 2019 | 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 22, 2019 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 22, 2019 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 22, 2019 | E · Potential for harm, repeated | The facility did not provide at least one adequately sized room for dining and activities, with good lighting, airflow, and furniture. |
| Jul 22, 2019 | 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. |
| Jul 22, 2019 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jul 22, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 22, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 16 | 1 | G ▲ |
| 2024 | 3 | 0 | F |
| 2025 | 14 | 0 | F |
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) | 4.81 | 4.31 | 3.95 | top 19% in California; top 16% in the U.S. |
| Registered Nurse hours | 0.26 | 0.61 | 0.69 | bottom 5% in California; bottom 6% in the U.S. |
| Weekend total nurse staffing | 4.52 | 3.90 | 3.50 | top 14% in California; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.51 | 0.48 | bottom 2% in California; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 32.6 | 36.7 | 45.8 | top 39% in California; top 19% in the U.S. |
| RN turnover (%) | 60.0 | 38.1 | 42.9 | bottom 16% in California; bottom 22% in the U.S. |
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 4.05, RN 0.21, weekend 3.81. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mennonite Brethren Homes, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2008 |
| Brandt, Jack | Individual | Corporate Director | NOT APPLICABLE | 02/26/2019 |
| Higbee, James | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2023 |
| Higbee, James | Individual | Corporate Director | NOT APPLICABLE | 08/01/2023 |
| Higbee, James | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2023 |
| Kirkland, Gabrielle | Individual | Corporate Director | NOT APPLICABLE | 02/26/2022 |
| Kriegbaum, Arnold | Individual | Corporate Director | NOT APPLICABLE | 02/26/2019 |
| Peters, Gerald | Individual | Corporate Director | NOT APPLICABLE | 02/26/2019 |
| Ray, Karen | Individual | Corporate Director | NOT APPLICABLE | 02/26/2019 |
| Rivoire, Charles | Individual | Corporate Director | NOT APPLICABLE | 02/26/2019 |
| Swiney, Vivian | Individual | Corporate Director | NOT APPLICABLE | 02/26/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Vineyard Care Center | 0.8 mi | Reedley, CA | ★★★★☆ | 3/5 | |
| Sierra View Homes | 1.3 mi | Reedley, CA | ★★☆☆☆ | 3/5 | |
| Dinuba Healthcare | 4.8 mi | Dinuba, CA | ★★★★☆ | 4/5 | |
| Kingsburg Center | 7.2 mi | Kingsburg, CA | ★★★☆☆ | 3/5 | |
| Bethel Lutheran Home | 8.4 mi | Selma, CA | ★★★☆☆ | 3/5 | |
| Rolling Hills Care Center | 8.9 mi | Selma, CA | ★★☆☆☆ | 2/5 | |
| Cornerstone Care Center | 10.8 mi | Sanger, CA | ★★☆☆☆ | 2/5 | |
| Fowler Care Center | 11.2 mi | Fowler, CA | ★★★☆☆ | 2/5 | |
| Vineyards at Fowler | 12.6 mi | Fowler, CA | ★★☆☆☆ | 2/5 | |
| California Home for the Aged | 16.3 mi | Fresno, CA | ★★★★★ | 5/5 | |
| Manning Gardens Care Center, INC | 16.7 mi | Fresno, CA | ★★★★★ | 4/5 | |
| Grace Healthcare Center | 16.9 mi | Fresno, CA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555513.