California › Fresno County › Sanger
Cornerstone Care Center
2550 9th Street, Sanger, CA 93657
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cornerstone Care Center, in Sanger, California, is certified for 99 beds under for-profit, limited liability company ownership and belongs to the Jericho Care Group chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 52 health deficiencies across the three most recent survey cycles (16, 21, 15 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 52.5 per 100 beds, about the same as the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $28K.
Reported nurse staffing is 4.1 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 47.0%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 52 | 41 | 44 | 28.7 |
| Citations per 100 beds | 52.5 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 47.0% | 45.7% | 36.4% | 45.8% |
| Fines listed | $27,612 | $0 | $0 | — |
County and state figures are medians across facilities (31 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 May 2025, 10 Jun 2024.
Severity mix: G ×3 H ×1 D ×22 E ×22 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 15 Feb 2026 |
| 30 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 14 Jan 2026 |
| 1 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 May 2025 |
| 1 May 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 16 May 2025 |
| 1 May 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 May 2025 |
| 1 May 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 16 May 2025 |
| 1 May 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 16 May 2025 |
| 1 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 May 2025 |
| 1 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 16 May 2025 |
| 1 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 16 May 2025 |
| 22 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 7 Feb 2025 |
| 22 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 7 Feb 2025 |
| 22 Jan 2025 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 7 Feb 2025 |
| 22 Jan 2025 | F0584 | 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. | D | Complaint investigation | 7 Feb 2025 |
| 28 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 31 Oct 2024 |
| 10 Jun 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | G | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | G | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0584 | 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. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0687 | Provide appropriate foot care. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Jun 2024 |
| 10 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 27 Jun 2024 |
| 15 Feb 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | H | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 May 2022 |
| 15 Feb 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 May 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jun 2024 | Fine | $27,612 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 47.0%, RNs 41.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.7% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.5% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.0% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Sanger Skilled Care Llc. Chain: Jericho Care Group (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bayshire Central Valley LLC | 5% or greater direct ownership interest | 100% | 12/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fresno County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Home For the Aged | Fresno | 120 | 5 | 5 | 5 | 35 | 29.2 | — | 19 Aug 2025 |
| Community Subacute and Transitional Care Center | Fresno | 106 | 5 | 5 | 5 | 13 | 12.3 | — | 19 Dec 2025 |
| Manning Gardens Care Center, Inc | Fresno | 59 | 5 | 4 | 5 | 40 | 67.8 | $12K | 27 Mar 2026 |
| North Point Healthcare & Wellness Centre LP | Fresno | 99 | 5 | 5 | 3 | 20 | 20.2 | — | 27 Mar 2025 |
| Oakwood Gardens Care Center | Fresno | 103 | 5 | 4 | 3 | 28 | 27.2 | — | 9 Jan 2026 |
| The Terraces At San Joaquin Gardens Village | Fresno | 54 | 5 | 3 | 5 | 31 | 57.4 | — | 23 Apr 2025 |
| Veterans Home of California - Fresno | Fresno | 120 | 5 | 4 | 5 | 29 | 24.2 | — | 9 Apr 2026 |
| Vineyard Care Center | Reedley | 56 | 4 | 3 | 2 | 40 | 71.4 | — | 1 Apr 2026 |
All 31 facilities in Fresno County
Questions and answers
How many deficiencies has Cornerstone Care Center been cited for?
52 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Cornerstone Care Center been fined?
Yes. CMS lists fines totalling $28K in the period covered.
How does staffing at Cornerstone Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Cornerstone Care Center?
It is part of the Jericho Care Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bayshire Central Valley LLC. Individual owners and managers are not listed on this site.
When was Cornerstone Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jan 2026; the most recent standard health survey was 1 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.