California › Fresno County › Fresno
Sierra Vista Healthcare
1715 South Cedar, Fresno, CA 93702
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.
Certified for 99 beds, Sierra Vista Healthcare serves Fresno in Fresno County, California and has taken Medicare and Medicaid residents since 2010.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 3, staffing 4 and quality measures 4.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (13, 19, 21 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 53.5 per 100 beds, about the same as the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $12K.
Reported nurse staffing is 4.4 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 34.7%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 41 | 44 | 28.7 |
| Citations per 100 beds | 53.5 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.4 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 34.7% | 45.7% | 36.4% | 45.8% |
| Fines listed | $12,048 | $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: 9 Jan 2026, 27 Sep 2024.
Severity mix: L ×1 G ×1 H ×1 D ×32 E ×11 F ×7
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 |
|---|---|---|---|---|---|
| 9 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | 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 | 30 Jan 2026 |
| 9 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | 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. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 30 Jan 2026 |
| 9 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Jan 2026 |
| 4 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 30 Nov 2025 |
| 3 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 May 2025 |
| 1 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Nov 2024 |
| 27 Sep 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 27 Oct 2024 |
| 27 Sep 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. | F | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 27 Oct 2024 |
| 27 Sep 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 Oct 2024 |
| 27 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | 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. | D | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 27 Oct 2024 |
| 27 Sep 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. | D | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | F0687 | Provide appropriate foot care. | D | Standard survey | 27 Oct 2024 |
| 27 Sep 2024 | 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 | 27 Oct 2024 |
| 27 Sep 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 27 Oct 2024 |
| 2 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 Sep 2024 |
| 6 Sep 2022 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | L | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Dec 2022 |
| 6 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 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. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0726 | 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. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 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. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 30 Dec 2022 |
| 6 Sep 2022 | 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. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | 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 | 8 Nov 2022 |
| 6 Sep 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Nov 2022 |
| 6 Sep 2022 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 8 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Aug 2024 | Fine | $12,048 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 34.7%, RNs 27.3%; 0 administrators 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 | 13.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.1% | 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: Asfc,Llc. Chain: Aspen Skilled Healthcare (35 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Asfc,LLC | 5% or greater direct ownership interest | 100% | 10/01/2009 |
| Aspen Skilled Healthcare Inc | 5% or greater mortgage interest | NOT APPLICABLE | 06/02/2014 |
| Asfc,LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2009 |
| Asfc,LLC | Adp of the snf | NOT APPLICABLE | 10/01/2009 |
| Aspen Healthcare Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
| Aspen Skilled Healthcare Inc | Adp of the snf | NOT APPLICABLE | 02/01/2019 |
| Csfc, LLC | Adp of the snf | NOT APPLICABLE | 02/01/2019 |
| East West Bank | Adp of the snf | NOT APPLICABLE | 10/01/2009 |
| Sequoia Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
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 Sierra Vista Healthcare been cited for?
53 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Sierra Vista Healthcare been fined?
Yes. CMS lists fines totalling $12K in the period covered.
How does staffing at Sierra Vista Healthcare compare?
Reported total nurse staffing is 4.4 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Sierra Vista Healthcare?
It is part of the Aspen Skilled Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Asfc,LLC and Asfc,LLC. Individual owners and managers are not listed on this site.
When was Sierra Vista Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jan 2026; the most recent standard health survey was 9 Jan 2026.
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.