19 health deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fresno, CA
2-star overall rating with 2-star inspections with $88,049 in total fines with 19 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
1665 M Street, Fresno, CA
(559) 268-5361
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
155
Certified beds
Average residents
143
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-02-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.59
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.51
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
3,045
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9996
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.77
Baseline 18.89% · Performance 19.68% · Measure score 3.77 · Achievement 3.77 · Improvement 0
Healthcare-associated infections
5.96
Baseline 5.72% · Performance 6.05% · Measure score 5.96 · Achievement 5.96 · Improvement 0
Total nurse turnover
6.3
Baseline 52.76% · Performance 37.93% · Measure score 6.3 · Achievement 6.3 · Improvement 4.81
Adjusted total nurse staffing
2.47
Baseline 4.11 hours · Performance 3.78 hours · Measure score 2.47 · Achievement 2.47 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.09% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 9.23% · Lower 95% interval 6.71% |
| Discharge to community | 33.1% |
50.57%
17.5 pts worse
|
Worse than the National Rate · Eligible stays 44 · Observed rate 20.45% · Lower 95% interval 20.81% |
| Medicare spending per beneficiary | 1.66 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 97.26% |
95.27%
2 pts better
|
Numerator 71 · Denominator 73 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 73 |
| Discharge self-care score | 67.5% |
53.69%
13.8 pts better
|
Numerator 27 · Denominator 40 |
| Discharge mobility score | 47.5% |
50.94%
3.4 pts worse
|
Numerator 19 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 73 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.05% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 3.01% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | 47.78% |
42%
5.8 pts better
|
Numerator 97 · Denominator 203 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 24 · Denominator 40 |
| Transfer of health information to provider | 88.89% |
95.95%
7.1 pts worse
|
Numerator 24 · Denominator 27 |
| Transfer of health information to patient | 80% |
96.28%
16.3 pts worse
|
Numerator 16 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 11.76% |
25.2%
13.4 pts worse
|
Numerator 6 · Denominator 51 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.3
About the same
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
98.2%
1 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
1.6%
0.7 pts worse
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.5% · Q3 2.5% · Q4 2.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
6.8%
4.8 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.8% · Q3 0.9% · Q4 2.5% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 2.3% |
4.1%
1.8 pts better
|
5.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.9% · Q3 1.8% · Q4 0.0% · 4Q avg 2.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.5% |
13.7%
1.2 pts better
|
19.6%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 14.0% · Q3 10.0% · Q4 10.3% · 4Q avg 12.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.6% |
14.2%
6.4 pts worse
|
16.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 21.9% · Q3 19.5% · Q4 17.2% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.5% |
11.0%
6.5 pts worse
|
16.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 23.2% · Q3 17.1% · Q4 13.6% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.3% |
10.7%
3.4 pts better
|
14.9%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 7.9% · Q3 7.8% · Q4 4.7% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.8% |
10.9%
1.9 pts worse
|
19.8%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 16.0% · Q3 20.0% · Q4 7.3% · 4Q avg 12.8% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
4.7%
0.3 pts worse
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 6.6% · Q3 5.0% · Q4 3.3% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
94.0%
5.6 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.3% · Q3 99.3% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
11.2%
4 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 8.1% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.4% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
93.2%
0.6 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.1% |
23.2%
0.1 pts better
|
23.9%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 29.7% · Expected 30.6% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (6 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (7 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-01-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-24
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-01-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-24
Fire Safety
Use approved construction type or materials.
Corrected 2025-01-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-24
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-01-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-24
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-31
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-10-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-31
Fire Safety
Use approved construction type or materials.
Corrected 2023-10-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-10-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-02-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-02-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-02-21
Fire Safety
Establish emergency prep training and testing.
Corrected 2019-02-21
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-02-21
Fire Safety
Use approved construction type or materials.
Corrected 2019-02-21
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-02-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-02-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-02-21
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-07
Health
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.
Corrected 2025-02-07
Health
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.
Corrected 2025-02-07
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-02-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-07
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-07
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-07
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-07
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-02-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-07
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-07
Health
Assess the resident when there is a significant change in condition
Corrected 2025-02-07
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-02-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-07
Health
Provide appropriate foot care.
Corrected 2025-02-07
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-02-07
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-02-07
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-09-27
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2024-08-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-06
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-08-06
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-08-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-13
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-04
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-11-04
Health
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.
Corrected 2023-11-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-04-05
Health
Keep all essential equipment working safely.
Corrected 2019-04-05
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-04-05
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-04-05
Health
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.
Corrected 2019-04-05
Health
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.
Corrected 2019-04-05
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2019-04-05
Health
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.
Corrected 2019-04-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-04-05
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-04-05
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-04-05
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-04-05
Health
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.
Corrected 2019-04-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-04-05
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-04-05
Penalties and ownership
Fine · fine $12,256
Fine
Fine · fine $70,500
Fine
Payment Denial · denial start 2024-08-11 · 47 days
47 day denial
Fine · fine $5,293
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Fresno, CA
2-star overall rating with 2-star inspections with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Fresno, CA
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
Fresno, CA
1-star overall rating with 1-star inspections with $12,048 in total fines with 18 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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