Federal inspection record · CMS data as of October 1, 2026
Sierra Vista Healthcare
1715 South Cedar, Fresno, CA · (559) 237-8377
- Certified beds
- 99
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Aspen Skilled Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 18, 2010
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Sierra Vista Healthcare carries 95 inspection points. That is fewer than 44% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
53 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
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.
-
H
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Nutrition and Dietary13F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D
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
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning12E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights7F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- F
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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
Keep residents' personal and medical records private and confidential.
- D
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.
Quality of Life and Care6E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate foot care.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service5F
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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
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
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2E
- E
Keep all essential equipment working safely.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Nursing and Physician Services1D
- D
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.
Inspection history
2026-01-09
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-09-27
18 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2022-09-06
22 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
4 h 22 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 22% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,048 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-02 | Fine | $12,048 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.7 pts worse | 3.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 99.6% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 1.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts better | 2.1% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts worse | 8.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 15.1% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.2 pts better | 6.1% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 11.9% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse | 10.4% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.4% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts better | 2.7% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts worse | 7.4% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 8.9% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.7% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.1 pts worse | 25.7% | 22.6% | 23.4% |
·
Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Asfc,llc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Asfc,llc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Asfc,llc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Aspen Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Aspen Skilled Healthcare Inc | 5% Or Greater Mortgage Interest · Organization | 0% | 18 facilities |
| Aspen Skilled Healthcare Inc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Bradshaw, Jeffrey | Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Peter | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Brady, Vern | Adp Of The SNF · Individual | 0% | 32 facilities |
| Case, Ryan | Adp Of The SNF · Individual | 0% | 31 facilities |
| Csfc, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| East West Bank | Adp Of The SNF · Organization | 0% | 23 facilities |
| Elsner, Eric | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Estrada, Salvador | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Estrada, Salvador | Adp Of The SNF · Individual | 0% | 1 facilities |
| Galan, Ana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Galan, Ana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hakimipour, Mehdi | Adp Of The SNF · Individual | 0% | 2 facilities |
| Jurado, Frank | Adp Of The SNF · Individual | 0% | 31 facilities |
| Kirkwood, Jared | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Orgill, Craig | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Parti, Rajesh | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Parti, Shruty | Indirect Ownership Interest · Individual | 0% | 29 facilities |
| Paxman, Marcus | Indirect Ownership Interest · Individual | 0% | 32 facilities |
| Paxman, Marcus | Adp Of The SNF · Individual | 0% | 32 facilities |
| Rawe, Colton | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Rawe, Colton | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Rawe, Colton | Adp Of The SNF · Individual | 0% | 18 facilities |
| Sequoia Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Smoke6D
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
Egress2D
- D
Have properly located and lighted "Exit" signs.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services1D
- D
Meet other general requirements that are deficient.
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Other homes nearby
-
Stonehaven Senior Living
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Not rated- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0
-
Orchard Post Acute
Fresno, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h
- Fines
- $0
-
Pacific Gardens Nursing And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 5 min
- Fines
- $30,654