The home failed to have enough qualified staff to properly provide food and nutrition services. Cited September 2022 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: L
Nursing home report
SIERRA VISTA HEALTHCARE
FRESNO, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
3 of 5 overall
SIERRA VISTA HEALTHCARE (FRESNO, CA) has an overall 3 out of 5 stars, with stronger staffing and quality ratings at 4 stars and nurse staffing above the federal benchmark (4.27 vs. 4.1 hours per resident per day). It also has a recent federal penalty and $12,048 in fines over the last 24 months, with inspection issues cited in food service, nutrition, and accident prevention.
Facility ratings
Health inspections
Staffing
4.2698 hrs/resident/day
Quality measures
Last inspection: January 9, 2026Penalties, last 24 months: $12,048recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2698.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 1.21
- Nurse aides
- 2.59
- Weekend nursing
- 4.03
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.1%Improving
Residents with a fall causing major injury
1.7%Steady
Residents with pressure ulcers (bedsores)
7.3%Improving
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
4.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.6%Worsening
Residents whose ability to walk got worse
16.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13%Improving
Short-stay residents newly given an antipsychotic
0.8%Worsening
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
4.9%Steady
Residents with depressive symptoms
1.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
99.3%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited September 2022 — limited pattern, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: H
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $12,048 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $12,048 in total fines.
- $12,048
Federal fine
Aug 2, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ASPEN SKILLED HEALTHCARE · 35 homes · 3.5 stars avg
- Occupancy
- 89.2 residents on an average day (90% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.