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
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
SIERRA VISTA HEALTHCARE in Fresno, CA has an overall 3-star rating, with 3 stars for health inspections and stronger 4-star staffing and quality measures. It reports 4.41 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and has had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4063 hrs/resident/day
Quality measures
Last inspection: January 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4063.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 1.30
- Nurse aides
- 2.65
- Weekend nursing
- 4.15
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.7%4.9%Improving
Residents with a fall causing major injury
1.8%1.8%No change
Residents with pressure ulcers (bedsores)
6.3%9.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.8%14%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.6%14%Improving
Residents whose ability to walk got worse
—17.8%—
Long-stay residents on antianxiety or sleep medication
9.4%11.5%Worsening
Short-stay residents newly given an antipsychotic
0%1.9%Worsening
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
3.5%0%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.2%Worsening
Short-stay residents given the seasonal flu vaccine
—99.3%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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 nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 · 3.7 stars avg
- Occupancy
- 89 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.