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
Data as of July 1, 2026
3 of 5 overall
SIERRA VISTA HEALTHCARE (FRESNO, CA) has an overall rating of 3 out of 5 stars, with stronger staffing and quality measures (4 of 5 stars each) and nursing hours above the federal benchmark (4.41 vs. 4.1). It has a recent federal penalty, $12,048 in fines over the last 24 months, and recent inspection citations involving staffing/food service, food and fluids, and accident hazards.
Facility ratings
Health inspections
Staffing
4.4063 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 4.4063.
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.