Foundation Skilled Nursing

925 North Cornelia · Fresno, CA · 93706 · 5592754785

59 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $51,880 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.
  • 4 citations involved actual harm to residents.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$51,880 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 66
Staffing 20% 64
Federal penalties 15% 12
Trend 10% 36
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.913.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.38≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)2 · $96,763

Inspection citations (51 in the current record)

  • Potential for harm · E March 2, 2026 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected March 30, 2026 · Environmental

  • Actual harm · G December 9, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 9, 2025

    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 January 2, 2026 · Resident Rights

  • Potential for harm · D December 9, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected January 2, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 9, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected January 2, 2026 · Resident Rights

  • Potential for harm · D December 9, 2025

    Ensure each resident receives an accurate assessment.

    Corrected January 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 9, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · F December 9, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 2, 2026 · Quality of Life and Care

  • Potential for harm · D December 9, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected January 2, 2026 · Quality of Life and Care

  • Potential for harm · D December 9, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected January 2, 2026 · Quality of Life and Care

  • Potential for harm · E December 9, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 2, 2026 · Pharmacy Service

  • Potential for harm · E December 9, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 2, 2026 · Pharmacy Service

  • Potential for harm · E December 9, 2025

    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 January 2, 2026 · Pharmacy Service

  • Potential for harm · D December 9, 2025

    Provide or obtain dental services for each resident.

    Corrected January 2, 2026 · Quality of Life and Care

  • Potential for harm · F December 9, 2025

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected January 2, 2026 · Nutrition and Dietary

  • Potential for harm · F December 9, 2025

    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 January 2, 2026 · Nutrition and Dietary

  • Potential for harm · E December 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 2, 2026 · Infection Control

  • Potential for harm · E December 9, 2025

    Keep all essential equipment working safely.

    Corrected January 2, 2026 · Environmental

  • Potential for harm · E December 9, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected January 2, 2026 · Environmental

  • No harm found · C December 9, 2025

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Deficient, Provider has no plan of correction · Environmental

  • Actual harm · G August 12, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 15, 2025 · Quality of Life and Care

  • Potential for harm · D June 10, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 6, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 9, 2025Fine$51,880
December 9, 2025Payment Denial14 days
August 12, 2025Payment Denial2 days
February 23, 2024Fine$44,883

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056281 · certified since February 10, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.