Sierra Vista Healthcare

1715 South Cedar · Fresno, CA · 93702 · 5592378377

99 certified beds For profit - Limited Liability company Chain: Aspen Skilled Healthcare

  • Inspection results have improved across recent cycles.

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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 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 82
Staffing 20% 77
Federal penalties 15% 75
Trend 10% 78
Context 5% 100

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

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.273.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day4.03≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)1 · $12,048

Inspection citations (53 in the current record)

  • Potential for harm · D January 9, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 30, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected January 30, 2026 · Resident Rights

  • Potential for harm · D January 9, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

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

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

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

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

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

    Corrected January 30, 2026 · Pharmacy Service

  • Potential for harm · D January 9, 2026

    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 30, 2026 · Pharmacy Service

  • Potential for harm · E January 9, 2026

    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 30, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected January 30, 2026 · Nutrition and Dietary

  • Potential for harm · F January 9, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 30, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected January 30, 2026 · Infection Control

  • Potential for harm · E November 4, 2025 · found via complaint

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

    Corrected November 30, 2025 · Quality of Life and Care

  • Potential for harm · D May 3, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 30, 2025 · Quality of Life and Care

  • Potential for harm · D November 1, 2024 · found via complaint

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

    Corrected November 22, 2024 · Quality of Life and Care

  • Potential for harm · E September 27, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 27, 2024 · Resident Rights

  • Potential for harm · F September 27, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected October 27, 2024 · Resident Rights

  • Potential for harm · D September 27, 2024

    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.

    Corrected October 27, 2024 · Resident Rights

  • Potential for harm · D September 27, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected October 27, 2024 · Resident Rights

  • Potential for harm · D September 27, 2024

    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 October 27, 2024 · Resident Rights

  • Potential for harm · D September 27, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 27, 2024

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

    Corrected October 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 27, 2024

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

    Corrected October 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 27, 2024

    Provide appropriate foot care.

    Corrected October 27, 2024 · Quality of Life and Care

  • Potential for harm · E September 27, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 27, 2024 · Pharmacy Service

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

Federal penalties

DateTypeAmount / length
August 2, 2024Fine$12,048

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555866 · certified since May 18, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.