Veterans Home of California - Fresno
2811 W Cesar Chavez Blvd · Fresno, CA · 93706 · 5594934400
120 certified beds Government - State
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.94 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.44 | 0.55–0.75 |
| Weekend hours / resident-day | 5.24 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D April 9, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · F January 30, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 23, 2026 · Pharmacy Service
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Potential for harm · F January 30, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 23, 2026 · Pharmacy Service
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Potential for harm · E January 30, 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 February 23, 2026 · Pharmacy Service
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Potential for harm · D January 30, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 23, 2026 · Administration
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Potential for harm · E January 30, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
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Potential for harm · D July 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · E February 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Honor each resident's preferences, choices, values and beliefs.
Corrected March 26, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 26, 2025 · Pharmacy Service
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Potential for harm · F February 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2025 · Nutrition and Dietary
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Potential for harm · D February 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide and implement an infection prevention and control program.
Corrected March 26, 2025 · Infection Control
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Potential for harm · D August 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 27, 2024 · Resident Rights
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Potential for harm · E March 21, 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 April 27, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2024
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 April 27, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 27, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
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 April 27, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555900 · certified since September 22, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.