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Nursing homeFAID #13849

Sierra Vista Healthcare

1715 SOUTH CEDAR, FRESNO, CA, 93702
(559) 237-8377
99 licensed beds

CMS rates Sierra Vista Healthcare 3 out of 5 overall. Federal inspectors issued 69 citations across 10 inspections in the last three years, with $12,048 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
99
CMS facility ID
555866
Care type
Nursing home
County
Fresno
Facility name
Sierra Vista Healthcare
Street address
1715 SOUTH CEDAR
City / state / ZIP
Fresno, CA 93702
Phone
(559) 237-8377

Sierra Vista Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 213 senior care facilities in Fresno and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Aspen Skilled Healthcare, a group of 35 facilities on this site.

Federal inspectors have cited Sierra Vista Healthcare 69 times across 10 inspections in the last three years, including 14 food-safety citations, and CMS has imposed $12,048 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Aspen Skilled Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Asfc,llc
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2009
Aspen Healthcare Services Llc
Additional disclosable party — since 2023
Aspen Skilled Healthcare Inc
Mortgage holder · Additional disclosable party — since 2014
Bradshaw, Jeffrey
Additional disclosable party — since 2019
Bradshaw, Peter
Indirect owner — since 2023
Brady, Vern
Additional disclosable party — since 2019
Case, Ryan
Additional disclosable party — since 2019
Csfc, Llc
Additional disclosable party — since 2019
East West Bank
Additional disclosable party — since 2009
Elsner, Eric
Indirect owner — since 2009
Estrada, Salvador
Operational control · Additional disclosable party — since 2023
Galan, Ana
Operational control · Additional disclosable party — since 2023
Hakimipour, Mehdi
Additional disclosable party — since 2020
Jurado, Frank
Additional disclosable party — since 2023
Kirkwood, Jared
Indirect owner — since 2019
Orgill, Craig
Indirect owner — since 2019
Parti, Rajesh
Indirect owner — since 2009
Parti, Shruty
Indirect owner — since 2009
Paxman, Marcus
Indirect owner · Additional disclosable party — since 2022
Rawe, Colton
Governing body · Operational control · Additional disclosable party — since 2023
Sequoia Healthcare Group Llc
Additional disclosable party — since 2023

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2010-05-18
CMS overall rating
3 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$12,048 total
Last standard inspection
2026-01-09
Nurse staffing
4.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$448 per day (≈ $13,620/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
54% Medicaid · 16% Medicare · 29% private/other
Occupancy
93% (fiscal year 2023)
Vs. state median
13% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
99
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 14 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-09Health inspection12 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-30
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-01-30
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-30
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-30
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-30
F-0761
D · No harm found
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 2026-01-30
F-0803
E · No harm foundFood safety
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 2026-01-30
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2026-01-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-30
2025-11-04Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-30
8 earlier / fire-safety inspections (56 citations)
2025-05-03Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-30
2024-11-01Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-22
2024-09-27Health inspection16 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-27
F-0577
F · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-10-27
F-0578
D · No harm found
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 2024-10-27
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-10-27
F-0584
D · No harm found
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 2024-10-27
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-10-27
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-27
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-27
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2024-10-27
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-27
F-0761
F · No harm found
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 2024-10-27
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-10-27
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-10-27
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-10-27
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-27
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-27
2024-08-02Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-12
2022-09-06Health inspection21 citations
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2022-11-08
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-11-08
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-08
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-11-08
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-11-08
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2022-11-08
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-08
F-0692
H · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-11-08
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-11-08
F-0761
D · No harm found
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 2022-11-08
F-0800
D · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2022-12-30
F-0801
L · Immediate jeopardyFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2022-11-08
F-0802
F · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-11-08
F-0803
D · No harm foundFood safety
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 2022-11-08
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-11-08
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-11-08
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-11-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-11-08
F-0908
E · No harm found
Keep all essential equipment working safely.
Corrected 2022-11-08
F-0909
D · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2022-11-08
2026-01-09Fire-safety inspection5 citations
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-01-21
K-0351
C · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-01-21
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-06
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-14
2024-09-27Fire-safety inspection4 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-01
K-0345
C · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-01
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-01
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-11-01
2022-09-06Fire-safety inspection7 citations
K-0223
D · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-09-19
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2022-09-19
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-09-19
K-0500
D · No harm found
Meet other general requirements that are deficient.
Corrected 2022-09-19
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-19
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-09-19
K-0926
D · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-09-19

Federal penalties

2024-08-02Fine$12,048
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555866.
How it compares in California.
Inspection citations, 3 years
69
More than 55% of nursing homes in the state
State median: 65
Federal fines, 3 years
$12,048
More than 69% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
4.4
Higher than 57% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
33%
Higher than 41% of nursing homes in the state
State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 6 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased10.4%10.2%13.5%Near state average
Lose too much weight8.1%4.1%5.1%Worse than state
With a catheter inserted and left in their bladder0.7%0.7%0.7%Near state average
With a urinary tract infection0.4%1.2%1.5%Better than state
Have depressive symptoms2.1%7.6%13.5%Better than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury1.7%1.6%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine99.6%98.7%93.7%Near state average
Ability to walk independently worsened11.9%8.9%12.7%Worse than state
Received an antianxiety or hypnotic medication15.1%13.7%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.9%95.3%Near state average
With pressure ulcers7.4%4.3%4.5%Worse than state
With new or worsened bowel or bladder incontinence2.7%9.8%18.3%Better than state
Received an antipsychotic medication6.1%12.3%15.4%Better than state
Hospitalizations per 1000 long-stay resident days3.872.211.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.441.501.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%94.6%82.3%Near state average
Newly received an antipsychotic medication1.7%1.3%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%93.1%80.1%Near state average
Were rehospitalized after a nursing home admission25.7%22.6%23.4%Worse than state
Had an outpatient emergency department visit8.9%11.1%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0761 3 inspections. 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.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
Where to check, and what's nearby.

Who to contact in California

  • Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
  • File a complaint: 844-538-8766 · Online
  • Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
  • Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Community Regional Medical Center, about 2.2 miles. CMS rating 1 of 5.
  • Fresno Va Medical Center (va Central California Healthcare System), about 3.6 miles. CMS rating 5 of 5.
  • Saint Agnes Medical Center, about 7.7 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 69 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered