2811 W CESAR CHAVEZ BLVD, FRESNO, CA 93706
120 beds · Government - State
CMS Provider #555900
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
5.8 hrs/resident
Getting better
Inspection findings
9
More issues
Ownership changes
0
State-owned and operated by the California Department of Veterans Affairs.
Complaint trend
Steady
The facility has three uncorrected complaint-related findings from recent inspection cycles.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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This state-run facility is characterized by high permanent staffing levels and zero reliance on contract labor, though recent records show an increase in health and fire safety inspection findings.
The data indicates that this state-governed facility maintains staffing levels significantly above provincial benchmarks. Total nursing care is provided at a rate of 5.78 hours per resident per day, compared to the California average of 4.51 hours. This includes 1.41 hours of care from registered nurses daily, which is more than double the state average of 0.65 hours. Documentation shows a stable workforce environment characterized by a total nursing staff turnover rate of 32.6%, which is lower than the state average of 38.1%, and a complete absence of registered nurse or assistant contract labor. Furthermore, the facility has reported zero administrator departures and maintains a consistent staffing presence on weekends, with only an 11% reduction in total nursing hours compared to weekdays.
While staffing metrics are high, inspection records show an increase in health findings during the most recent cycle, rising from six to nine. These findings include a severity level 'E' citation for infection prevention and control and concerns regarding the implementation of quality assurance activities. Fire safety records also note eight uncorrected findings, including issues with automatic sprinkler system maintenance and the frequency of simulated fire drills. Despite these inspection findings, the facility has not incurred any federal fines or payment denials in the recent reporting periods, and it maintains the highest possible federal ratings for overall quality and staffing.
The facility provides 5.78 total hours of nursing care per resident per day, which is 28% higher than the California state average of 4.51 hours.
Records show zero percent usage of contract or agency staff, indicating that all nursing care is provided by permanent employees.
Recent inspections identified nine health findings, including issues with infection control programs and the labeling of drugs and biologicals.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | |
| Staffing | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | |
| Health | 5★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 4.5 hrs/resident/day
0
administrators departed in past year
Stable32.6%
State avg: 38.1%
30.3%
State avg: 40.6%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
85
Very Walkable
Transit Score
50
Good Transit
Median Income
$38,269
Median Home Value
$217,300
Poverty Rate
39.6%
Age 65+
11.6%
Median Age
30
Pop. Density
41,523/mi²
Median Rent
$1,035
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 1/30/2026 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Actual harm | 2/23/2026 | Standard | |
| 1/30/2026 | 0761 | Pharmacy Service Deficiencies | 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. | Actual harm | 2/23/2026 | Standard | |
| 1/30/2026 | 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | Minimal harm | 2/23/2026 | Standard | |
| 1/30/2026 | 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Minimal harm | 2/23/2026 | Standard | |
| 1/30/2026 | 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Minimal harm | 2/23/2026 | Standard | |
| 1/30/2026 | 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Actual harm | 2/23/2026 | Standard | |
| 1/30/2026 | 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Actual harm | 2/23/2026 | Standard | |
| 7/1/2025 | 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Minimal harm | 7/17/2025 | Complaint | |
| 3/26/2025 | 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Minimal harm | 4/16/2025 | Complaint | |
| 2/27/2025 | 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | Actual harm | 3/26/2025 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
No penalties or fines recorded for this facility.
Ownership structure and changes can affect facility quality.
Years Operating
9
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | — | 100% | 10/13/2013 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | — | — | 10/13/2013 |
| KREISHER, TIM | Individual | — | — | 11/22/2024 |
| SIDHU, ASHA PRITPAL | Individual | — | — | 3/20/2014 |
| VIGIL, CAROLINE | Individual | — | — | 10/16/2019 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | — | 100% | 10/13/2013 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | — | — | 10/13/2013 |
| KREISHER, TIM | Individual | — | — | 11/22/2024 |
| SIDHU, ASHA PRITPAL | Individual | — | — | 3/20/2014 |
| VIGIL, CAROLINE | Individual | — | — | 10/16/2019 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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