1715 SOUTH CEDAR, FRESNO, CA 93702
99 beds · For profit - Limited Liability company
CMS Provider #555866
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
4.2 hrs/resident
Getting better
Inspection findings
18
Fewer issues
Ownership changes
0
Owned by a for-profit limited liability company with 11 individual and organizational owners.
Complaint trend
Steady
Four complaints resulted in citations during the most recent inspection periods.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Sierra Vista Healthcare presents a profile of consistent, permanent staffing levels and favorable quality measures, contrasted by a health inspection record that remains significantly below both state and chain averages.
Data from the Centers for Medicare and Medicaid Services (CMS) reveals a facility with contrasting performance metrics. While the facility maintains a high staffing rating and utilizes zero percent contract or agency staffing, its health inspection history remains a primary area of concern. The most recent inspection cycle recorded 18 findings, including issues related to accident hazards and the failure to provide treatment according to resident preferences. This follows a previous cycle with 23 findings, including two severe citations (Severity G and H) and a total weighted health score of 227.25, which is significantly higher than state norms.
Staffing data shows 4.17 hours of nursing care per resident per day, which is below the California average of 4.51 hours. However, the facility demonstrates stability in its workforce, reporting zero administrator departures and a total nursing staff turnover rate of 36.4%. Notably, registered nurse turnover is 27.3%, which is lower than the California average of 40.6%. Quality measures for long-stay residents are rated highly, though the facility's overall rating remains at the lowest possible level due to the weight of its inspection history and a recent financial penalty of $12,048. Ownership by Aspen Skilled Healthcare places the facility within a chain that generally averages higher overall ratings (3.5) and fewer health inspection issues (2.9) than this specific location currently demonstrates.
The facility received 18 health inspection findings in the most recent cycle, which is higher than the California state average of 15.6 findings.
There is a 6.6% decrease in total nursing hours provided on weekends compared to weekdays, indicating relatively stable staffing levels throughout the week.
Records show a total nursing staff turnover rate of 36.4%, with zero contract or agency staff utilized, indicating consistent care provided by permanent employees.
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 | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | |
| Staffing | 3★ | 3★ | 3★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | 4★ | |
| Health | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ |
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
Stable36.4%
State avg: 38.1%
27.3%
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
42
Car-Dependent
Transit Score
41
Some Transit
Median Income
$38,965
Median Home Value
$182,300
Poverty Rate
35.5%
Age 65+
9.5%
Median Age
29
Pop. Density
45,248/mi²
Median Rent
$1,044
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 |
|---|---|---|---|---|---|---|---|
| 11/4/2025 | 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. | Actual harm | 11/30/2025 | Complaint | |
| 5/3/2025 | 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Minimal harm | 5/30/2025 | Complaint | |
| 11/1/2024 | 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 | 11/22/2024 | Complaint | |
| 9/27/2024 | 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | Minimal harm | 10/27/2024 | Standard | |
| 9/27/2024 | 0584 | Resident Rights Deficiencies | 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. | Minimal harm | 10/27/2024 | Standard | |
| 9/27/2024 | 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | Minimal harm | 10/27/2024 | Standard | |
| 9/27/2024 | 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. | Actual harm | 10/27/2024 | Standard | |
| 9/27/2024 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Actual harm | 10/27/2024 | Standard | |
| 9/27/2024 | 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | Minimal harm | 10/27/2024 | Standard | |
| 9/27/2024 | 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Actual harm | 10/27/2024 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
1
Total Fines
$12,048
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 8/2/2024 | Fine | $12,048 | — |
Ownership structure and changes can affect facility quality.
Facilities in Chain
34
Chain Avg Rating
3.5 ★
Years Operating
15
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| BRADSHAW, JEFFREY | Individual | — | 22% | 8/1/2010 |
| BRADY, VERN | Individual | — | 32% | 8/1/2010 |
| CASE, RYAN | Individual | — | 32% | 8/1/2010 |
| ASFC,LLC | Organization | — | — | 10/1/2009 |
| BRADSHAW, JEFFREY | Individual | — | — | 8/1/2010 |
| BRADY, VERN | Individual | — | — | 8/1/2010 |
| CASE, RYAN | Individual | — | — | 8/1/2010 |
| ESTRADA, SALVADOR | Individual | — | — | 3/6/2023 |
| RAWE, COLTON | Individual | — | — | 1/1/2023 |
| HOBBS, BRETT | Individual | — | — | 7/1/2017 |
| ASPEN SKILLED HEALTHCARE INC | Organization | — | — | 6/2/2014 |
| BRADSHAW, JEFFREY | Individual | — | 22% | 8/1/2010 |
| BRADY, VERN | Individual | — | 32% | 8/1/2010 |
| CASE, RYAN | Individual | — | 32% | 8/1/2010 |
| ASFC,LLC | Organization | — | — | 10/1/2009 |
| BRADSHAW, JEFFREY | Individual | — | — | 8/1/2010 |
| BRADY, VERN | Individual | — | — | 8/1/2010 |
| CASE, RYAN | Individual | — | — | 8/1/2010 |
| ESTRADA, SALVADOR | Individual | — | — | 3/6/2023 |
| RAWE, COLTON | Individual | — | — | 1/1/2023 |
| HOBBS, BRETT | Individual | — | — | 7/1/2017 |
| ASPEN SKILLED HEALTHCARE INC | Organization | — | — | 6/2/2014 |
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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