At a glance
Official CMS profileCMS overall rating
3 / 5
Certified beds
99
Residents / day
88.6
Ownership
For profit - Limited Liability company
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- County
- Fresno
- Certified beds
- 99
- Average residents per day
- 88.6
- First certified
- May 18, 2010
CMS quality ratings
- Overall
- 3 / 5
- Health inspections
- 3 / 5
- Staffing
- 4 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Fresno, California. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 3.00 | 3.21 (n=29) | 3.21 |
| Nurse hours / resident / day | 4.37 | 4.18 (n=29) | 4.54 (n=1138) |
| Weekend nurse hours / resident / day | 4.10 | 3.77 (n=29) | 4.10 (n=1138) |
| Nursing staff turnover (%) | 33.00 | 42.53 (n=24) | 36.56 (n=1011) |
CMS overall rating / 5
- This home
- 3.00
- County peers
- 3.21
- n=29
- State peers
- 3.21
Nurse hours / resident / day
- This home
- 4.37
- County peers
- 4.18
- n=29
- State peers
- 4.54
- n=1138
Weekend nurse hours / resident / day
- This home
- 4.10
- County peers
- 3.77
- n=29
- State peers
- 4.10
- n=1138
Nursing staff turnover (%)
- This home
- 33.00
- County peers
- 42.53
- n=24
- State peers
- 36.56
- n=1011
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 6.2% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 33.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 16
- Health citations
- 53
- Resident measures
- 17
- Ownership records
- 29
- Penalties
- 1
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 4.37413
- Reported RN Staffing Hours per Resident per Day
- 0.37934
- Reported LPN Staffing Hours per Resident per Day
- 1.31703
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.67776
- Total number of nurse staff hours per resident per day on the weekend
- 4.10239
- Registered Nurse hours per resident per day on the weekend
- 0.31875
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.10989
- Total nursing staff turnover
- 33.0
- Registered Nurse turnover
- 22.2
- Number of administrators who have left the nursing home
- 0
- Chain Name
- ASPEN SKILLED HEALTHCARE
- Number of Facilities in Chain
- 35
- Chain Average Overall 5-star Rating
- 3.7
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- CA
- Urban
- Y
- Chain ID
- 50
- Latitude
- 36.7258
- Location
- 1715 SOUTH CEDAR,FRESNO,CA,93702
- ZIP Code
- 93702
- City/Town
- FRESNO
- Longitude
- -119.75
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- ASPEN SKILLED HEALTHCARE
- County/Parish
- Fresno
- Provider Name
- SIERRA VISTA HEALTHCARE
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 3
- Ownership Type
- For profit - Limited Liability company
- Number of Fines
- 1
- Processing Date
- 2026-10-01
- Staffing Rating
- 4
- Provider Address
- 1715 SOUTH CEDAR
- Telephone Number
- 5592378377
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- ASFC,LLC
- Long-Stay QM Rating
- 4
- High Performing Icon
- N
- Short-Stay QM Rating
- 4
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.43035
- Chain Average QM Rating
- 4.7
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 3
- Number of Certified Beds
- 99
- Provider SSA County Code
- 090
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 22.2
- Total Number of Penalties
- 1
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 1.01425
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 33.0
- Chain Average Staffing Rating
- 3.9
- Number of Facilities in Chain
- 35
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 555866
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 12048.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 76
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 95.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 88.6
- Chain Average Overall 5-star Rating
- 3.7
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 152
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 3.0
- Rating Cycle 1 Health Deficiency Score
- 76
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 152
- Rating Cycle 1 Standard Survey Health Date
- 2026-01-09
- Rating Cycle 2 Standard Health Survey Date
- 2024-09-27
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.37107
- Case-Mix RN Staffing Hours per Resident per Day
- 0.70150
- Reported RN Staffing Hours per Resident per Day
- 0.37934
- Adjusted LPN Staffing Hours per Resident per Day
- 1.28833
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.87415
- Reported LPN Staffing Hours per Resident per Day
- 1.31703
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 13
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 19
- Rating Cycle 1 Number of Standard Health Deficiencies
- 12
- Rating Cycle 2 Number of Standard Health Deficiencies
- 16
- Reported Licensed Staffing Hours per Resident per Day
- 1.69637
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 1
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 2.61941
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.38081
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 2.67776
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 4.27882
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.95645
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 3
- Reported Total Nurse Staffing Hours per Resident per Day
- 4.37413
- Registered Nurse hours per resident per day on the weekend
- 0.31875
- Date First Approved to Provide Medicare and Medicaid Services
- 2010-05-18
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.10989
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 4.01300
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.48196
- Total number of nurse staff hours per resident per day on the weekend
- 4.10239
COMMUNITY EXPERIENCE
Reviews of SIERRA VISTA HEALTHCARE
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026