SIERRA VISTA HEALTHCARE

CCN 555866 · ASFC,LLC · For profit - Limited Liability company · ASPEN SKILLED HEALTHCARE chain · 99 certified beds · Fresno · CA


SIERRA VISTA HEALTHCARE is a 99-bed nursing home in FRESNO, California. CMS has certified it for Medicare and Medicaid since 2010-05-18. It averages 89.0 residents a day.

What harm was found in the violations cited at SIERRA VISTA HEALTHCARE?

CMS lists 53 health-inspection deficiencies for SIERRA VISTA HEALTHCARE since 2022-09-06, 32 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-01-09.

Survey dateTagDeficiencySeverity
2026-01-09F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-01-09F0803, F0880Ensure 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. / Provide and implement an infection prevention and control program.E
2026-01-09F0550, F0554, F0645, F0656, F0658, F0755, F0761, F0805, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-11-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-05-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-11-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-27F0577, F0761, F0880Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. / Provide and implement an infection prevention and control program.F
2024-09-27F0550, F0656, F0658, F0759, F0802, F0812Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure medication error rates are not 5 percent or greater. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-09-27F0578, F0583, F0584, F0645, F0687, F0806, F0810Honor 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. / Keep residents' personal and medical records private and confidential. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate foot care. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2024-08-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2022-09-06F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.L
2022-09-06F0692Provide enough food/fluids to maintain a resident's health.H
2022-09-06F0802, F0804, F0812Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2022-09-06F0880, F0908Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.E
2022-09-06F0602, F0641, F0656, F0657, F0658, F0679, F0689, F0726, F0761, F0800, F0803, F0806, F0842, F0909Protect each resident from the wrongful use of the resident's belongings or money. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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.D

Why was SIERRA VISTA HEALTHCARE fined?

DateTypeAmount
2024-08-02Fine$12,048

How is SIERRA VISTA HEALTHCARE staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.406304.51570
Total nursing staff turnover (%)34.736.7
Average number of residents per day89.087.9

Who owns SIERRA VISTA HEALTHCARE, and what chain is it in?

SIERRA VISTA HEALTHCARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name ASFC,LLC and belongs to the ASPEN SKILLED HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTASFC,LLCsince 10/01/2009
INDIRECT OWNERSHIP INTERESTBRADSHAW, PETER, ELSNER, ERIC, KIRKWOOD, JARED, ORGILL, CRAIG, PARTI, RAJESH, PARTI, SHRUTY, PAXMAN, MARCUSsince 01/01/2019
5% OR GREATER MORTGAGE INTERESTASPEN SKILLED HEALTHCARE INCsince 06/02/2014
MANAGING CONTROL - GOVERNING BODYRAWE, COLTONsince 01/01/2023
OPERATIONAL/MANAGERIAL CONTROLASFC,LLC, ESTRADA, SALVADOR, GALAN, ANA, RAWE, COLTONsince 01/01/2023
ADP OF THE SNFASFC,LLC, ASPEN HEALTHCARE SERVICES LLC, ASPEN SKILLED HEALTHCARE INC, CSFC, LLC, EAST WEST BANK, SEQUOIA HEALTHCARE GROUP LLC, BRADSHAW, JEFFREY, BRADY, VERN, CASE, RYAN, ESTRADA, SALVADOR, GALAN, ANA, HAKIMIPOUR, MEHDI, JURADO, FRANK, PAXMAN, MARCUS, RAWE, COLTONsince 01/01/2023

Were you or a family member harmed at SIERRA VISTA HEALTHCARE?