Veterans Home Of California - Fresno

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 47.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 40 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 107.7 residents a day — about 90% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.52 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.21 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.33 hrs/resident/day on weekends vs 6.32 on weekdays — 16% thinner on weekends. RN hours go from 1.75 to 0.96 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · Dcited before2026-04-09 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1), physician's orders for wound care was followed. This failure placed Resident 1's wound at a potential risk for infection. Findings: During a concurrent observation and interview on 4/9/2026 at 1:42 p.m. in Resident 1's room, RN [Registered Nurse] donned gown and gloves and did a dressing change on Resident 1's left ear wound, assisted by CAN [Certified Nurse Assistant] 1. RN used two small, pink plastic bottles of normal saline, gauze, Vaseline packet and a non-adherent dressing to dress Resident 1's wound. RN 1 stated, We clean the wound site with saline, pat dry and put petroleum on the gauze and secure it with dry dressing. During a review of Resident 1's Monthly Physician Order dated March 20206, the orders indicated, . 2/22/26 . Cleanse non-healing ulcer to LT [left] ear auricle site with mild soap and water, pat dry, apply Vaseline and cover with dry dressing DAILY and PRN [as needed] for soilage or dislodgement . During a concurrent interview and record review on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1), wound was kept clean and covered. This failure resulted in Resident 1's wound found with maggots.Findings: During a concurrent observation and interview on 4/9/2026 at 1:30 p.m. in Resident 1's room, Resident 1 was lying in bed with head elevated. Certified Nursing Assistant (CNA) 1 donned gown and gloves and positioned Resident 1 on the side. CNA 1 stated Resident 1 had a wound on the left ear. A band aid with gauze was hanging on the back of his left ear. During a review of Resident 1's Medical Oncology Clinic Note, dated 3/6/2025, the Oncology Note indicated, . HPI [History of Present Illness]: . squamous cell carcinoma [abnormal growth of squamous cells] of the left postauricular [behind the ear] skin . past medical history of hypertension [high blood pressure], stroke [occurs when blood flow to the brain is blocked] . During an interview on 4/9/2026 at 2:58 p.m. with CNA 2 stated on 3/23/26 at around 9 p.m., she was doing ADLs (Activities of Daily…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-30 · tag F0755 — failed to provide safe pharmacy services — widespread
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide pharmaceutical services to meet the needs of residents when the facility did not employ or obtain the services of a licensed pharmacist.This failure resulted in no pharmacist oversight for required pharmacy services and had the potential risk to affect all residents receiving medications. Findings:During an interview with Supervising Registered Nurse (SRN) 2 on 1/29/26 at 9:32 am, SRN 2 stated there was no pharmacist reviewing medications monthly for residents since October 2025.During an interview with Skilled Nursing Facility Administrator (SNF Admin) on 1/29/26 at 10:34 am, SNF Admin stated the facility did not have a pharmacist in November 2025, December 2025, and January 2026. During a review of the facility's policy and procedure titled, Pharmaceutical Services dated 9/25/25, indicated, .Pharmaceutical Services will include, but not limited to, the following: Providing consultative and other services furnished by pharmacists, which assist in the development, coordination, supervision, and review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-30 · tag F0756 — failed to review each resident's drug regimen — widespread
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a licensed pharmacist conducted monthly drug regimen reviews (DRR) when four sampled residents (Residents 3, 7, 21, and 50) did not have evidence of drug regimen reviews since October 2025.This failure resulted in the potential for unidentified medication-related irregularities due to the absence of required drug regimen reviews.Findings:During a review of Resident 3's admission Face Sheet Record, undated, indicated Resident 3 was admitted to the facility with diagnoses of vascular dementia (a form of memory loss due to impaired supply of blood to the brain), hyperlipidemia (high level of fats in the blood), and diabetes mellitus (high blood sugar).During a review of Resident 7's admission Face Sheet Record, undated, indicated Resident 7 was admitted to the facility with diagnoses of dementia (memory loss), hypertension (high blood pressure), and hyperlipidemia.During a review of Resident 21's admission Face Sheet Record, dated 12/26/25,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-30 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to safely store medications when two containers of discarded medications, designated for disposal, was found in Building 1A's soiled utility room and one container of discarded medications, designated for disposal, was found in Building 5A's soiled utility room and were accessible to unlicensed personnel.These failures had the potential for unauthorized access to medications.Findings:During a concurrent observation and interview on [DATE] at 2:08 pm with Registered Nurse (RN) 5 in the medication room in Building 1 A, a blue waste container with a white top was on the counter. RN 5 stated the container held non-controlled resident medications that were no longer in use and were to be disposed of. RN 5 stated the medications in the container were kept in its original pill form and once the container was full, it would be placed in a bigger bin in the soiled utility room, which was located across the hall from the medication room, for pickup…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-30 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility did not ensure an effective infection control and prevention program for three of 24 residents (Residents 10, 14, and 21), when nursing staff did not follow the use of PPE (personal protective equipment -specialized gear such as masks, gloves, gowns, and eye protection designed to protect healthcare workers from infectious materials and pathogens) for enhanced barrier precautions (EBP - an infection control strategy for nursing homes, requiring staff to wear gowns and gloves during high-contact resident care to reduce the spread of germs) when providing care to the residents.1. CNA 1 and LVN 1 did not wear a gown while providing care for Resident 102. CNA 2, RN 1, and SRN 1 did not wear a gown while providing care for Resident 143. CNA 3 did not wear a gown while providing care for Resident 21.This failure had the potential to place residents 10, 14, and 21 at risk for acquiring an infectious bacteria through cross contamination which could lead to illness or death.Findings:1.During an observation on 1/26/26 at 3:25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-30 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure proper discharge notification and documentation were made for one of two closed record sampled residents when:The facility did not notify the State Long Term Care Ombudsman of Resident 113's discharge.The facility did not perform and document a discharge medication reconciliation (process of comparing pre-discharge medications and post-discharge medications) for Resident 113 upon discharge from the facility.These failures had the potential to adversely affect the continuity of care for Resident 113.Findings:1. During a review of the Resident Demographics (Face Sheet), the Face Sheet indicated Resident 113 was admitted to the facility on [DATE] with diagnoses which included compression fracture (a bone in the spine collapsed or flatten due to pressure) and hypertension (high blood pressure).During a review of Resident 113 Physician Orders, dated 1/5/26, the Physician Orders indicated, May discharge to RCFE [Residential Care Facilities for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-30 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident received appropriate treatment and services to prevent urinary tract infections for one of 24 residents, when Resident 4's indwelling urinary catheter bag (a bag connected to a tube that drains urine from the resident's bladder) was observed on the floor.This failure had the potential to result in catheter-associated urinary tract infection (CAUTI) [an infection that can occur when germs enter the bladder through the tube].Findings:During an observation on 1/28/26 at 11:11 am in Resident 4's room, Resident 4 was observed lying in bed with the urinary catheter drainage bag resting directly on the floor.During a concurrent observation and interview on 1/28/26 at 11:17 am with Registered Nurse (RN) 2, RN 2 confirmed that the catheter bag was on the floor, acknowledging it posed an infection risk.During an interview on 1/28/26 at 11:33 am with Infection Preventionist (IP) IP confirmed that the urinary catheter bag should not be on the floor. IP stated, It should be hanging above the floor. It…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-30 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to implement an effective Quality Assurance and Performance Improvement Plan (QAPI) program when the facility did not utilize the QAPI process to address the known absence of a licensed pharmacist since October 2025.This failure resulted in the potential for continued noncompliance with pharmacy service requirements due to the facility's failure to utilize its QAPI program to identify and correct the issue. Findings:During an interview with Skilled Nursing Facility Administrator (SNF Admin) on 1/29/26 at 10:34 am, SNF Admin stated the facility did not have a pharmacist in November 2025, December 2025, and January 2026. During an interview with Standards Compliance Coordinator (SCC) on 1/30/26 at 8:21 am, SCC stated the QAPI meetings occur at least quarterly and as needed. SCC stated the last QAPI meeting was on 10/30/25. SCC stated there were no specific issues that were discussed regarding pharmacy services. There was no plan created for pharmacy services during the meeting. SCC stated communication between leadership and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide adequate supervision for one of three sampled residents (Resident 1), when Certified Nursing Assistant 1 (CNA 1) transferred Resident 1 with the Sara lift (resident mobility lift), alone. This failure had the potential to negatively impact the resident's safety and increased risk for injury. Findings: A review of Resident 1's clinical record titled, admission Face Sheet (record containing resident personal information), indicated Resident 1 was [AGE] years old. Resident 1 had multiple diagnoses which included Left Hemiplegia (paralysis of left side of the body from a stroke), and contracture of left hand (deformity of hand). During an interview on 6/30/25 at 9:58 a.m., Resident 1 stated, I have to use the Sara lift because my left side hand, leg, and ankle were affected by the stroke. Frequently, just one person gets me on the Sara lift but they are required to have two people. I could hear her [CNA] straining to get me up from the bed and I'm…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA