Where They Care · plain answers about nursing homes

Sierra Vista Healthcare

1715 South Cedar, Fresno, CA 93702 · 99 beds · For profit - Limited Liability company

The records flag: 1 citation at the most serious level.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★
Average · 3 of 5
All nursing staff, hours / resident
4.28
RNs, LPNs and aides · state average 4.31
Weekend RN coverage
−16%
vs weekdays
Staff turnover
35%
state average 37%
1 citation at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.44 hrs
Weekends
0.37 hrs
CA average
0.62 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage is about 16% lower at weekends.

Staff turnover: 35%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 53 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
1
Actual harm
A resident was harmed, without immediate danger to life
2
Potential for harm
No one harmed yet, but conditions could allow it
50
No harm
Rule and paperwork findings
0

4 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $12,048 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Asfc,llc
100% ownership interest
Direct owner (5% or more), Operational or managerial control, Additional disclosable party 10/01/2009
Bradshaw, Peter Indirect owner 07/07/2023
Elsner, Eric Indirect owner 10/01/2009
Kirkwood, Jared Indirect owner 01/01/2019
Orgill, Craig Indirect owner 01/01/2019
Parti, Rajesh Indirect owner 10/01/2009
Parti, Shruty Indirect owner 10/01/2009
Paxman, Marcus Indirect owner, Additional disclosable party 04/01/2022
Estrada, Salvador Operational or managerial control, Additional disclosable party 03/06/2023
Galan, Ana Operational or managerial control, Additional disclosable party 10/16/2023
Rawe, Colton Governing body, Operational or managerial control, Additional disclosable party 01/01/2023
Aspen Skilled Healthcare INC Holds a mortgage interest (5% or more), Additional disclosable party 06/02/2014
Aspen Healthcare Services LLC Additional disclosable party 01/01/2023
Bradshaw, Jeffrey Additional disclosable party 02/01/2019
Brady, Vern Additional disclosable party 02/01/2019
Case, Ryan Additional disclosable party 02/01/2019
Csfc, LLC Additional disclosable party 02/01/2019
East West Bank Additional disclosable party 10/01/2009
Hakimipour, Mehdi Additional disclosable party 07/15/2020
Jurado, Frank Additional disclosable party 01/01/2023
Sequoia Healthcare Group LLC Additional disclosable party 01/01/2023

Of the 21 parties disclosed here, 8 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Stonehaven Senior Living
Fresno
1.1
Orchard Post Acute
Fresno
1.6 3 0.32 −28%
Pacific Gardens Nursing and Rehabilitation Center
Fresno
1.8 3 0.66 −8%
Evergreen Care Center
Fresno
1.9 3 0.50 −5%
Healthcare Centre of Fresno
Fresno
2.5 2 0.46 −5%
Grace Healthcare Center
Fresno
2.7 1 0.78 −22%
Fresno Postacute Care
Fresno
2.8 3 0.29 −16%
Oakwood Gardens Care Center
Fresno
3.9 5 0.29 −5%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  2. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.