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Nursing HomeMedicaid Top Rated

California Home for the Aged

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

6720 E. Kings Canyon, Roosevelt · Fresno, CA 93727120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 48 Google reviews

5
4
3
2
1
California Home for the Aged Nursing Home in Fresno, CA — Street View
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What this means for your family

This facility is an excellent choice for families needing a continuum of care, as they transition seamlessly between independent, assisted, and memory care. The staff's proactive and compassionate nature is their greatest asset. However, when touring, you should check common areas to ensure the facility remains as odor-free as other reviewers have described.

Google Reviews

Google Reviews

48 reviews on Google
Families considering this facility can expect a high level of compassionate, multi-level care ranging from independent living to memory care and hospice. Reviewers consistently praise the attentive, family-like nursing staff and the high quality of the dining services, though one reviewer noted a significant issue with odors and another expressed dissatisfaction with living conditions in a past stay.

Quality Themes

Tap a score for details
Food9.0Staff10.0Clean8.0Activities9.0MedsN/AMemory10.0Comms9.0Value8.0

Strengths

  • Compassionate and attentive nursing staff
  • High-quality dining and meal variety
  • Comprehensive continuum of care (Independent to Memory Care)
  • Engaging lifestyle and social activities
  • Beautifully maintained and clean grounds

Concerns

  • Occasional issues with facility odors
  • Negative past experiences with living conditions

Rating Trends

Tap a year to see what changed

2345.0'17(1)5.05.0'19(1)5.03.7'23(3)4.94.7'25(14)3.0'26(2)

Distribution · 46 analyzed

5
42
4
0
3
1
2
0
1
3

How They Respond to Reviews

100%response rate
Generic

The owner primarily uses a set of repetitive templates to respond to 5-star reviews, often simply repeating phrases like 'thrilled to learn you had a positive experience.' However, they shift to a more personalized and professional tone when addressing negative feedback or specific personal details.

Questions for Your Tour

  • 1It's wonderful to see how much care you put into responding to everyone's feedback; how does that culture of communication translate to how you interact with families?
  • 2We've heard great things about the variety of meals served here, so could you tell us more about how the dining program is structured?
  • 3With such a high rating for your nursing staff, how do you ensure that level of attentive care remains consistent during shift changes?
  • 4What kind of social activities or outings are available to help residents stay engaged with the community?
  • 5How does the facility manage cleanliness and air quality in the common areas to ensure a comfortable environment for everyone?
  • 6In the event of a medical emergency during the night, what is the protocol for notifying the family and providing immediate care?

Personalized based on this facility's data


Key Review Excerpts

The staff is exceptional—attentive, compassionate, and always going above and beyond to ensure residents feel truly at home.

Long-term resident's family · 2025★★★★★

The Vineyards provided a long-term facility where her every need is cared for, and I live in a resort-like building across the street.

Spouse of resident · 2025★★★★★

The staff and residents at the Vineyards often ask about her and express their hope to see her quickly back at the Vineyards.

Rehab patient's family · 2024★★★★★
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
93%
Registered nurses for medical care
Total Nursing
4.14hrs
OK
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)
RN Turnover
35%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
CA
7.0%
Fresno
5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
15.4%
CA
11.6%
Fresno
9.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
19.4%
CA
10.7%
Fresno
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Fresno
98.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
14.4%
CA
10.4%
Fresno
11.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
CA
98.2%
Fresno
99.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
CA
93.2%
Fresno
93.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
CA
94.2%
Fresno
94.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Mixed vs Avgs
Here
1.1%
US
1.6%
CA
1.5%
Fresno
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (15.4)
2 complaint-triggered

California Home for the Aged shows persistent concerns with families filing complaints about care quality and safety hazards. The facility repeatedly struggles with care planning, medication management, and fire safety across multiple surveys from 2022-2025. While all deficiencies show correction dates, the recurring patterns in essential care areas suggest ongoing operational challenges that warrant careful evaluation during visits.

Aug 19, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 20, 2025Routine
6
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0656Potential for harm · IsolatedCorrected

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Sep 4, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Mar 28, 2024Routine
23
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

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.

0656Potential for harm · PatternCorrected

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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0800Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0943Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Apr 22, 2022Routine
21
0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0888Potential for harm · PatternCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0030Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0039Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

California Home for the Aged

Organization Type

nonprofit

Ownership & Management

Key personnel

Telesmanic, ChristopherAdp of the SnfToor, RajwindorAdp of the SnfOffice of Statewide Health Planning and Development5% or Greater Mortgage InterestOffice of Statewide Health Planning and Development5% or Greater Security InterestBagdasarian, MitchOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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