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Nursing HomeMedicaid

Sierra Vista Healthcare

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1715 South Cedar, Roosevelt · Fresno, CA 9370299 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 130 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for short-term rehabilitation due to its highly-rated physical therapy team. However, families should closely monitor the security of personal valuables and verify that night-shift responsiveness meets your standards.

Google Reviews

Google Reviews

130 reviews on Google
Families seeking rehabilitation will find a highly-regarded physical therapy team and many reviewers praise the compassionate nursing staff. However, there are significant, recurring reports of theft of personal belongings and inconsistent care quality during night shifts.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean7.0Activities9.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical therapy and rehabilitation
  • Compassionate and friendly nursing staff
  • Clean and well-maintained facility
  • Engaging activities and social programs

Concerns

  • Theft of personal belongings and money (mentioned by 2 reviewers)
  • Inconsistent care and responsiveness during night shifts (mentioned by 2 reviewers)
  • Issues with cleanliness in certain resident rooms (mentioned by 2 reviewers)
  • Loss of resident clothing and personal items (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'17(2)'19(17)'21(3)'23(20)'25(10)'26(2)

Distribution · 92 analyzed

5
62
4
4
3
2
2
1
1
23
10 reviews posted between Jan 4, 2023Jan 6, 2023 · 10 were 5-star

How They Respond to Reviews

97%response rate
Good

The owner provides personalized, empathetic responses to both positive and negative reviews. They frequently use the reviewer's name and address specific staff members or incidents mentioned in the text.

Questions for Your Tour

  • 1I noticed many people praise your physical therapy and rehab programs; could you tell me more about how you tailor those services to a resident's specific goals?
  • 2It's great to see how much you engage with community feedback; how does the management team use resident and family suggestions to improve the facility?
  • 3What steps are in place to ensure that residents' clothing and personal belongings are securely tracked and kept safe?
  • 4How does the nursing team ensure consistent communication and responsiveness for residents during the overnight hours?
  • 5Could you describe the daily dining experience and how you work to ensure meals are both nutritious and enjoyable for everyone?
  • 6What are some of the favorite social programs or group activities that help residents stay active and connected here?

Personalized based on this facility's data


Key Review Excerpts

Sierra Vista is an incredible facility. It is more of a 5 star hotel than a rehabilitation facility. My Mom was a patient twice this year. The nurses and the staff are very very nice and they treated her with compassion and respect.

Long-term resident's family · 2024★★★★★

The day shift is wonderful my husband gets along with all the nurses. The night shift is awful they allowed my husband to sit in his own feces for 12 hour they won't answer the call nurse button.

Long-term resident's family · 2022★★☆☆☆

I have been at sierra Vista for 26 months. For the most part I have received good care here. I have strong and good relationships with most of our regular staff. For the first 2 years we have not had any thief here. It was unheard of. Now it is running rampant through the hospital.

Long-term resident · 2024★★★★★
Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
4.27hrs
OK
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
27%
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
4/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
19.4%
CA
10.7%
Fresno
12.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
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 Facility6.1%
Better than Avg
Here
6.1%
US
15.4%
CA
11.6%
Fresno
9.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
19.5%
CA
13.7%
Fresno
16.1%
💉

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 whose walking got worse

↓ Lower is better
This Facility16.4%
Worse than Avg
Here
16.4%
US
15.3%
CA
10.5%
Fresno
12.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
79.7%
CA
93.2%
Fresno
93.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Fresno
93.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Mixed vs Avgs
Here
0.8%
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

14deficiencies
1penalties
Near state avg (15.4)
4 complaint-triggered
$12,048 in fines

Sierra Vista Healthcare shows concerning recurring problems with families filing complaints about safety hazards and accident prevention issues. The facility consistently struggles with nutrition services, safety protocols, and medication management across multiple surveys dating back years. While all deficiencies show correction dates, the pattern of repeated violations in critical areas like resident safety and dining services suggests ongoing operational challenges families should carefully consider.

Jan 9, 2026Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0761Potential for harm · IsolatedCorrected

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0842Potential for harm · IsolatedCorrected

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.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0351Minimal · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Nov 4, 2025Complaint
1
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

May 3, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Nov 1, 2024Complaint
1
0689Potential for 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.

Sep 27, 2024Routine
20
0577Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0761Potential for harm · WidespreadCorrected

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

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.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0584Potential for harm · IsolatedCorrected

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

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

Aug 2, 2024Complaint
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.

Federal Penalties

Fine

Aug 2, 2024

$12,048

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sierra Vista Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Aspen Skilled Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 3.5/5 · Rank 34 of 34 (Worst)

Ownership & Management

Owners

Asfc,llc

Owner · Organization

Aspen Skilled Healthcare INC

Owner (parent company) · Organization

Sequoia Healthcare Group LLC

Owner (parent company) · Organization

Orgill, Craig

Owner (parent company)

Paxman, Marcus

Owner (parent company)

Key personnel

Aspen Skilled Healthcare INC5% or Greater Mortgage InterestRawe, ColtonManaging Control - Governing BodyHobbs, BrettW-2 Managing EmployeeAsfc,llcManagerBradshaw, JeffreyManager
Source: Medicare provider data

Contact

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References & Resources

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