Deficiency Index

Sierra View Homes

Reedley, California · CCN 056279

18 surveys since 2011. The first finding at harm level was recorded in 2020.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
93
Surveys
18
Harm or worse
4
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/18

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
59
Ownership
Non profit - Corporation
Chain
Independent
County
Fresno
Medicare-certified since
1971

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 71 not-for-profit facilities with fewer than 66 beds in California.

Last survey on record

Feb 11, 2026

271 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day0.594.85
Registered-nurse hours per resident day0.12—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1241.4%E1241.4%F517.2%
No harm, potential for minimalA—B—C—
CMS’s current file: 29 of the 93 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F5502×

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

  • F6582×

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

  • F7612×

    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.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Sierra View Homes, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF694Apr 21, 2021

    Based on observation, interview and record review, the facility failed to administer [MEDICATION(S)] fluids ([MEDICATION(S)] fluids administered by injection through the tissue and circulatory system) in accordance with professional standards of practice for one of 15 sampled residents (Resident 32), when Resident 32 was admitted to the facility on [DATE] with a peripherally inserted central catheter (PICC, tube that is inserted into a vein in the upper arm to the heart) for the purposes of administering intravenous (IV - through the vein) antibiotics. The facility did not have an approved policy and procedure that followed the standards of practice to instruct and guide nurses on the care of the PICC line. […]

  • Actual harm, patternF686Jan 18, 2023

    Based on observation, interview and record review, the facility failed to provide comprehensive assessments and monitoring of pressure ulcers (PU) (localized damage to the skin and/or underlying soft tissue usually over a bony prominence) consistent with professional standards of practice for four of five sampled residents (Residents 1, 2, 3, and 4) when wound sizes were not assessed, measured, and documented as indicated in the facility ' s policy and procedure. These failures resulted in Resident 1 ' s sustaining a deep tissue pressure injury (DTPI) (persistent non-blanchable deep red, maroon, or purple discoloration) on her coccyx (lower back) on [DATE] and had no skin assessments completed prior. […]

  • No harm, potential for more than minimal, widespreadF801Feb 11, 2026

    Based on interview record review, the facility failed to have a qualified, full-time certified dietary manager (CDM) for oversight of the Food and Nutrition Services.This failure had the potential of compromising the safety and nutritional status of residents through potential transmission of foodborne illnesses (illness that comes from eating contaminated food) and decreased quality of food for 52 of 52 residents who received food from the kitchen and could negatively affect the resident's quality of life and health.Findings:During an interview on 2/5/26 at 3:40 p.m. with Dietary Supervisor (DS) 1, DS 1 stated the CDM was on leave until 4/25. DS 1 stated the Registered Dietician (RD) came to the facility for eight hours a week. DS 1 stated, We [ DS 1 and DS 2] are covering for her [CDM]. […]

  • No harm, potential for more than minimal, widespreadF802Feb 11, 2026

    Based on observation, interviews, and record review the facility failed to ensure Dietary Aide (DA) 1, DA 2 and Maintenance (MAINT) 1 were trained to carry out the functions of the food and nutrition services safely and effectively for 52 of 52 residents when:1.DA 1 did not demonstrate and DA 2 did not verbalize the proper use of a test strip (paper that measures the concentration of quaternary ammonium compounds [chemicals that kills germs on surfaces] for the sanitizing bucket (a container used to store and mix a chemical solution that reduces germs on surfaces).This failure had the potential for improper disinfection of surfaces increasing the risk of cross-contamination (process by which bacteria is transferred from one object or substance to another, with harmful effect) and exposure… […]

  • No harm, potential for more than minimal, widespreadF812Feb 11, 2026

    Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices were followed for 52 of 52 residents when:1. Two bags of cabbage with a used by dated 2/2/26, a bag of celery with a used by date of 1/30/26 and a bag of daikon with a used by date of 2/2/26 were stored on the shelves next to other produce in the walk-in refrigerator.2. Two cartons of apple cobbler with a received date of 7/22/25 with no used by date were on the top self in a freezer.3. Two packs of unlabeled cooked chicken with no pulled-out date and used by date were on a tray next to the deli ham in refrigerator 3.4. Black and pink substances inside and white substances were found outside the ice machine.5. […]

Read 24 findings in full →The most serious and the most recent: 24 of 93 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 11, 2026Standard14 findings
  • Apr 10, 2025Standard3 findings
  • Dec 15, 2023Standard12 findings
  • Mar 16, 2023Complaint1 finding
  • Jan 18, 2023Complaint1 finding · 1 harm
  • Apr 21, 2021Standard and complaint15 findings · 1 harm
  • Nov 19, 2020Complaint4 findings · 1 harm
  • Jul 7, 2020Infection control2 findings · 1 harm
Show the 10 earlier surveys
  • Nov 21, 2019Standard5 findings
  • Nov 30, 2018Standard4 findings
  • Jan 29, 2018Standard5 findings
  • Dec 30, 2016Standard1 finding
  • Oct 30, 2015Standard3 findings
  • Oct 23, 2015Complaint1 finding
  • Nov 20, 2014Standard6 findings
  • Nov 7, 2013—3 findings
  • Nov 30, 2012—6 findings
  • Nov 10, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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