Veterans Home of California - Fresno

Name: Veterans Home of California - Fresno
Address: 2811 W CESAR CHAVEZ BLVD, Fresno, CA, 93706, US
Telephone: 5594934400

2811 W Cesar Chavez Blvd, Fresno, CA 93706 · Fresno County · 120 certified beds · avg 108 residents/day · certified since Sep 22, 2016

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.31

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 9, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 30, 2026	F · Potential for harm, facility-wide	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 30, 2026	F · Potential for harm, facility-wide	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 30, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jan 30, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 30, 2026	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Jul 1, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 27, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 27, 2025	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 27, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 21, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 21, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 21, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 21, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 1, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).

Year	Citations	Worst severity that year
2023	1	E
2024	10	F
2025	9	F
2026	9	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	7.31	4.31	3.95	top 2% in California; top 1% in the U.S.
Registered Nurse hours	1.85	0.61	0.69	top 2% in California; top 2% in the U.S.
Weekend total nurse staffing	6.46	3.90	3.50	top 2% in California; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.96	0.51	0.48	top 8% in California; top 7% in the U.S.
Total nursing staff turnover (%)	28.3	36.7	45.8	top 25% in California; top 11% in the U.S.
RN turnover (%)	18.8	38.1	42.9	top 18% in California; top 12% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.03, RN 1.52, weekend 5.33. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - State

Owner / manager	Type	Role	Stake	Since
Department of Veterans Affairs of the State of California	Organization	5% or Greater Direct Ownership Interest	100%	10/13/2013
Department of Veterans Affairs of the State of California	Organization	Operational/Managerial Control	NOT APPLICABLE	10/13/2013
Department of Veterans Affairs of the State of California	Organization	ADP of the SNF	NOT APPLICABLE	10/13/2013
Kreisher, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	11/22/2024
Kreisher, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	11/22/2024
Sidhu, Asha Pritpal	Individual	Operational/Managerial Control	NOT APPLICABLE	03/20/2014
Sidhu, Asha Pritpal	Individual	ADP of the SNF	NOT APPLICABLE	03/20/2014
Vigil, Caroline	Individual	Operational/Managerial Control	NOT APPLICABLE	10/16/2019
Vigil, Caroline	Individual	ADP of the SNF	NOT APPLICABLE	10/16/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Fresno Postacute Care	2.9 mi	Fresno, CA	★★★☆☆	3/5
Foundation Skilled Nursing	3.9 mi	Fresno, CA	★☆☆☆☆	1/5
Healthcare Centre of Fresno	3.9 mi	Fresno, CA	★★☆☆☆	2/5
Sierra Vista Healthcare	5.2 mi	Fresno, CA	★★★☆☆	3/5
Community Subacute and Transitional Care Center	6.2 mi	Fresno, CA	★★★★★	5/5
Stonehaven Senior Living	6.3 mi	Fresno, CA		—/5
Oakwood Gardens Care Center	6.6 mi	Fresno, CA	★★★★★	4/5
Covenant Post Acute	6.6 mi	Fresno, CA	★★★☆☆	2/5
Grace Healthcare Center	6.7 mi	Fresno, CA	★☆☆☆☆	1/5
Orchard Post Acute	6.7 mi	Fresno, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Fresno →

Facility data as of CMS processing date 2026-08-01. CCN 555900.

The Care File

Visit checklist — Veterans Home of California - Fresno

2811 W Cesar Chavez Blvd, Fresno, CA 93706 · 5594934400

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555900 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)