Healthcare Centre of Fresno

1665 M Street · Fresno, CA · 93721 · 5592685361

155 certified beds For profit - Individual

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Federal penalties on record: $82,756 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

$82,756 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 32
Serious harm & abuse 20% 82
Staffing 20% 20
Federal penalties 15% 20
Trend 10% 55
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)3 · $88,049

Inspection citations (54 in the current record)

  • Potential for harm · D April 16, 2026 · found via complaint

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

    Corrected May 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 25, 2026 · found via complaint

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

    Corrected March 25, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 4, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 4, 2026 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

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

    Corrected February 7, 2025 · Resident Rights

  • Potential for harm · D January 10, 2025

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

    Corrected February 7, 2025 · Resident Rights

  • Potential for harm · D January 10, 2025

    Assess the resident when there is a significant change in condition

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 10, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 10, 2025

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

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 10, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 10, 2025

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

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 10, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 7, 2025 · Quality of Life and Care

  • Potential for harm · D January 10, 2025

    Provide appropriate foot care.

    Corrected February 7, 2025 · Quality of Life and Care

  • Potential for harm · F January 10, 2025

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

    Corrected February 7, 2025 · Pharmacy Service

  • Potential for harm · F January 10, 2025

    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.

    Corrected February 7, 2025 · Pharmacy Service

  • Potential for harm · F January 10, 2025

    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.

    Corrected February 7, 2025 · Nutrition and Dietary

  • Potential for harm · E January 10, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 7, 2025 · Nutrition and Dietary

  • Potential for harm · D January 10, 2025

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

    Corrected February 7, 2025 · Nutrition and Dietary

  • Potential for harm · D January 10, 2025

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected February 7, 2025 · Nutrition and Dietary

  • Potential for harm · F January 10, 2025

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected February 7, 2025 · Nutrition and Dietary

  • Potential for harm · D January 10, 2025

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

    Corrected February 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 7, 2025 · Infection Control

  • Potential for harm · E January 10, 2025

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

    Corrected February 7, 2025 · Environmental

  • Actual harm · G October 3, 2024 · found via complaint

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

    Corrected October 24, 2024 · Quality of Life and Care

  • Potential for harm · D August 15, 2024 · found via complaint

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

    Corrected September 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 31, 2024 · found via complaint

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected August 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 3, 2024Fine$12,256
July 12, 2024Fine$70,500
July 12, 2024Payment Denial47 days
December 11, 2023Fine$5,293

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055626 · certified since February 13, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.