Nursing Care Index

California Home For The Aged

Fresno, Fresno County, California · CCN 055955 · Non-profit (Corporation) · not part of a chain

CMS rates California Home For The Aged 5 of 5 overall as of August 2026. 120 certified beds, 99 residents a day on average. 35 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing4.24398 hours per resident per day
Registered nurses0.71229 hours per resident per day
Weekend total4.01735 hours per resident per day
Nursing staff turnover33.9% (registered nurses 33.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-08-19
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-09-10
2025-03-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-20
2024-09-04
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-20
2024-03-28 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · tag F0800
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 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.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-26
2024-03-28 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-26
2024-03-28 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-26
2024-03-28 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-26
2024-03-28 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.
Nursing and Physician Services Deficiencies · tag F0726
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-26
2024-03-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-26
2024-03-28 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-26
2022-04-22 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-05-22
2022-04-22 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-05-22
2022-04-22 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-05-22
2022-04-22 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.
Nursing and Physician Services Deficiencies · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-05-22
2022-04-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-05-22
2022-04-22 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-05-22
2022-04-22 Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · tag F0888
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-05-22
2022-04-22 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 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.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22
2022-04-22 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-05-22

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Office Of Statewide Health Planning And Development
Organization
5% or greater mortgage interest2018-11-20
Office Of Statewide Health Planning And Development
Organization
5% or greater security interest2018-11-20
Andersen, Terry
Individual
adp of the snf2019-05-29
Bacopulos, Dennis
Individual
adp of the snf2023-09-01
Buwalda, Lori
Individual
adp of the snf2025-04-14
Gonzales, Melanie
Individual
adp of the snf2025-01-23
Harris, Charlene
Individual
adp of the snf2023-12-18
Hopkins, Angela
Individual
adp of the snf2022-06-01
Kaur Saran, Barinder
Individual
adp of the snf2025-06-16
Nolen, Nick
Individual
adp of the snf2023-05-08
Payne, Tristan
Individual
adp of the snf2022-05-11
Sidhu, Asha Pritpal
Individual
adp of the snf2007-04-01
Telesmanic, Christopher
Individual
adp of the snf2014-07-01
Toor, Rajwindor
Individual
adp of the snf2025-01-02
Bagdasarian, Mitch
Individual
corporate director2022-09-01
Braa, Mary
Individual
corporate director2022-09-01
Bznouni, Vahagn
Individual
corporate director2021-09-01
Der Simonian, Varoujan
Individual
corporate director2021-09-01
Grayson, Lucy
Individual
corporate director2018-09-11
Hannigan, Michael
Individual
corporate director2021-09-01
Hokokian, Edward
Individual
corporate director2023-09-01
Krboyan, Gary
Individual
corporate director2021-09-01
Mangasarian, Robert
Individual
corporate director2018-09-11
Sample, Georgia
Individual
corporate director2022-09-01
Shahbazian, Steven
Individual
corporate director2023-09-01
Bacopulos, Dennis
Individual
corporate officer2023-09-01
Bagdasarian, Mitch
Individual
corporate officer2022-09-01
Braa, Mary
Individual
corporate officer2022-09-01
Der Simonian, Varoujan
Individual
corporate officer2021-09-01
Grayson, Lucy
Individual
corporate officer2018-09-11
Hannigan, Michael
Individual
corporate officer2021-09-01
Hokokian, Edward
Individual
corporate officer2023-09-01
Krboyan, Gary
Individual
corporate officer2021-09-01
Mangasarian, Robert
Individual
corporate officer2018-09-11
Sample, Georgia
Individual
corporate officer2022-09-01
Shahbazian, Steven
Individual
corporate officer2023-09-01
Andersen, Terry
Individual
operational/managerial control2019-05-29
Bacopulos, Dennis
Individual
operational/managerial control2023-09-01
Bagdasarian, Mitch
Individual
operational/managerial control2022-09-01
Braa, Mary
Individual
operational/managerial control2022-09-01
Buwalda, Lori
Individual
operational/managerial control2025-04-14
Bznouni, Vahagn
Individual
operational/managerial control2021-09-01
Der Simonian, Varoujan
Individual
operational/managerial control2021-09-01
Gonzales, Melanie
Individual
operational/managerial control2025-01-23
Grayson, Lucy
Individual
operational/managerial control2018-09-11
Hannigan, Michael
Individual
operational/managerial control2021-09-01
Harris, Charlene
Individual
operational/managerial control2023-12-18
Hokokian, Edward
Individual
operational/managerial control2023-09-01
Hopkins, Angela
Individual
operational/managerial control2022-06-01
Kaur Saran, Barinder
Individual
operational/managerial control2025-06-16
Krboyan, Gary
Individual
operational/managerial control2021-09-01
Mangasarian, Robert
Individual
operational/managerial control2018-09-11
Nolen, Nick
Individual
operational/managerial control2023-05-08
Payne, Tristan
Individual
operational/managerial control2022-05-11
Sample, Georgia
Individual
operational/managerial control2022-09-01
Shahbazian, Steven
Individual
operational/managerial control2023-09-01
Sidhu, Asha Pritpal
Individual
operational/managerial control2007-04-01
Telesmanic, Christopher
Individual
operational/managerial control2014-07-01
Toor, Rajwindor
Individual
operational/managerial control2025-01-02

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Fresno County.