Skilled nursing facility · CMS certification number 555900
VETERANS HOME OF CALIFORNIA - FRESNO
FRESNO, California · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,825,686 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $27,825,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $77,680,029 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$49,854,343 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,854,344 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 109,500 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 984 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 81,244 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 82,228 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 252 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 312.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446587, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,359,248 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $26,359,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $72,658,329 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$46,299,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,299,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 342.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403464, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,269,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $25,269,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $77,818,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$52,548,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,548,166 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 133.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 345.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373368, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,475,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $27,475,316 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $77,272,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$49,796,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,796,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 88,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 355.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343536, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,305,909 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $28,305,909 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $66,981,554 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,675,645 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,675,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 91,436 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 337.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312811, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 5, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,569,161 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,569,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $73,592,617 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$42,023,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,023,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 102,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 357.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280972, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,929,431 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,929,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $63,635,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$31,706,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,706,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 103,182 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 358.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251018, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,564,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,564,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $69,294,745 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37,729,930 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,729,931 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 102,874 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 364.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218215, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for September 22, 2016 to June 30, 2017 — a reporting period of 281 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,112,215 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $29,112,215 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $68,013,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,900,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,900,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 118 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 328.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181987, read from the public cost report file SNF10FY2016.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/13/2013 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/13/2013 |
| KREISHER, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/22/2024 |
| SIDHU, ASHA PRITPAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/20/2014 |
| VIGIL, CAROLINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/16/2019 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/13/2013 |
| KREISHER, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/22/2024 |
| SIDHU, ASHA PRITPAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/20/2014 |
| VIGIL, CAROLINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/16/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (enrollment ID O20140925002303).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASHA PRITPAL S SIDHU | Individual | ADP OF THE SNF | Not stated in the filing | 3/20/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLINE VIGIL | Individual | ADP OF THE SNF | Not stated in the filing | 10/16/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | ADP OF THE SNF | Not stated in the filing | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY KREISHER | Individual | ADP OF THE SNF | Not stated in the filing | 11/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ASHA PRITPAL S SIDHU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/20/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROLINE VIGIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/16/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY KREISHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/22/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: CINDY L LINDSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CINDY L LINDSEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIAN D NANOO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ASHA PRITPAL S SIDHU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ASHA PRITPAL S SIDHU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROLINE VIGIL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROLINE VIGIL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 13, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TIMOTHY KREISHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TIMOTHY KREISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- March 15, 2023: KATHLEEN SCHULZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: ROJIRIO DE LA CERDA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: STANLEY JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CINDY L LINDSEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since October 17, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BRIAN D NANOO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since June 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since October 17, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- July 1, 2026: CINDY L LINDSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CINDY L LINDSEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRIAN D NANOO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ASHA PRITPAL S SIDHU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ASHA PRITPAL S SIDHU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 20, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROLINE VIGIL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: CAROLINE VIGIL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 16, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since October 13, 2013. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TIMOTHY KREISHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: TIMOTHY KREISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since November 22, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- January 14, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- February 10, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- February 14, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- March 15, 2023: KATHLEEN SCHULZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: ROJIRIO DE LA CERDA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: STANLEY JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: CINDY L LINDSEY (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since October 17, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: BRIAN D NANOO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since June 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since October 17, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- February 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- March 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- March 5, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- February 13, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 18, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 30, 2026 | January 30, 2026 | 9 | 3 |
| 2 | February 27, 2025 | February 27, 2025 | 9 | 3 |
| 3 | March 21, 2024 | March 21, 2024 | 11 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
29 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 9, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | April 24, 2026 |
| April 9, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 24, 2026 |
| January 30, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0761 | 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. | E | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | D | No | Deficient, Provider has date of correction | February 23, 2026 |
| January 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | February 23, 2026 |
| July 1, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 17, 2025 |
| March 26, 2025 | Health | F 0656 | 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. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| February 27, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | March 26, 2025 |
| February 27, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | March 26, 2025 |
| February 27, 2025 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | No | Deficient, Provider has date of correction | March 26, 2025 |
| February 27, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | March 26, 2025 |
| February 27, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | March 26, 2025 |
| February 27, 2025 | Health | F 0842 | 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. | D | No | Deficient, Provider has date of correction | March 26, 2025 |
| February 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 26, 2025 |
| August 21, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | September 5, 2024 |
| March 21, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0584 | 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. | E | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0656 | 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. | D | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0761 | 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. | D | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0803 | 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. | E | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 27, 2024 |
| March 21, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | April 27, 2024 |
| September 1, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 23, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Date First Approved to Provide Medicare and Medicaid Services | 2016-09-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fresno |
| Telephone Number | 5594934400 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 107.7 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on VETERANS HOME OF CALIFORNIA - FRESNO: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On January 14, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for VETERANS HOME OF CALIFORNIA - FRESNO
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555900.