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
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 1 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 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 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 February 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 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 February 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 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 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 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 March 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 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 March 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 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 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 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 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 30 June 2017
Cost report for 22 September 2016 to 30 June 2017 — a reporting period of 281 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 January 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 1 August 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 1 August 2026 (Medicare enrollment ownership), under the enrollment of DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (enrollment ID O20140925002303).
| 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 | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/20/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CAROLINE VIGIL | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/16/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY KREISHER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ASHA PRITPAL S SIDHU | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/20/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CAROLINE VIGIL | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/16/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY KREISHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 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
- 1 July 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
- 1 July 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
- 1 July 2026: ASHA PRITPAL S SIDHU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHA PRITPAL S SIDHU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY KREISHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY KREISHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 March 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
- 15 March 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
- 15 March 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
- 15 March 2023: CINDY L LINDSEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BRIAN D NANOO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- 1 July 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
- 1 July 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
- 1 July 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
- 1 July 2026: ASHA PRITPAL S SIDHU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHA PRITPAL S SIDHU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY KREISHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TIMOTHY KREISHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 14 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 10 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 14 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 March 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
- 15 March 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
- 15 March 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
- 15 March 2023: CINDY L LINDSEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BRIAN D NANOO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 28 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 23 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 5 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 13 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 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 | 30 January 2026 | 30 January 2026 | 9 | 3 |
| 2 | 27 February 2025 | 27 February 2025 | 10 | 3 |
| 3 | 21 March 2024 | 21 March 2024 | 10 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 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 |
|---|---|---|---|---|---|---|---|---|
| 9 April 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 | 24 April 2026 |
| 9 April 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 | 24 April 2026 |
| 30 January 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 | 23 February 2026 |
| 30 January 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 | 23 February 2026 |
| 30 January 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 | 23 February 2026 |
| 30 January 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 | 23 February 2026 |
| 30 January 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 | 23 February 2026 |
| 30 January 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 | 23 February 2026 |
| 30 January 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 23 February 2026 |
| 1 July 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 | 17 July 2025 |
| 26 March 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 | 16 April 2025 |
| 27 February 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 | 26 March 2025 |
| 27 February 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 | 26 March 2025 |
| 27 February 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 | 26 March 2025 |
| 27 February 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 | 26 March 2025 |
| 27 February 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 | 26 March 2025 |
| 27 February 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 | 26 March 2025 |
| 27 February 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 26 March 2025 |
| 21 August 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 | 5 September 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 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 | 27 April 2024 |
| 21 March 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 1 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 23 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
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 | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 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 1 July 2026: CINDY L LINDSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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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.
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.