SNF

SIERRA VIEW HOMES

CCN: 056279 · REEDLEY, CA 93654 · Fresno County

ℹ CCRC

Overview

Address
1155 E. SPRINGFIELD AVENUE, REEDLEY, CA 93654
Phone
5596389226
Certified beds
59
Avg daily residents
51 (86% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1971-05-01
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.25 3.22 5.10 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.46 0.56 0.55 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.00 0.71 1.20 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.79 1.94 3.34 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.46 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.74
hrs / resident / day
RN (weekend)
0.30
hrs / resident / day
Total nurse (adjusted, weekend)
4.49
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
26.3%
annual
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.14
near national average
Case-Mix Index Ratio
0.83
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-10 3 3 0 16 1 16
Cycle 2/3 (prior) 2023-12-15 13 12 1 104 1 104
Total weighted health score
38.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (31)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

30 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0641 Ensure each resident receives an accurate assessment. D 2025-04-10 2025-05-13
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. E 2025-04-10 2025-05-13
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-04-10 2025-05-13
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-12-15 2024-01-24
0584 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. D 2023-12-15 2024-01-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-12-15 2024-01-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-12-15 2024-01-24
0679 Provide activities to meet all resident's needs. E 2023-12-15 2024-01-24
0732 Post nurse staffing information every day. E 2023-12-15 2024-01-24
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-12-15 2024-01-24
0758 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. E 2023-12-15 2024-01-24
0761 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 2023-12-15 2024-01-24
0880 Provide and implement an infection prevention and control program. F 2023-12-15 2024-01-24
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-12-15 2024-01-24
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F 2023-12-15 2024-01-24
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. D 2023-03-16 2023-04-20
0583 Keep residents' personal and medical records private and confidential. D 2021-04-21 2021-04-23
0584 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 2021-04-21 2021-05-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2021-04-21 2021-04-30
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2021-04-21 2021-05-01
0685 Assist a resident in gaining access to vision and hearing services. D 2021-04-21 2021-04-30
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. J 2021-04-21 2021-05-12
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. D 2021-04-21 2021-05-12
0726 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. F 2021-04-21 2021-05-12
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. E 2021-04-21 2021-04-23
0761 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 2021-04-21 2021-05-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2021-04-21 2021-04-30
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. E 2021-04-21 2021-04-30
0839 Employ staff that are licensed, certified, or registered in accordance with state laws. D 2021-04-21 2021-05-12
0880 Provide and implement an infection prevention and control program. E 2021-04-21 2021-04-23
0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F 2021-04-21 2021-05-10

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 6.0% Medicaid 65.5% Other 28.5%

Operating performance

Operating Margin
-49.6%
Total Margin
-14.5%
Occupancy Rate
41.9%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$7.8M
Total Costs
$509K
Net Income
-$1.5M

Balance sheet

Total Assets
$17.5M
Total Liabilities
$11.2M
Fund Balance
$6.3M
Current Ratio
2.43

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager individuals (13)

Name Role Association
LINSCHEID, ROBERTA OPERATIONAL/MANAGERIAL CONTROL since 02/01/2020
GENNA, VITO CORPORATE DIRECTOR since 01/13/2006
LINSCHEID, ROBERTA CORPORATE DIRECTOR since 02/01/2020
ZULIM, REBECCA CORPORATE DIRECTOR since 01/01/2022
BOHN, STELLA CORPORATE OFFICER since 02/25/2025
BOLDT, DAVID CORPORATE OFFICER since 02/25/2025
BRITTELL, LOIS CORPORATE OFFICER since 02/25/2025
DERKSEN, WILFRED CORPORATE OFFICER since 02/28/2023
EWY, ANDREW CORPORATE OFFICER since 02/25/2025
LINSCHEID, DON CORPORATE OFFICER since 02/28/2023
MILTON, JOSHUA CORPORATE OFFICER since 02/25/2020
SMITH, GORDON CORPORATE OFFICER since 02/27/2024
UNRUH, MARIANNE CORPORATE OFFICER since 02/26/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 2.43 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 65.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 6.0% metrics.medicare_day_share
Cost Report Net Income ($) $-1,468,906 metrics.net_income
Cost Report Net Patient Revenue ($) $7,751,892 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 41.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -49.6% metrics.operating_margin
Cost Report Total Assets ($) $17,485,196 metrics.total_assets
Cost Report Total Costs ($) $508,873 metrics.total_costs
Cost Report Total Fund Balances ($) $6,330,367 metrics.fund_balance
Cost Report Total Liabilities ($) $11,154,829 metrics.total_liabilities
Cost Report Total Margin (%) -14.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.20370 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.34173 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.55355 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.09898 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.48797 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 50.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.71424 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.94116 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.56298 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.21838 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.83666 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town REEDLEY City/Town
Provider Information CMS Certification Number (CCN) 056279 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Fresno County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1971-05-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 36.5969 Latitude
Provider Information Legal Business Name SIERRA VIEW HOMES Legal Business Name
Provider Information Location 1155 E. SPRINGFIELD AVENUE,REEDLEY,CA,93654 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -119.44 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 59 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.14013 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.82759 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1155 E. SPRINGFIELD AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SIERRA VIEW HOMES Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 16 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 3 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-10 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 16 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 3 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-12-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 104 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 1 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 104 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.30274 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.46481 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.00338 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.78559 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00086 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.46143 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.25040 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 5596389226 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.74107 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 26.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 38.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 93654 ZIP Code