Hearth Record

Foundation Skilled Nursing

A nursing home in Fresno, California 93706

925 North Cornelia, Fresno, California 93706. (559) 275-4785.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 42 citations in 13 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

26 health citations at the latest inspection cycle

The California average is 15.7.

Last standard inspection Dec 9, 2025.

Most serious in three years: actual harm (G), at a standard inspection on Dec 9, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

42 citations in 13 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

42 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 42 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 20 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 24, 2026: complaint inspection1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2026.

Jun 9, 2026: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 22, 2026.

May 15, 2026: complaint inspection1 citation
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

Mar 2, 2026: complaint inspection1 citation
  • Make sure that a working call system is available in each resident’s bathroom and bathing area.

    Rule F0919. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 30, 2026.

Dec 9, 2025: standard inspection22 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. Correction date, as CMS recorded it: Jan 16, 2026.

  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.

    Rule F0628. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 21, 2026.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 5, 2026.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

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

    Rule F0658. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 21, 2026.

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

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Assist a resident in gaining access to vision and hearing services.

    Rule F0685. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

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

    Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Provide or obtain dental services for each resident.

    Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Rule F0802. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • 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.

    Rule F0803. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Keep all essential equipment working safely.

    Rule F0908. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 2, 2026.

  • Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Rule F0911. C: no actual harm, potential for minimal harm.

Aug 12, 2025: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 15, 2025.

Jun 10, 2025: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 6, 2025.

Dec 5, 2024: complaint inspection1 citation
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2025.

Nov 20, 2024: complaint inspection1 citation
  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 11, 2024.

Oct 1, 2024: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 17, 2024.

Aug 23, 2024: standard and complaint inspection7 citations
  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

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

    Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

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

    Rule F0658. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

  • 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.

    Rule F0758. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

  • Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Rule F0911. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 13, 2024.

Jun 3, 2024: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 14, 2024.

Feb 23, 2024: complaint inspection3 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Rule F0943. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 14, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Feb 10, 1971.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 59 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 2 fines in the last three years, $96,763 in all.
  • 2 Medicare payment denials in the last three years.
  • 20 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Dec 9, 2025Medicare payment denialNot given
Dec 9, 2025Fine$51,880
Aug 12, 2025Medicare payment denialNot given
Feb 23, 2024Fine$44,883

Who does the caring?

3.68 nurse hours per resident per day

The California average is 4.54.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeCalifornia average
Nurse hours per resident per day3.684.54
Of which registered nurses0.160.68
At weekends3.194.10
Nursing staff turnoverNot given36.6%
Registered nurse turnoverNot given37.8%
Administrators who left2Not given

Who owns it?

  • Bayshire Central Valley LLC owns 100% directly since Aug 1, 2025.
  • Bayshire LLC and Bayshire Central Valley LLC run it.
  • 21 owners or officers are people: Scott Kirby (owns 5% or more through other companies, 51%); Donald Adam Salow (owns 5% or more through other companies, 24.5%); Benjamin T Carter (owns 5% or more through other companies, 24.5%); Donald Adam Salow (corporate director); Donald Adam Salow (runs it (operational or managerial control)); Donald Adam Salow (additional disclosable party (controls, leases property to, or provides services to the home)); Benjamin T Carter (corporate officer); Scott Kirby (corporate officer); Jason Parrott (runs it (operational or managerial control)); Jason Parrott (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen M Grossman (runs it (operational or managerial control)); Stephen M Grossman (additional disclosable party (controls, leases property to, or provides services to the home)); Abraham Bak (owns a share directly); Abraham Bak (owns a share through other companies); Michelle Redd (runs it (operational or managerial control)); Michelle Redd (additional disclosable party (controls, leases property to, or provides services to the home)); Jeff Lang (runs it (operational or managerial control)); Jeff Lang (additional disclosable party (controls, leases property to, or provides services to the home)); Emmanuel B Galit (additional disclosable party (controls, leases property to, or provides services to the home)); Robert Cox (runs it (operational or managerial control)); Robert Cox (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Jericho CARE Group (7 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Bayshire Central Valley LLCOwns 5% or more directly100%Aug 1, 2025
Astoria Healthcare TrustOwns 5% or more through other companies100%Feb 4, 2021
Bayshire LLCOwns 5% or more through other companies51%Aug 1, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 8, 2025
Big Fresco Master Subtenant, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 7, 2025
Bayshire LLCRuns it (operational or managerial control)Aug 1, 2025
Bayshire LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 10, 2025
Bayshire Central Valley LLCRuns it (operational or managerial control)Aug 1, 2025
Bayshire Central Valley LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 10, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 16, 1966

How do residents fare?

  • CMS rates its quality measures 2 of 5 (California average 4.2).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 8.3 miles, this one had the 1st most health citations at the latest inspection cycle (26; the middle value was 11.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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