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Health Inspection Summary
Healthcare Centre of Fresno
1665 M Street
Fresno, CA 93721
(559) 268-5361
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Deficiency Category
Inspection Date:
1/10/25
Complaint Reporting Period:
4/1/24 - 3/31/25
Inspection Date:
10/5/23
Complaint Reporting Period:
4/1/23 - 3/31/24
Inspection Date:
1/25/19
Complaint Reporting Period:
4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies100
Quality of Life and Care Deficiencies441
Infection Control Deficiencies101
Resident Assessment and Care Planning Deficiencies815
Nursing and Physician Services Deficiencies000
Resident Rights Deficiencies212
Nutrition and Dietary Deficiencies528
Pharmacy Service Deficiencies201
Environmental Deficiencies302
Administration Deficiencies000

Detailed result for inspection on 1/10/25
Date of last standard health inspection:1/10/25Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:26
Average number of Health Deficiencies in California:16.3
Average number of Health Deficiencies in the United States:9.6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

7/31/248/28/24
2 - Minimal harm or potential for actual harm
Some
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide appropriate foot care.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

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

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

7/15/248/6/24
3 - Actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

10/3/2410/24/24
3 - Actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Some

PASARR screening for Mental disorders or Intellectual Disabilities

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

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

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Some

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

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Some

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

Assess the resident when there is a significant change in condition

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

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

6/11/247/11/24
2 - Minimal harm or potential for actual harm
Few

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

8/15/249/27/24
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Allow residents to self-administer drugs if determined clinically appropriate.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Many

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Some

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Few

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Many
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Many

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

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Many
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

7/12/248/5/24
2 - Minimal harm or potential for actual harm
Many

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

1/10/252/7/25
2 - Minimal harm or potential for actual harm
Some

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

7/15/248/6/24
2 - Minimal harm or potential for actual harm
Some
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 10/5/23
Date of last standard health inspection:10/5/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24
No infection control inspections
Total number of Health Deficiencies for this nursing home:8
Average number of Health Deficiencies in California:17.3
Average number of Health Deficiencies in the United States:9.4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

10/5/2311/4/23
2 - Minimal harm or potential for actual harm
Few

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

10/5/2311/4/23
2 - Minimal harm or potential for actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

11/29/231/3/24
3 - Actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

11/13/2312/13/23
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

10/5/2311/4/23
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

10/5/2311/4/23
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

10/5/2311/4/23
2 - Minimal harm or potential for actual harm
Few

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

10/5/2311/4/23
2 - Minimal harm or potential for actual harm
Many
Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 1/25/19
Date of last standard health inspection:1/25/19Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23
No infection control inspections
Total number of Health Deficiencies for this nursing home:20
Average number of Health Deficiencies in California:15.3
Average number of Health Deficiencies in the United States:8.7
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Few

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

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

Ensure each resident receives an accurate assessment.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

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

10/5/2211/3/22
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

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.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Few

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

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Many

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Few

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

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Keep all essential equipment working safely.

1/25/194/5/19
2 - Minimal harm or potential for actual harm
Many

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

2/24/233/24/23
2 - Minimal harm or potential for actual harm
Some
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.
Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

7/31/248/28/24
2 - Minimal harm or potential for actual harm
Some

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

7/15/248/6/24
3 - Actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

10/3/2410/24/24
3 - Actual harm
Few

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

6/11/247/11/24
2 - Minimal harm or potential for actual harm
Few

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

8/15/249/27/24
2 - Minimal harm or potential for actual harm
Few

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

7/12/248/5/24
2 - Minimal harm or potential for actual harm
Many

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

7/15/248/6/24
2 - Minimal harm or potential for actual harm
Some

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

11/29/231/3/24
3 - Actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

11/13/2312/13/23
2 - Minimal harm or potential for actual harm
Few

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

10/5/2211/3/22
2 - Minimal harm or potential for actual harm
Few

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

2/24/233/24/23
2 - Minimal harm or potential for actual harm
Some
Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.
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