CCN 555866 · Fresno County, California
Sierra Vista Healthcare
1715 South Cedar, Fresno, CA 93702
Sierra Vista Healthcare is a 99-bed for-profit nursing home in Fresno, California, first certified for Medicare or Medicaid in 2010. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 89.0 residents a day, about 90% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $4.7 million in February 2019 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 99
- Average residents per day
- 89.0 (89.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Asfc,llc
- Certified since
- May 18, 2010
- Chain or affiliated group
- Aspen Skilled Healthcare (35 facilities, chain average 3.7 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 4.41 | 4.24 | 3.68 |
| RN hours per resident per day | 0.45 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 4.15 | ||
| Nursing staff turnover | 34.7% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 89.9% | 92.0% | 85.7% |
| Fines reported by CMS | 1 totaling $12,048 | ||
| Health deficiencies, latest standard survey | 13 (Jan 9, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Sierra Vista Healthcare meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Asfc,llcOrganization | Direct Ownership Interest | 100% | 10/01/2009 |
| Aspen Skilled Healthcare IncOrganization | Mortgage Interest | n/a | 06/02/2014 |
| Asfc,llcOrganization | Operational / Managerial Control | n/a | 10/01/2009 |
| Estrada, SalvadorIndividual | Operational / Managerial Control | n/a | 03/06/2023 |
| Galan, AnaIndividual | Operational / Managerial Control | n/a | 10/16/2023 |
| Rawe, ColtonIndividual | Operational / Managerial Control | n/a | 01/01/2023 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Aspen Skilled Healthcare Inc.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Feb 26, 2019 | 223(f) refinance or purchaseHUD project name: Sierra Vista Healthcare, 99 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $4,652,000 | Ended Jan 29, 2021Prepayment | 12122200 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.