Quick answer: A fall that seriously injures a resident who was flagged as a fall risk can be grounds for a claim against a Fresno County nursing home, because federal rules (42 CFR 483.25) require adequate supervision and assistive devices to prevent accidents. The fall risk assessment, care plan, and alarm logs show whether the plan was followed. Free case review at (888) 999-0169 or send us a message. A fall that breaks a hip is most likely where staffing is thin enough that a resident who needs help to the bathroom is left to try alone. Fresno County has 31 nursing homes spanning the full one- to five-star range, and the CMS data counts seven of its ten bottom-tier homes reporting staffing below the state average, the shift pattern in which overnight falls occur.
If your loved one broke a hip or was seriously hurt in a fall at a Fresno, Clovis, or Sanger nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. We are former defense attorneys who now hold these facilities accountable, and you pay nothing unless we win.
Nursing home records in Fresno County
Fresno County has 31 federally certified nursing facilities with 2,780 licensed beds. Since 1997, state inspectors have issued 174 citations against Fresno County facilities, including 6 class AA citations and 28 class A citations. Facilities in the county have been assessed $1,125,523 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
9 of those enforcement actions were connected to a resident's death.
One Fresno County facility currently carries the federal abuse warning icon.
The county's facilities average 3.1 of 5 stars on the federal rating system. 10 of 31 facilities hold a 1 or 2 star overall rating.
Fresno County facilities have been assessed $371,609 in federal fines.
The most cited nursing homes in Fresno County
- Grace Healthcare Center (59 citations)
- Fresno Postacute Care (15 citations)
- Fowler Care Center (10 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
Where falls are most likely in Fresno County
A fall in a resident already flagged as high risk usually means the fall-prevention plan, supervised toileting, a bed or chair alarm, a two-person transfer, was on paper but not staffed.
The CMS file puts the county's lowest staffing ratings at these homes. In Fresno, Foundation Skilled Nursing carries a 1 star staffing rating, with a 1 star overall rating and a 1 star health inspection rating. It carries 3.74 nursing hours per resident per day and $96,763 in federal fines across 2 federal penalties as well. In Coalinga, Coalinga Regional Medical Ctr Dp/Snf carries a 1 star staffing rating, with a 1 star overall rating and a 2 star health inspection rating. It carries the federal abuse warning icon as well. In Reedley, Sierra View Homes carries a 1 star staffing rating, with a 2 star overall rating and a 3 star health inspection rating. It carries 0.59 nursing hours per resident per day as well. Countywide, 10 of 31 homes hold a 1 or 2 star overall rating.
When homes run that lean, the overnight shift is when residents fall. You can compare every Fresno County home's staffing in our Fresno County nursing home directory.
A serious fall is also frequently the first visible sign of broader neglect. For how fall cases are built and what California law requires, see our California nursing home fall page.
How Fresno County families can respond
Ask the facility, in writing, for the complete chart: the fall risk assessment, the care plan, incident reports, and the call-light and alarm logs. Photograph any injuries, date them, and get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the Fresno-Madera Long-Term Care Ombudsman at (559) 224-9177, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact Fresno County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
If you are weighing whether to look into this, talking it through costs nothing. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. Their record includes millions of dollars recovered on behalf of abused and neglected residents. We know how "resident found on floor" gets charted to imply nobody could have prevented it, and how the alarm and call-light logs, read against the staffing sheet for that shift, tell the real story. As Fresno County nursing home abuse lawyers, we handle these cases across Fresno, Clovis, and the county and throughout California.
Talk to a Fresno County nursing home fall lawyer today
Call (888) 999-0169 or send us a message for a free case evaluation. We take cases throughout Fresno County and across California, and there is no fee unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal accident-prevention and supervision standard, 42 CFR 483.25(d): https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
How does reported nurse staffing relate to falls at Fresno County nursing homes?
Falls concentrate where there are too few staff to supervise high-risk residents, especially overnight. The CMS data counts seven of the county's ten bottom-tier homes reporting staffing below the state average of 4.52 hours per resident per day, which you can check in our Fresno County nursing home directory.
Can I sue a Fresno County nursing home for my parent's fall?
Yes. If a resident fell because the facility failed to assess their fall risk, follow the care plan, or provide adequate supervision, it can be liable under California's Elder Abuse Act, which adds attorney's fees and enhanced damages where the neglect was reckless.
What should I do first after a serious fall?
Request the complete chart in writing, photograph the injuries, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because incident reports get revised and staffing sheets get harder to find over time.
How many nursing homes are in Fresno County?
Fresno County has 31 federally certified nursing facilities with 2,780 licensed beds. Every one of them is listed in our Fresno County nursing home directory with its ratings, staffing, citations and fines.
Do Fresno County nursing homes have citations for falls and fractures?
State inspectors have issued 174 citations against Fresno County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our Fresno County nursing home directory with its ratings, staffing, citations and fines.
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Disclaimer: facility ratings and staffing figures above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.