Quick answers
- Where is Cornerstone Care Center?
- 2550 9th Street, Sanger, CA 93657, in Fresno County, California.
- What is the phone number of Cornerstone Care Center?
- (559) 875-6501, as listed by Medicare (CMS).
- What is the Medicare star rating of Cornerstone Care Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Cornerstone Care Center been fined?
- Medicare lists 1 fine totaling $27,612.
- What did inspectors find at Cornerstone Care Center?
- In its last three inspection cycles (February 15, 2022 to January 29, 2026), Medicare lists 52 health citations; the most serious was level H. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 15, 2022 to January 29, 2026), Cornerstone Care Center had 52 health citations; the most serious was level H (actual harm to residents). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $27,612 in total (1 fine, the latest on June 10, 2024). Nurse staffing is 3.88 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 1, 2025 — 16 health citations
Inspections in this cycle: May 1, 2025 (standard health inspection); December 30, 2025 (complaint investigation); January 29, 2026 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0814 Level F
“Dispose of garbage and refuse properly.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level E
“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.”
F0803 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
Previous cycle: June 10, 2024 — 21 health citations
Inspections in this cycle: June 10, 2024 (standard health inspection); October 28, 2024 (complaint investigation); January 22, 2025 (complaint investigation).
F0685 Level G
“Assist a resident in gaining access to vision and hearing services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0758 Level G
“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.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
Show 19 less serious citations (levels A to F)
F0577 Level F
“Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0908 Level E
“Keep all essential equipment working safely.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0584 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0687 Level E
“Provide appropriate foot care.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0584 Level D
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0925 Level D
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
Earlier cycle: February 15, 2022 — 15 health citations
Inspections in this cycle: February 15, 2022 (standard health inspection).
F0758 Level H
“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.”
actual harm to residents; pattern (some residents) · Pharmacy Service Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0578 Level E
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level E
“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.”
F0565 Level D
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (29)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0041 Level C
“Implement emergency and standby power systems.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0030 Level D
“List the names and contact information of those in the facility.”
E0031 Level D
“Provide emergency officials' contact information.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0232 Level D
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0341 Level D
“Install a fire alarm system that can be heard throughout the facility.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Fines and payment denials
Total fines over about the last three years: $27,612 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 10, 2024 | Fine | $27,612 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.39 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.12 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.37 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.88 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.27 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.31 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 50.0% | 36.6% | 45.3% |
| RN turnover (per year) | 53.8% | 37.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 7 nursing homes: Jericho Care Group.
Legal business name: Sanger Skilled Care LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Bayshire Central Valley LLC | Direct owner | 100% | December 1, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 94.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Jericho Care Group |
| Legal business name | Sanger Skilled Care LLC |
| First approved by Medicare/Medicaid | 1971-01-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2550 9th Street, Sanger, CA 93657 |
| County | Fresno County |
| State | California |
| Phone | (559) 875‑6501 |
| CMS Certification Number | 056100 |
| Name in Medicare records | CORNERSTONE CARE CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- California Home for the Aged6.0 mi · Fresno, CA · 5 of 5 stars
- Fowler Care Center6.1 mi · Fowler, CA · 5 of 5 stars
- Vineyards at Fowler7.6 mi · Fowler, CA · 2 of 5 stars
- Grace Healthcare Center8.3 mi · Fresno, CA · 1 of 5 stars
- Pacific Gardens Nursing and Rehabilitation Center8.6 mi · Fresno, CA · 3 of 5 stars
Nearest hospital emergency rooms
- Adventist Health Reedley9.3 mi · Reedley, CA · Acute Care Hospital
- Clovis Community Medical Center11 mi · Clovis, CA · Acute Care Hospital
- Community Regional Medical Center12 mi · Fresno, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13