BUCKINGHAM HOME
ICF/DD-N (Nursing) · 6 licensed beds · Fresno, CA
Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.
Address
BUCKINGHAM HOME4644 N BARCUS AVEFresno, CA 93722 · Fresno CountyPhone: (559) 515-6823
State penalties
11
Class 2 A · 9 B
Federal surveys
13
since 2018 · 10 with deficiencies
Federal deficiencies
67
2 condition-level
Last federal survey
May 28, 2025
survey date
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 6
- Licensee
- SAPPHIRE CARE SERVICES & MARKETING · Profit Corp
- Administrator
- PADILLA, MICHAEL
- CDPH facility ID
- 040000856
- License number
- 040000352
- First licensed
- March 24, 1994
- Current license
- Nov 26, 2025 to Nov 25, 2026
- CDPH district office
- Fresno
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G754
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- April 27, 1994
- Last certification survey
- May 22, 2025
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Recertification
- Ownership type (CMS)
- Private (proprietary)
- Certified beds (CMS)
- 6
- Staffing reported to CMS
- RN 2 · LVN/LPN 2 · direct care 16 · all employees 20
State citations and penalties (CDPH)
CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained
Class APatient Care
Citation A (HSC 1424) · Violation Aug 1, 2008 · Penalty #040005809 · Survey 697211
Status: Closed · Not appealed
$10,000
Class BPatient Care
Citation B (HSC 1424) · Violation May 25, 2008 · Penalty #040005795 · Survey G61T11
Status: Closed · Not appealed
$1,000
Class APatient Rights
Citation A (HSC 1424) · Violation Sep 3, 2006 · Penalty #040003743 · Survey Y9NE11
Status: Closed · Appealed (received Feb 23, 2007)
$5,000
initially $10,000
Class BPatient Care
Citation B (HSC 1424) · Violation Oct 30, 2005 · Penalty #040003177 · Survey KH6Z11
Status: Closed · Appealed (received Jul 18, 2006)
$300
initially $600
Class BFinancial Occurrence/Fac Not Self Reported
Citation B (HSC 1424) · Violation Jul 2, 2002 · Penalty #040001337
Status: Closed · Appealed (received Jul 7, 2003)
$500
Class BFinancial Occurrence/Fac Not Self Reported
Citation B (HSC 1424) · Violation Jul 2, 2002 · Penalty #040001338
Status: Closed · Appealed (received Jul 7, 2003)
$500
Class BFinancial Occurrence/Fac Not Self Reported
Citation B (HSC 1424) · Violation Jul 2, 2002 · Penalty #040001339
Status: Closed · Appealed (received Jul 7, 2003)
$500
Class BFinancial Occurrence/Fac Not Self Reported
Citation B (HSC 1424) · Violation Jul 2, 2002 · Penalty #040001340
Status: Closed · Appealed (received Jul 7, 2003)
$500
Class BFinancial Occurrence/Fac Not Self Reported
Citation B (HSC 1424) · Violation Jul 2, 2002 · Penalty #040001342
Status: Closed · Appealed (received Jul 7, 2003)
$500
Class BFinancial Occurrence/Fac Not Self Reported
Citation B (HSC 1424) · Violation Jul 2, 2002 · Penalty #040001343
Status: Closed · Appealed (received Jul 7, 2003)
$500
Class BPatient Rights
Citation B (HSC 1424) · Violation Jun 5, 2000 · Penalty #040001229
Status: Closed · Not appealed
$0
initially $700
Federal inspections (CMS-2567)
CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. How to read an ICF inspection
Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").
· Focused Infection Control, Other-Fed
Event KH0P11 · no deficiencies cited
· Complaint
Event KH1C11 · no deficiencies cited
· Complaint
Event P9WZ11 · no deficiencies cited
From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents on CalHealthFind have them.
Complaints and reported incidents
CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing deficiencies and ownership details.
Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.
Open this facility on CalHealthFind ↗How to file a complaint with CDPH
Change history
25 events, newest first
Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.
ReportFederal survey (recertification): 5 deficiencies(state record)
ReportFederal survey (recertification): 5 deficiencies(state record)
ReportFederal survey (recertification): 10 deficiencies(state record)
ReportFederal survey (recertification): 7 deficiencies(state record)
ReportFederal survey (recertification): 7 deficiencies(state record)
ReportFederal survey (recertification): 5 deficiencies(state record)
ReportFederal survey (focused infection control, other-fed): no deficiencies(state record)
ReportFederal survey (recertification): 2 deficiencies(state record)
ReportFederal survey (recertification): 14 deficiencies, 2 condition-level(state record)
ReportFederal survey (complaint): no deficiencies(state record)
Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.