Skip to content
ICF/DD-N (Nursing)License activeMedi-Cal certified

SIERRA VISTA RESIDENTIAL CARE HOME #3

ICF/DD-N (Nursing) · 6 licensed beds · Visalia, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

SIERRA VISTA RESIDENTIAL CARE HOME #31412 N MAPLE STVisalia, CA 93292 · Tulare County

Phone: (559) 747-0399

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
SIERRA VISTA RESIDENTIAL CARE HOME · Profit Corp
Administrator
KEMPF, BRUCE R
CDPH facility ID
120001544
License number
120000635
First licensed
December 22, 1997
Current license
Nov 10, 2025 to Nov 9, 2026
CDPH district office
Bakersfield

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G188
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
April 13, 1998
Last certification survey
October 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 0.5 · LVN/LPN 1.4 · direct care 8.2 · all employees 10.1

State citations and penalties (CDPH)

4 penalties, newest first

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 · Violations: 483.410(a)(1) · Violation May 28, 2025 · Penalty #120022308 · Survey 7FFH11

    Status: Closed

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation May 13, 2012 · Penalty #120010423 · Survey SD3Z11

    Status: Closed · Not appealed

    $1,000

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Dec 19, 2004 · Penalty #120001819

    Status: Closed · Not appealed

    $1,000

  • Class Bfirst issued as Class APatient Rights

    Citation A (HSC 1424) · Violation Nov 10, 2002 · Penalty #120001748

    Status: Closed · Appealed (received Feb 13, 2003)

    $5,000

    initially $10,000

Federal inspections (CMS-2567)

20 surveys since 2018 · CMS data through Oct 12, 2026

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").

  1. · Recertification

    Event MYSZ21 · 1 deficiency

    Official 2567 ↗
  2. · Recertification

    Event MYSZ11 · 1 deficiency

    Official 2567 ↗
  3. · Complaint

    Event 7FFH11 · 5 deficiencies (1 condition-level)

    Official 2567 ↗
  4. · Complaint

    Event 6TK811 · no deficiencies cited

    Official 2567 ↗
  5. · Complaint

    Event 55BJ11 · no deficiencies cited

    Official 2567 ↗
  6. · Complaint

    Event 1DN011 · no deficiencies cited

    Official 2567 ↗
  7. · Recertification

    Event 497R21 · 4 deficiencies

    Official 2567 ↗
  8. · Recertification

    Event 497R11 · 10 deficiencies

    Official 2567 ↗
  9. · Complaint

    Event RSIF11 · 1 deficiency

    Official 2567 ↗
  10. · Recertification

    Event SN3P21 · 1 deficiency

    Official 2567 ↗
  11. · Recertification

    Event SN3P11 · 2 deficiencies

    Official 2567 ↗
  12. · Complaint

    Event F90Z11 · no deficiencies cited

    Official 2567 ↗

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.

  1. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  2. ReportFederal survey (recertification): 1 deficiency(state record)

    See this survey →
  3. ReportState Class A citation ($10,000)(state record)

    See this citation →
  4. ReportFederal survey (complaint): 5 deficiencies, 1 condition-level(state record)

    See this survey →
  5. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  6. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  7. ReportFederal survey (complaint): no deficiencies(state record)

    See this survey →
  8. ReportFederal survey (recertification): 4 deficiencies(state record)

    See this survey →
  9. ReportFederal survey (recertification): 10 deficiencies(state record)

    See this survey →
  10. ReportFederal survey (complaint): 1 deficiency(state record)

    See this survey →

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.