HospitalInspections.org

Bringing transparency to federal inspections

2823 FRESNO STREET FRESNO, CA 93721 | Voluntary non-profit - Private

View hospital's federal Hospital Compare Record

Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Aug 25, 2025 Follow-up to inspection on 2025-05-15*	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: ADMISSION STATUS NOTIFICATION SECURE STORAGE
May 15, 2025	26	0	0	26	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS QAPI NURSING SERVICES FOOD AND DIETETIC SERVICES INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES COMPLIANCE WITH LAWS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS PHARMACY ADMINISTRATION CONTROLLED DRUGS KEPT LOCKED UNUSABLE DRUGS NOT USED SAFETY FOR PATIENTS AND PERSONNEL ORGANIZATION COMPETENT DIETARY STAFF THERAPEUTIC DIETS DIETS INFECTION CONTROL SURVEILLANCE, PREVENTION OPERATING ROOM POLICIES
Feb 28, 2025 Follow-up to inspection on 2024-08-02*	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT
Feb 28, 2025	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS NURSING SERVICES Condition of Participation: Pharmaceutical Se PATIENT RIGHTS: INFORMED CONSENT SUPERVISION OF CONTRACT STAFF DELIVERY OF DRUGS UNUSABLE DRUGS NOT USED INFECTION CONTROL SURVEILLANCE, PREVENTION OPERATING ROOM POLICIES
Nov 7, 2024 Follow-up to inspection on 2024-08-02*	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PHARMACY ADMINISTRATION CONTROLLED DRUGS KEPT LOCKED UNUSABLE DRUGS NOT USED OPERATING ROOM POLICIES DELIVERY OF ANESTHESIA SERVICES
Nov 7, 2024	17	0	0	17	Read full report
Deficiencies cited in this report: PATIENT RIGHTS NURSING SERVICES Condition of Participation: Pharmaceutical Se PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS PHARMACY ADMINISTRATION PHARMACY DRUG RECORDS DELIVERY OF DRUGS PHARMACIST SUPERVISION OF SERVICES CONTROLLED DRUGS KEPT LOCKED UNUSABLE DRUGS NOT USED INFECTION CONTROL SURVEILLANCE, PREVENTION OPERATING ROOM POLICIES DELIVERY OF ANESTHESIA SERVICES
Aug 2, 2024	18	0	0	18	Read full report
Deficiencies cited in this report: COMPLIANCE WITH LAWS PATIENT RIGHTS NURSING SERVICES Condition of Participation: Pharmaceutical Se INFECTION PREVENTION CONTROL ABX STEWARDSHIP PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS:RESTRAINT/SECLUSION DEATH RPT PATIENT SAFETY NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF ADMINISTRATION OF DRUGS BLOOD TRANSFUSIONS AND IV MEDICATIONS PHARMACY DRUG RECORDS DELIVERY OF DRUGS PHARMACIST SUPERVISION OF SERVICES INFECTION CONTROL SURVEILLANCE, PREVENTION
Apr 10, 2024	1	0	0	1	Read full report
Deficiencies cited in this report: RECIPIENT HOSPITAL RESPONSIBILITIES
May 4, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 RECIPIENT HOSPITAL RESPONSIBILITIES
Jan 27, 2023	9	0	0	9	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION NURSING CARE PLAN PATIENT CARE ASSIGNMENTS SUPERVISION OF CONTRACT STAFF CONTENT OF RECORD: ORDERS DATED & SIGNED INFECTION CONTROL SURVEILLANCE, PREVENTION
Oct 12, 2021	8	0	0	8	Read full report
Deficiencies cited in this report: COMPLIANCE WITH LAWS GOVERNING BODY QAPI MEDICAL STAFF MEDICAL STAFF - ACCOUNTABILITY PATIENT SAFETY MEDICAL STAFF BYLAWS SURGICAL PRIVILEGES
Mar 29, 2021 Follow-up to inspection on 2020-09-11*	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL RECORD SERVICES
Oct 9, 2020	4	0	0	4	Read full report
Deficiencies cited in this report: GOVERNING BODY INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM INFECTION CONTROL SURVEILLANCE, PREVENTION
Sep 11, 2020	16	0	0	16	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS MEDICAL STAFF SURGICAL SERVICES ANESTHESIA SERVICES MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT SAFETY MEDICAL STAFF ORGANIZATION & ACCOUNTABILITY SURGICAL PRIVILEGES OPERATING ROOM POLICIES INFORMED CONSENT ORGANIZATION OF ANESTHESIA SERVICES DELIVERY OF ANESTHESIA SERVICES
Jul 2, 2020	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT FORM AND RETENTION OF RECORDS FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
Sep 10, 2019 Follow-up to inspection on 2019-06-11*	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING CARE PLAN REQUIRED OPERATING ROOM EQUIPMENT
Aug 29, 2019 Follow-up to inspection on 2019-06-10*	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION RN SUPERVISION OF NURSING CARE
Jun 11, 2019	10	0	0	10	Read full report
Deficiencies cited in this report: GOVERNING BODY QAPI INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES QUALITY IMPROVEMENT ACTIVITIES ADMINISTRATION OF DRUGS ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS DATED & SIGNED INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jun 10, 2019	11	0	0	11	Read full report
Deficiencies cited in this report: GOVERNING BODY QAPI INFECTION PREVENTION CONTROL ABX STEWARDSHIP SURGICAL SERVICES USE OF RESTRAINT OR SECLUSION QUALITY IMPROVEMENT ACTIVITIES ORDERS FOR DRUGS AND BIOLOGICALS CONTENT OF RECORD: ORDERS DATED & SIGNED INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Oct 12, 2012	0	21	0	21	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Means of Egress - General
Oct 11, 2012	17	0	0	17	Read full report
Deficiencies cited in this report: FOOD AND DIETETIC SERVICES CONTRACTED SERVICES PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION DATA COLLECTION & ANALYSIS MEDICAL RECORD SERVICES CONTENT OF RECORD: INFORMED CONSENT CONTENT OF RECORD: FINAL DIAGNOSIS DIRECTOR OF DIETARY SERVICES DIETS THERAPEUTIC DIET MANUAL FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM
Jul 17, 2012	6	0	0	6	Read full report
Deficiencies cited in this report: MEDICAL STAFF SURGICAL SERVICES MEDICAL STAFF BYLAWS ORGANIZATION OF SURGICAL SERVICES OPERATING ROOM POLICIES OPERATING ROOM REGISTER
Aug 2, 2011	0	29	0	29	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Jul 29, 2011	8	0	0	8	Read full report
Deficiencies cited in this report: ADMINISTRATION OF DRUGS DELIVERY OF DRUGS UNUSABLE DRUGS NOT USED DIRECTOR OF DIETARY SERVICES MAINTENANCE OF PHYSICAL PLANT INFECTION CONTROL PROFESSIONAL INFECTION CONTROL PROGRAM No Description Available
Jun 28, 2010	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

HospitalInspections.org

COMMUNITY REGIONAL MEDICAL CENTER

Complete reports and deficiency counts