Fresno County

Coalinga Regional Medical Ctr Dp/snf

Carries Medicare’s abuse warning icon
Medicare rating
1 out of 5
4
findings of actual harm to a resident

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other California homes, so a star here does not mean what it means in another state.

1191 Phelps Ave., Coalinga, CA 93210 · (559) 935-6500
99 beds · about 93 residents on a typical day · for-profit limited liability company

Staffing

This home did not file staffing data with Medicare for this release. We are not going to estimate it. Federal rules still require a licensed nurse on duty around the clock and a registered nurse for eight hours a day, and nothing here says whether this home met them. Ask the home for its daily staffing sheet, which it must post where you can see it.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 42 findings on record going back to 2021, 12 of them after someone filed a complaint. Of the 42, 24 are from the last three years.

The 4 serious findings here

Actual harm October 13, 2021

No proper plan of care

The home did not write or follow a full written plan for how a resident’s needs would be met.

The home fixed this on June 1, 2022.

Medicare’s wording

Federal tag F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Actual harm October 13, 2021

Foot care missed

The home did not give a resident the foot care they needed.

The home fixed this on December 30, 2021.

Medicare’s wording

Federal tag F687Provide appropriate foot care.

Actual harm October 13, 2021

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on June 1, 2022.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm October 13, 2021

Outside services not arranged

The home did not hire a qualified person for a service residents needed, or arrange it from outside.

The home fixed this on June 1, 2022.

Medicare’s wording

Federal tag F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Everything on record

Immediate jeopardy 0 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 4 A resident was hurt
Potential for harm 38 Could have caused harm. No one was hurt. The most common kind.

1,050 of the 1,165 nursing homes in California have fewer findings of harm or immediate jeopardy on record than this one.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 3 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home also carries it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 555539.

What these numbers do not say

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.