I can't thank Rachel enough. This has been a difficult time for myself, my family and my Mom…read more Rachel was always there for me, anytime day or night. She listened to my concerns and had a resolution that worked for everyone. The caregivers were great, and so good with my Mom. I don't know how I would have gotten through this without them! Thank you Rachel and Courtney too! You are truly angels!!

My Mom has been receiving home health care from Sequoia Home Health, Kris, the owner & RN is…read moreamazing, very caring & very nice. Linda the physical therapist is very caring & very nice as is Maty & is Foua the occupational therapist. Incredible, compassionate care! Many thanks!

At times, and most likely on first introduction, Dr. Vanam may present as reasonably personable,…read moreprofessional and efficient. I would encourage potential patients not to let themselves be misled by the small act of Kabuki theater she performs so unctuously, smiling insincerely, on introducing herself to new patients. If Dr. Vanam takes you on as a patient and your experience with her is like mine, you will see her maybe twice a year, at the mandated annual wellness visits, perhaps, when she will ask you why you are there (as if it were not mandatory and pressed upon you) and what you want to do about your health. She will make you feel as though it is your responsibility to come up with whatever you need medically, no matter how serious or complex your particular health status is. You will never get her on the phone, or receive a call back from her upon request, and you should, in her mind, at all times recognize and feel badly that you are imposing on her whenever and however you attempt to interact with her. Dr. Vanam will tailor her treatment to her own moods, or how she feels about you personally, not AMA best practices or anything so bothersome or (to her) inconvenient as prevailing medical standards. Have you been taking a very run-of-the-mill, commonly-prescribed medication at standard dosages for something basic like blood pressure or migraines for years, perhaps? She will change it up for no reason at all aside from, perhaps, her own boredom, and never mention it to you or ever ever - god forbid! - explain to you why she has made the change. You will just find out what has happened when, say, you notice a different color and shape of pill as you leave the pharmacy and suddenly read the label to find your long established and functional routine has unexpectedly been upended. The randomness and lack of respect can be crazy-making. But if you complain about anything at all to anyone, and she gets wind of it, Dr. Vanam will find creative ways to punish you. Be very clear, she does not care about you or your health except to the bare minimum extent she is required to pretend to do so in order to maintain her medical license. (I generally prefer female doctors and had one for almost two decades in another state whom I still miss sorely. But Dr. Vanam seems congenitally incapable of accessing within herself the sort of compassion for her fellow human beings that characterizes the best medical professionals and, indeed, most decent people. Her superciliousness and arrogance are much more in line with the kind of male surgeon some of you familiar with the health care system will recognize by type, who expects everyone to admire him almost to the point of paying tribute on a daily basis, and considers any hint of questioning of any pronouncement he makes the practical equivalent of denouncing God, your fellow man and all religion.) Mostly you will deal with Dr. Vanam's staff or PAs, who are generally efficient, knowledgeable and very nice, due evidently to the fact that human resources is managed by the group, not the individual doctors. But as to Dr. Vanam individually, you will hear way more often than you expect that she is on vacation and always that she is too busy (she runs an extremely full practice, with more patients than she can reasonably handle presumably because it is more remunerative that way ...) to stoop to interacting face to face or in real time with mere patients like you. (It is sort of like, "Silly patient to expect anything of the sort - little you and the important Doctor?!") She practices medicine mostly by means of referrals to specialists, which she does not manage personally, and which typically expose you, the patient, to delays of months each time as you wait to be seen, and sadly, quite often get messed up by staff inattention or insurance miscoding. While Dr. Vanam was "my" doctor, I tried mightily to be the ideal patient, endlessly patient, always friendly with staff, doing everything exactly as instructed, not making any quick judgments. But it got to the point where I wondered what Dr. Vanam actually did herself, if anything. It seemed as though others dealt with or resolved the problems Dr. Vanam's personal feelings or preferences, or simple 'forgettings,' created. She was never once, in almost a year's time, involved in prescribing a treatment or medication or handling any medical situation herself. I wasted truly crazy amounts of time with a series of incorrect referrals, referrals to specialists who each informed me they did not handle the kinds of medical work for which I had been referred.

Dr. Vanam took her time to review my medical info & set forth a plan. Support staff thorough &…read moreconsiderate.

Excellent surgeon! Great bedside manners. She makes me feel very comfortable and almost can't see…read morethe surgical scar. Great job Dr Karipineni!

Ver professional and makes sure you don't need any unnecessary tests. Highly recommend.read more

Dr. Godiksen has been our doctor for many, many years. He is a great physician, patient and…read morehelpful, and always has the right diagnosis and or the right prescription for the best outcome. His staff are always cordial, and helpful. My husband and I always recommend him to those searching for a competent physician with friendly and patient staff.

He is the best doctor in our valley. I'm so lucky to have him as a Doctor. He is top-notch. He is…read moreintuitive, intelligent, patient and caring. He's been my doctor for over 25 years and I love him. I trust him and I trust his judgement. I know I'm in good hands. His staff is wonderful. I'm blessed to have him as my doctor

I would give Sierra Vista 10 stars if I could! I was apprehensive about my husband being…read moretransferred there because it was only rated 3 stars, but I really had no choice. They are the only facility in the Fresno area that would accept someone with his diagnosis. When I removed him from his previous facility that was rated 4 stars by Clovis Community, he was so weak that he could not sit up or stand because he had lost nearly 30 pounds because of their poor care. The receptionist at Sierra Vista was very welcoming. The staff was friendly and I could ask any staff member about his condition. At his previous facility I was only allowed to speak to one person and she never gave me answers to my questions regarding his weight, BP, etc. Sierra Vista's dedicated Physical Therapy staff was able to get him up on his feet and walking again. I am extremely thankful for them doing that! When he was discharged to go home many of the staff hugged him goodbye or gave him a kiss on the cheek. They will be happy to know that he is still up and walking. Thank you Sierra Vista!

I take reviewing Sierra Vista healthcare center very seriously because someone's loved one's life…read moremight depend on it. I first want to say that the staff was very kind and hard-working. My Dad had been to Willow creek 9 months prior and had a better experience- but his health was not as bad as it was so it's hard to compare. Willow Creek and no other facility except his this time except for Sierra Vista because he needed a self catheter every six hours. I'm very grateful that they accepted him and were willing to do this difficult job. My dad arrived after being in the hospital for two weeks. He was immobile and we were hoping he could gain some strength through physical therapy. Upon arriving, I remember feeling as if things were not set up for a patient to succeed physically. My dad's bed felt very cheap and had no rails for him in case he fell. The TV didn't work and he wouldn't have been able to see it anyway, because the bed could barely prop up. He could barely reach his food due to the height differences of the bed and the table. The food was absolutely terrible, and I repeated to them several times that it took him hours to eat. He needed the food to sit in front of him for hours and that he would eventually eat. After 20 minutes of putting the food in front of his face, they would take it away and toss it. Due to this, his kidneys failed because he was not getting any food. They also restricted his fluids because his sodium levels were not great but it was clear he was completely failing from dehydration and malnutrition. We had some other issues and I felt it was almost impossible to get a hold of the doctor. I think there's one Dr on sight once a week or so... when my dad had an allergic reaction, it took hours and hours for them to get approval to put hydrocortisone on his skin, so I actually went to CVS and got it myself because he was suffering. After four days, my dad declined terribly. He couldn't even speak or understand anything. They had trouble getting the catheter in and his bladder got distended so they had to call emergency. At Emergency we learned that my dad's kidneys were failing. He was in the hospital for another two weeks and ultimately it was because he didn't have fluids or proper nutrition. My dad was put on Hospice and since he has been in assisted-living- it's been a miracle and he has made a complete turnaround. I really think it came down to nutrition and comfort. Sierra Vista has some things to work on like cleanliness, the humidity was almost unbearable, the food was a huge issue... But I do believe the staff did their best. All really good people... physical therapy probably wasn't the best situation to put my dad into, so I can't put all the blame on them... I feel he was neglected a bit, but I also think the staff had so much on their hands with other patients. I think if your family member is declining at any facility like this, it's best to get them somewhere very comfortable because being comfortable and fed well is the key to healing.

If you are looking for a wonderful and professional staff to care your loved one Fresno Hospice is…read morethe place to go. They are always on top of things and have shown great care for my mother.

I work for Fresno Hospice and I am so impressed with this business and staff. Working as a chaplain…read morefor them, I've witnessed firsthand their individual personal care for patients and family. If my own family needed hospice, I would want them to come here.

Had a rough beginning during check in but quickly it turned around. My daughter was treated kind…read moreand fair. She was given the help needed and the nurse practitioner and helping nurse were amazing. I love how the drs office is next to the lab and next to the pharmacy. Convenient and quick services. The staff at all three of these places took really good care of my child and I am happy that they are her new doctor.

This clinic is truly exceptional. The staff is friendly, caring, and always willing to go the extra…read moremile. The medical assistants are attentive and efficient, and the new office is spacious, clean, and very welcoming. NP Neng has been my provider since I was a child, and her knowledge, compassion, and consistency make me feel comfortable and confident in my health. I genuinely appreciate the quality of care I receive every time I visit. Highly recommend this location! (Located next door is a laboratory and a pharmacy! Great location it's in!)

After several years I changed primary care physicians this year. I haven't gotten to know Dr…read moreGonzalez very well yet, or spent much time there, but he has been great at getting referrals made for issues that have needed to be addressed for a long time. Referrals are made timely and prescriptions are filled as needed. His office staff is nice and his practice is conveniently located at NW Medical Group near Palm and Herndon.