California › Fresno County › Fresno
Orchard Post Acute
4840 E.Tulare Avenue, Fresno, CA 93727
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 99 beds, Orchard Post Acute serves Fresno in Fresno County, California and has taken Medicare and Medicaid residents since 1970.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (16, 19, 10 by cycle, most recent first), none at the actual-harm level. That is 45.5 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 48.8%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 41 | 44 | 28.7 |
| Citations per 100 beds | 45.5 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 48.8% | 45.7% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (31 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2025, 26 Jul 2024.
Severity mix: D ×25 E ×15 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Jun 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 May 2026 |
| 19 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 12 Dec 2025 |
| 20 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Jun 2025 |
| 20 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 10 Jun 2025 |
| 20 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 10 Jun 2025 |
| 8 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Feb 2025 |
| 11 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Jan 2025 |
| 5 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 Nov 2024 |
| 26 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 24 Sep 2024 |
| 26 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Sep 2024 |
| 27 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Sep 2023 |
| 14 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 25 Aug 2023 |
| 21 Jan 2022 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 17 Feb 2022 |
| 21 Jan 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Feb 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 48.8%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.0% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Fresno Valley Snf, Llc. Chain: Pacs Group (274 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fresno County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Home For the Aged | Fresno | 120 | 5 | 5 | 5 | 35 | 29.2 | — | 19 Aug 2025 |
| Community Subacute and Transitional Care Center | Fresno | 106 | 5 | 5 | 5 | 13 | 12.3 | — | 19 Dec 2025 |
| Manning Gardens Care Center, Inc | Fresno | 59 | 5 | 4 | 5 | 40 | 67.8 | $12K | 27 Mar 2026 |
| North Point Healthcare & Wellness Centre LP | Fresno | 99 | 5 | 5 | 3 | 20 | 20.2 | — | 27 Mar 2025 |
| Oakwood Gardens Care Center | Fresno | 103 | 5 | 4 | 3 | 28 | 27.2 | — | 9 Jan 2026 |
| The Terraces At San Joaquin Gardens Village | Fresno | 54 | 5 | 3 | 5 | 31 | 57.4 | — | 23 Apr 2025 |
| Veterans Home of California - Fresno | Fresno | 120 | 5 | 4 | 5 | 29 | 24.2 | — | 9 Apr 2026 |
| Vineyard Care Center | Reedley | 56 | 4 | 3 | 2 | 40 | 71.4 | — | 1 Apr 2026 |
All 31 facilities in Fresno County
Questions and answers
How many deficiencies has Orchard Post Acute been cited for?
45 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Orchard Post Acute been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Orchard Post Acute compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Orchard Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Orchard Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 20 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.