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HomeCaliforniaOrchard Post Acute

Orchard Post Acute

4840 E.tulare Avenue, Fresno, CA 937275592517161WebsiteGoogle Maps
4.1on Google(11 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
5/5
Beds
99
certified

How Orchard Post Acute Compares in California

Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
CA average
3.2/5
Close to state average
Health inspection rating
2/5
CA average
2.8/5
Below state average
Staffing rating
3/5
CA average
3.3/5
Below state average
Nursing hours per resident
3.98 hrs/day
CA average
4.52 hrs/day
Below state average
RN hours per resident
0.30 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
48.8%
CA average
36.7%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the California average of 2.8/5.
Reported nursing time is 3.98 hours per resident per day, below the state average of 4.52.
Reported RN time is 0.30 hours per resident per day, below the state average of 0.67.
Staff turnover is 48.8%, higher than the California average of 36.7%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
21
deficiency citations
Inspected Jul 26, 2024
Most recent cycle
15
deficiency citations
Inspected May 20, 2025
The most recent cycle recorded 6 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Fresno County 65+
125,708
12.5% of county
County Population
1,008,280
Fresno County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Orchard Post Acute is a 3-star Medicare and Medicaid certified nursing home in Fresno, California with 99 certified beds. It has been operating since 1970. Its overall CMS rating is 3 out of 5.

Beds
99
Avg Residents/Day
91.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 7, 1970
Sprinklers
Yes
Council
Resident
County
Fresno
Last Inspection
May 20, 2025
Deficiencies (Cycle 1)
15
Weighted Score
110.0
Infection Citations
0

Deficiency Citations (44)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 30, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 20, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: May 20, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: May 20, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 20, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: May 20, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 20, 2025Corrected: NoCycle: 1
F0559Potential for Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey: May 20, 2025Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: May 20, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 20, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 20, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: May 20, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: May 20, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jan 8, 2025Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 11, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 5, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jul 26, 2024Corrected: NoCycle: 2

+ 14 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.50 hrs
National avg: 2.32 hrs
LPN1.18 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.69 hrs
Total Nursing3.98 hrs
National avg: 3.86 hrs
Weekend Total3.58 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
48.8%
RN Turnover
20.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
GROSSMAN, STEPHENCONTRACTED MANAGING EMPLOYEEIndividualN/AJan 15, 2020
MATIACO, JOSHUAW-2 MANAGING EMPLOYEEIndividualN/ADec 9, 2021
APT, FREDERICKCORPORATE OFFICERIndividualN/AJan 1, 2024
HANCOCK, MARKCORPORATE OFFICERIndividualN/AJan 1, 2024
JERGENSEN, JOSHUACORPORATE OFFICERIndividualN/AJun 6, 2024
MITCHELL, JOHNCORPORATE OFFICERIndividualN/AJan 1, 2024
MATIACO, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 9, 2021

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Orchard Post Acute and nearby alternatives.

All California facilities
Orchard Post Acute
Fresno, CACurrent facility
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Evergreen Care Center
Fresno, CA3,168 ft
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Pacific Gardens Nursing and Rehabilitation Center
Fresno, CA3,696 ft
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $30,654
Stonehaven Senior Living
Fresno, CA1.1 mi
CMS
N/A
Health
N/A
Staffing
N/A
Recorded fines: None
Sierra Vista Healthcare
Fresno, CA1.6 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $12,048
Healthcare Centre of Fresno
Fresno, CA3.3 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $88,049
California Home for the Aged
Fresno, CA3.4 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Orchard Post Acute
Fresno, CA · Current facility
—3/52/53/5None recorded
Evergreen Care Center
Fresno, CA
3,168 ft3/53/52/5None recorded
Pacific Gardens Nursing and Rehabilitation Center
Fresno, CA
3,696 ft3/52/54/5$30,654
Stonehaven Senior Living
Fresno, CA
1.1 miN/AN/AN/ANone recorded
Sierra Vista Healthcare
Fresno, CA
1.6 mi3/53/54/5$12,048
Healthcare Centre of Fresno
Fresno, CA
3.3 mi2/52/53/5$88,049
California Home for the Aged
Fresno, CA
3.4 mi5/55/55/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Orchard Post Acute?▾
Orchard Post Acute has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated average.
How much does Orchard Post Acute cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Orchard Post Acute participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Orchard Post Acute had any health inspection violations?▾
Orchard Post Acute had 15 deficiency citations in its most recent health inspection (May 20, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Orchard Post Acute?▾
Orchard Post Acute provides 3.98 total nursing staff hours per resident per day, including 0.30 RN hours, 1.18 LPN hours, and 2.50 nurse aide hours. The total staff turnover rate is 48.8%.
How many beds does Orchard Post Acute have?▾
Orchard Post Acute has 99 certified beds with an average of 91.2 residents per day, resulting in approximately 92% occupancy. The facility is For profit - Limited Liability company owned and is part of the Pacs Group chain.
Are there other nursing homes near Orchard Post Acute?▾
Yes. This page lists 6 nearby nursing homes in California, including 6 in Fresno. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Orchard Post Acute?▾
On Google Maps, Orchard Post Acute has a rating of 4.1 out of 5 based on 11 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Pacs Group

This chain operates 281 facilities. View all →