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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaOrchard Post Acute

Orchard Post Acute

4840 E.tulare Avenue, Fresno, CA 937275592517161
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
99
certified

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 99 certified beds with an average of 92.2 residents per day (93% occupancy)

• Last health inspection found 14 deficiencies (inspected May 20, 2025)

• No fines on record

• Total nursing staff: 4.14 hours per resident per day

• Staff turnover rate: 52.1% (high)

• Part of the Pacs Group chain (254 facilities)

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. The facility scored at average compared to California facilities.

Beds
99
Avg Residents/Day
92.2
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)
14
Weighted Score
107.0
Infection Citations
0

Deficiency Citations (43)

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
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
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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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
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
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
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
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 26, 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
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

+ 13 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 Aide2.73 hrs
National avg: 2.35 hrs
LPN1.21 hrs
National avg: 0.86 hrs
RN0.20 hrs
National avg: 0.68 hrs
Total Nursing4.14 hrs
National avg: 3.89 hrs
Weekend Total3.87 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
52.1%
RN Turnover
50.0%
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 (12)

NameRoleTypeOwnership %Since
PROVIDENCE GROUP NH, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 30, 2023
PACS GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJun 30, 2023
PACS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJun 30, 2023
HANCOCK, MARK5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 15, 2024
MURRAY, JASON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 15, 2024
MATIACO, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualN/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
GROSSMAN, STEPHENCONTRACTED MANAGING EMPLOYEEIndividualN/AJan 15, 2020
MATIACO, JOSHUAW-2 MANAGING EMPLOYEEIndividualN/ADec 9, 2021

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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 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Orchard Post Acute had any health inspection violations?▾
Orchard Post Acute had 14 deficiency citations in its most recent health inspection (May 20, 2025). The facility has no fines on record.
What are the staffing levels at Orchard Post Acute?▾
Orchard Post Acute provides 4.14 total nursing staff hours per resident per day, including 0.20 RN hours, 1.21 LPN hours, and 2.73 nurse aide hours. The total staff turnover rate is 52.1%.
How many beds does Orchard Post Acute have?▾
Orchard Post Acute has 99 certified beds with an average of 92.2 residents per day, resulting in approximately 93% 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, there are 18 other nursing homes in Fresno, California with an average rating of 3/5. You can compare all facilities on the Fresno nursing homes page.

Part of Pacs Group

This chain operates 254 facilities. View all →