All states › California › Fresno › Orchard Post Acute
4840 E.Tulare Avenue Fresno, CA 93727 · Fresno County
All 19 nursing homes in Fresno, CA (19 take Medicaid)
CMS certification number 056225 · See this home on Medicare Care Compare
Is Orchard Post Acute a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Orchard Post Acute as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.99 hours per resident per day at Orchard Post Acute, below the California median of 4.27 (US median: 3.72). About 0.32 of those hours are from registered nurses. On weekends it falls to 3.66 hours, 8% below its all-week average. 53.2% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Orchard Post Acute: Medicare and Medicaid
Orchard Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 20, 2025 and found 12 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 43 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 43 citations at Orchard Post Acute across 9 inspection dates, 23 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 43 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (18) and nutrition and dietary (7). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, May 20, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 9, 2026 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
April 30, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 19, 2025 · 1 citation · includes complaint inspection
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 20, 2025 · 13 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
January 8, 2025 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
December 11, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
November 5, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
July 26, 2024 · 16 citations · includes complaint inspection
FEnsure services provided by the nursing facility meet professional standards of quality.
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure each resident receives an accurate assessment.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DHonor 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.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 21, 2022 · 8 citations
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DImplement 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Orchard Post Acute
- CMS cited the home under its abuse and neglect rules on May 20, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 53.2% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
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Location
Hospitals near Orchard Post Acute
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.0 mi
Community Regional Medical Center FresnoEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 52m for patients treated and sent home
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3.4 mi
Fresno VA Medical Center (VA Central California Healthcare System) FresnoEmergency room ★★★★★ Medicare overall 5 of 5
- 6.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Orchard Post Acute › All nursing homes in Fresno ›
Compare Orchard Post Acute with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- California Home for the Aged · Fresno · 5 stars · 3.4 mi
- Community Subacute and Transitional Care Center · Fresno · 5 stars · 3.7 mi
- The Terraces at San Joaquin Gardens Village · Fresno · 5 stars · 5.9 mi
- North Point Healthcare & Wellness Centre · Fresno · 5 stars · 6.2 mi
Other PACS Group nursing homes in California
- Paradise Valley Health Care · National City · 5 stars
- McClure Post Acute · Oakland · 5 stars
- Pine Creek Care Center · Roseville · 5 stars
- Bel Vista Healthcare Center · Long Beach · 5 stars
- Trellis Chino · Chino · 5 stars
- San Francisco Post Acute · San Francisco · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 277 PACS Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.