Nursing HomeInspections

Orchard Post Acute

Nursing home in Fresno, CA

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
4840 E.tulare Avenue, Fresno, CA 93727
Phone
(559) 251-7161
Listed under
For-profit, No fines or payment denials in 3 years
Medicare CCN
056225
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
99
Average residents per day
92
Ownership
For-profit, limited Liability company
Legal business name
Fresno Valley SNF, LLC
Chain
Pacs Group (277 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 7, 1970
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 056225. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 20, 2025. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 21, 2022 to Jun 9, 2026): 23 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 9, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
May 20, 2025Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights
D
Potential for more than minimal harm, isolated
May 20, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
D
Potential for more than minimal harm, isolated
May 20, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
May 20, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 20, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 20, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 20, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
May 20, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
May 20, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 43. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.99 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
2.52 hours
Total nurse staffing on weekends
3.66 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
17%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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