Orchard Post Acute

Nursing home in Fresno, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (559) 251-7161 Send a message Map ↗

Public-record details

Address: 4840 E.tulare Avenue, Fresno, CA 93727
Phone: (559) 251-7161
Listed under: For-profit, No fines 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: 91
Ownership: For-profit, limited Liability company
Legal business name: Fresno Valley SNF, LLC
Chain: Pacs Group (274 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 2026-09-30.

Inspection record

Most recent standard health inspection: May 20, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 21, 2022 to Jun 9, 2026): 25 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 9, 2026	Ensure 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, 2026	Ensure 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, 2025	Procure 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, 2025	Honor 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, 2025	Give 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, 2025	Timely 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, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 20, 2025	Coordinate 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, 2025	Create 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, 2025	Develop 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, 2025	Ensure 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, 2025	Ensure 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 45. 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 Aug 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 Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.98 hours
Registered nurse (RN) time per resident per day: 0.30 hours
Nurse aide time per resident per day: 2.50 hours
Total nurse staffing on weekends: 3.58 hours
Nursing staff turnover (yearly): 49%
RN turnover (yearly): 20%
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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