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Orchard Post Acute

Nursing home in Fresno, California, CMS certification number 056225

4840 E.tulare Avenue, Fresno, CA 93727 · Fresno County

Call (559) 251-7161

3 of 5 MedicaidMedicare

CMS overall rating
3 of 5 stars
Certified beds
99
Certified for
Medicare and Medicaid
Last standard inspection
May 20, 2025
Deficiencies at that inspection
16
Fines in 3 years
No fines

Does Orchard Post Acute take Medicare and Medicaid?

Yes to both. Orchard Post Acute is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.

Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.

CMS star ratings

CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.

MeasureCMS stars
Overall 3 of 5
Health inspections 2 of 5
Staffing 3 of 5
Quality of resident care 5 of 5
Long-stay quality 5 of 5
Short-stay quality 4 of 5

Nurse staffing hours and turnover

These are the hours Orchard Post Acute reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.

Total nurse hours per resident per day
3.99
Registered nurse hours
0.32
Licensed practical nurse hours
1.16
Nurse aide hours
2.52
Weekend total hours
3.66
Nursing staff turnover
53.2%
Registered nurse turnover
16.7%
Administrators who left
0

Health inspections and complaints

Inspectors last made a standard visit on May 20, 2025 and cited 16 deficiencies, plus 4 from complaint visits.

The visit before, on July 26, 2024, found 16.

Read every citation on the CMS Care Compare page.

Fines and payment denials

CMS lists no fines for Orchard Post Acute in the past 3 years.

Beds and residents

On an average day 92.3 residents live here, about 93% of its 99 certified beds.

Certified beds
99
Average residents per day
92.3
Certified since
October 7, 1970
Resident or family council
Resident

Who owns Orchard Post Acute

Legal business name
Fresno Valley SNF, LLC
Ownership type
For profit - Limited Liability company
Chain
277 homes nationally under Pacs Group, 3-star chain average

Other nursing homes near Orchard Post Acute

  1. Evergreen Care Center5265 East Huntington Avenue, Fresno 93727 3 of 5 0.6 mi · 49 beds · 10 cited at the last inspection MedicaidMedicare
  2. Pacific Gardens Nursing and Rehabilitation Center577 S. Peach Ave., Fresno 93727 3 of 5 0.7 mi · 188 beds · 19 cited at the last inspection MedicaidMedicare
  3. Stonehaven Senior Living1717 S Winery Avenue, Fresno 93727Not rated 1.1 mi · 0 beds MedicaidMedicare
  4. Sierra Vista Healthcare1715 South Cedar, Fresno 93702 3 of 5 1.6 mi · 99 beds · 13 cited at the last inspection MedicaidMedicare
  5. Healthcare Centre of Fresno1665 M Street, Fresno 93721 2 of 5 3.3 mi · 155 beds · 13 cited at the last inspection MedicaidMedicare

See also all nursing homes in Fresno.

Who inspects nursing homes in California

California's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.

Compare all nursing homes in California, the 19 in Fresno, or see how assisted living and nursing homes differ.

Is this your facility?

If you run Orchard Post Acute, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.

Questions about Orchard Post Acute

What is the CMS star rating of Orchard Post Acute?

3 out of 5 stars overall.

Does Orchard Post Acute accept Medicaid?

Yes, it is Medicaid certified.

What did inspectors find at Orchard Post Acute?

16 cited at the last standard visit.

Who owns Orchard Post Acute?

Fresno Valley SNF, LLC, for profit - limited liability company.

From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.