Nursing Homes · Medicare certified
Orchard Post Acute
4840 E.Tulare Avenue · Fresno, CA 93727 · 99 certified beds
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About Orchard Post Acute
Orchard Post Acute is a nursing home in Fresno, California. Its capacity is 99 beds, the same as the Fresno County median for nursing homes. It is run by a for-profit operator and is part of Pacs Group. It is Medicare certified. Its public inspection record shows 44 citations, the most recent on April 30, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.99 hours per resident per day. It is one of 20 nursing homes listed in Fresno. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
3.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (44)
Records from January 2022 to April 2026.
April 30, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2026.
November 19, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 12, 2025.
May 20, 2025
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
May 20, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 10, 2025.
January 8, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2025.
December 11, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 3, 2025.
November 5, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 27, 2024.
July 26, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 24, 2024.
July 26, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 24, 2024.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.99 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Pacs Group, a chain of 277 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.5 for health inspections, 2.5 for staffing, 4.5 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in California.
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