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UPDATED JUL 2026

Nursing Homes · Medicare certified

Orchard Post Acute

4840 E.Tulare Avenue · Fresno, CA 93727 · 99 certified beds

5592517161

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

36

Inspection history (44)

  • July 26, 2024 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · F

    Citation F0761

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0761 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · D

    Citation F0806

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · D

    Citation F0552

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · D

    Citation F0640

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0640 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · E

    Citation F0655

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · F

    Citation F0814

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0814 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · D

    Citation F0557

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0557 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · D

    Citation F0584

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · F

    Citation F0658

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0658 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · E

    Citation F0656

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • July 26, 2024 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2024-07-26 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-09-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-26.GOV
  • September 27, 2023 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOV
  • August 14, 2023 · D

    Citation F0623

    Federal surveyors cited this nursing home on 2023-08-14 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-08-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-14.GOV
  • January 21, 2022 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2022-01-21 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2022-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-01-21.GOV
  • January 21, 2022 · D

    Citation F0758

    Federal surveyors cited this nursing home on 2022-01-21 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement 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 l…. The deficiency was recorded as corrected on 2022-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-01-21.GOV
  • January 21, 2022 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2022-01-21 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2022-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-01-21.GOV
  • January 21, 2022 · D

    Citation F0812

    Federal surveyors cited this nursing home on 2022-01-21 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-01-21.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.96 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.96 hrs/resident/day
  2. 2026-06-013.96 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Limited Liability company

CMS Care Compare chain: Pacs Group

Chain ID 690 · 280 facilities in chain (CMS)

  • Chain average overall rating: 3
  • Chain average health inspection rating: 2.5
  • Chain average staffing rating: 2.4
  • Chain average quality measure rating: 4.3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Providence Group Nh, LLC

    parent · PAC 5294198396

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical CA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · CA$11,060/mo
See full CA cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · CA$12,167/mo
See full CA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Fresno, with their own public records.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Orchard Post Acute in Fresno, CA · Inspections page 2 · ElderCareCosts