Quick answers
- Where is Orchard Post Acute?
- 4840 E.Tulare Avenue, Fresno, CA 93727, in Fresno County, California.
- What is the phone number of Orchard Post Acute?
- (559) 251-7161, as listed by Medicare (CMS).
- What is the Medicare star rating of Orchard Post Acute?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Orchard Post Acute been fined?
- Medicare lists no fines for Orchard Post Acute.
- What did inspectors find at Orchard Post Acute?
- In its last three inspection cycles (January 21, 2022 to June 9, 2026), Medicare lists 43 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 21, 2022 to June 9, 2026), Orchard Post Acute had 43 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.99 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 20, 2025 — 16 health citations
Inspections in this cycle: May 20, 2025 (standard health inspection); November 19, 2025 (complaint investigation); April 30, 2026 (complaint investigation); June 9, 2026 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0559 Level D
“Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
Previous cycle: July 26, 2024 — 19 health citations
Inspections in this cycle: July 26, 2024 (standard health inspection); November 5, 2024 (complaint investigation); December 11, 2024 (complaint investigation); January 8, 2025 (complaint investigation); May 20, 2025 (complaint investigation).
Show 19 citations (levels A to F, no actual harm)
F0658 Level F
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0761 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0814 Level F
“Dispose of garbage and refuse properly.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0584 Level D
“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.”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Earlier cycle: January 21, 2022 — 8 health citations
Inspections in this cycle: January 21, 2022 (standard health inspection); July 26, 2024 (complaint investigation).
Show 8 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0803 Level E
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0758 Level D
“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 limited.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (23)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0291 Level D
“Install emergency lighting that can last at least 1 1/2 hours.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0342 Level D
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
E0030 Level C
“List the names and contact information of those in the facility.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.32 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.16 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.52 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.99 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.66 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.30 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 53.2% | 36.6% | 45.3% |
| RN turnover (per year) | 16.7% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 277 nursing homes: Pacs Group.
Legal business name: Fresno Valley SNF, LLC.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 92.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Fresno Valley SNF, LLC |
| First approved by Medicare/Medicaid | 1970-10-07 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4840 E.Tulare Avenue, Fresno, CA 93727 |
| County | Fresno County |
| State | California |
| Phone | (559) 251‑7161 |
| CMS Certification Number | 056225 |
| Name in Medicare records | ORCHARD POST ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Evergreen Care Center0.6 mi · Fresno, CA · 3 of 5 stars
- Pacific Gardens Nursing and Rehabilitation Center0.7 mi · Fresno, CA · 3 of 5 stars
- Stonehaven Senior Living1.1 mi · Fresno, CA
- Sierra Vista Healthcare1.6 mi · Fresno, CA · 3 of 5 stars
- Healthcare Centre of Fresno3.3 mi · Fresno, CA · 2 of 5 stars
Nearest hospital emergency rooms
- Community Regional Medical Center2.9 mi · Fresno, CA · Acute Care Hospital
- Fresno VA Medical Center (VA Central California Healthcare System)3.4 mi · Fresno, CA · Federal/VA Acute Care Hospital
- Clovis Community Medical Center6.4 mi · Clovis, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13