Nursing home

Orchard Post Acute

4840 E.Tulare Avenue, Fresno, CA 93727

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle16
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds99

Inspection findings

Inspectors recorded 43 findings in the last three inspection cycles.

43 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jun 9, 2026Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 10, 2026
Apr 30, 2026Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 22, 2026
Nov 19, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 12, 2025
Earlier inspections (40)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
May 20, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 10, 2025
May 20, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Jun 10, 2025
May 20, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Jun 10, 2025
May 20, 2025Nursing and physician servicesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725)No harm, but a risk of harm
pattern
Corrected: Jun 10, 2025
May 20, 2025Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
pattern
Corrected: Jun 10, 2025
May 20, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: Jun 10, 2025
May 20, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern
Corrected: Jun 10, 2025
May 20, 2025Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated
Corrected: Jun 10, 2025
May 20, 2025Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Jun 10, 2025
May 20, 2025Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Jun 10, 2025
May 20, 2025Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 10, 2025
May 20, 2025Resident rightsGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F0582)No harm, but a risk of harm
isolated
Corrected: Jun 10, 2025
May 20, 2025Resident rightsHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (F0559)No harm, but a risk of harm
isolated
Corrected: Jun 10, 2025
Jan 8, 2025Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 8, 2025
Dec 11, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 3, 2025
Nov 5, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated · from a complaint
Corrected: Nov 27, 2024
Jul 26, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Food and nutritionDispose of garbage and refuse properly. (F0814)No harm, but a risk of harm
widespread · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
widespread · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
widespread · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
pattern · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
pattern · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident assessment and care planningEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident rightsHonor 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. (F0584)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident rightsHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 24, 2024
Jul 26, 2024Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
pattern · from a complaint
Corrected: Sep 24, 2024
Jan 21, 2022Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
isolated
Corrected: Feb 17, 2022
Jan 21, 2022Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
pattern
Corrected: Feb 17, 2022
Jan 21, 2022Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Feb 17, 2022
Jan 21, 2022Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
pattern
Corrected: Feb 17, 2022
Jan 21, 2022Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated
Corrected: Feb 17, 2022
Jan 21, 2022Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Feb 17, 2022
Jan 21, 2022Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
pattern
Corrected: Feb 17, 2022
Jan 21, 2022Resident rightsHonor 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. (F0584)No harm, but a risk of harm
pattern
Corrected: Feb 17, 2022

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day3.99California median: 4.27
Registered nurse hours per resident per day0.32California median: 0.52
Nurse staff hours on weekends3.66California median: 3.85
Nursing staff who left within a year53.2%California median: 36.0%

About this home

Beds99
Residents per day, average92.3
OwnershipFor-profit, limited liability company
Legal business nameFresno Valley SNF, LLC
ChainPacs Group (277 homes)
In Medicare/Medicaid sinceOct 7, 1970

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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