Skilled Nursing

ORCHARD POST ACUTE

4840 E.TULARE AVENUE, FRESNO, CA 93727

99beds
Skilled Nursingcare types
3/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.6h

Hrs/resident · weekday

Expected: 4.0h

3.7h

Hrs/resident · weekend

vs 3.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
50%
LPNs
CNAs
52%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

36 standard deficiencies in the last 3 years

View all
0689Severity DApr 30, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Severity DNov 19, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Severity EMay 20, 2025

Provide and implement an infection prevention and control program.

0812Severity FMay 20, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EMay 20, 2025

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.

0725Severity EMay 20, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0689Severity EMay 20, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Severity EMay 20, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity EMay 20, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0655Severity DMay 20, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0644Severity DMay 20, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0641Severity DMay 20, 2025

Ensure each resident receives an accurate assessment.

0609Severity DMay 20, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0582Severity DMay 20, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0559Severity DMay 20, 2025

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0658Severity DJan 8, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0658Severity DDec 11, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0658Severity DNov 5, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0880Severity EJul 26, 2024

Provide and implement an infection prevention and control program.

0842Severity DJul 26, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0814Severity FJul 26, 2024

Dispose of garbage and refuse properly.

0812Severity FJul 26, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0806Severity DJul 26, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0761Severity FJul 26, 2024

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.

0658Severity FJul 26, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity DJul 26, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity EJul 26, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0655Severity EJul 26, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0641Severity EJul 26, 2024

Ensure each resident receives an accurate assessment.

0640Severity DJul 26, 2024

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0584Severity DJul 26, 2024

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.

0557Severity DJul 26, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0552Severity DJul 26, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

0550Severity EJul 26, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Severity DSep 27, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0623Severity DAug 14, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

FRESNO VALLEY SNF, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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