Orchard Post Acute
4840 E.Tulare Avenue · Fresno, CA · 93727 · 5592517161
99 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 3.65 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (44 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · D November 19, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · D May 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.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D May 20, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 10, 2025 · Resident Rights
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Potential for harm · D May 20, 2025
Ensure each resident receives an accurate assessment.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 20, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 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.
Corrected June 10, 2025 · Nursing and Physician Services
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Potential for harm · E May 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.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · F May 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 10, 2025 · Nutrition and Dietary
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Potential for harm · E May 20, 2025
Provide and implement an infection prevention and control program.
Corrected June 10, 2025 · Infection Control
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Potential for harm · D May 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 5, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 26, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D July 26, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D July 26, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D July 26, 2024 · found via complaint
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.
Corrected September 24, 2024 · Resident Rights
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Potential for harm · D July 26, 2024 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 26, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E July 26, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 24, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056225 · certified since October 7, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.