The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
ORCHARD POST ACUTE
FRESNO, CA · Medicare-certified · 99 beds
In good standing
For-profitChain member
3 of 5 overall
ORCHARD POST ACUTE in Fresno, CA has a 3 out of 5 overall star rating. Its health inspection and staffing ratings are both 2 stars, quality measures are 5 stars, reported nurse staffing is 3.96 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9561 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9561.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.54
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5%Improving
Residents with a fall causing major injury
0.7%Steady
Residents with pressure ulcers (bedsores)
2.2%Worsening
Residents with a urinary tract infection
0.7%Worsening
Residents who lost too much weight
3.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.9%Worsening
Residents whose ability to walk got worse
10.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.1%Improving
Short-stay residents newly given an antipsychotic
0.5%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.6%Worsening
Residents with depressive symptoms
8.5%Improving
Long-stay residents given the seasonal flu vaccine
98.9%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
86%Steady
Short-stay residents given the pneumonia vaccine
99.7%Improving
What the inspectors found
The nursing home failed to provide services that met professional standards of quality. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited July 2024 — widespread issue, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 90.2 residents on an average day (91% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.