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
Data as of July 1, 2026
3 of 5 overall
ORCHARD POST ACUTE (FRESNO, CA) has a 3 out of 5 star overall rating. Its health inspection rating is low at 2 stars, staffing is 3 stars with 3.98 nurse hours per resident per day versus the 4.1 federal benchmark, quality measures are strong at 5 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9755 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9755.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.50
- Weekend nursing
- 3.58
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.2%5.7%Worsening
Residents with a fall causing major injury
2.7%0%Improving
Residents with pressure ulcers (bedsores)
0%3.9%Worsening
Residents with a urinary tract infection
0%4.8%Worsening
Residents who lost too much weight
1.6%5.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.8%11.1%Worsening
Residents whose ability to walk got worse
10%4.7%Improving
Long-stay residents on antianxiety or sleep medication
18.5%11.5%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.8%13.8%Worsening
Residents with depressive symptoms
8.5%3.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—86%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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.
View the original federal record
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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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
- 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
Recent ownership change · Sep 17, 2019
Now operated by Orchard Post Acute, previously Valley Healthcare Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 91.2 residents on an average day (92% 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.