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Why trust this guide?
Our editorial team analyzed 11 nursing homes in Fresno, CA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CA
Video Tour: Top-rated Nursing Homes facilities in Fresno, California.
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Avg Overall CMS Rating:3.4/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Fresno, CA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Fresno, CA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:3.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Fresno, CA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
Compare Nursing Homes around Fresno (Metro Area)
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$11.0M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$6.5M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
58.7%*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$17.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$10.3M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
60%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$6.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
75.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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Rank badges are statewide: each nursing home is ranked against every CA nursing home we track that reports that metric, not just the 11 analyzed for Fresno. See how we rank facilities
Overview of The Terraces at San Joaquin Gardens a CCRC
The Terraces at San Joaquin Gardens has been a pioneer in making residents feel welcomed and comfortable for its independent living, assisted living, memory care, and skilled nursing residents. Seniors live a vibrant lifestyle where they can pursue individual goals and needs with additional support. The Terraces is a safe and secure continuing retirement community that ensures seniors and their families the best senior care.
The Terraces at San Joaquin Gardens maintain an active lifestyle for its residents to take advantage of– a dining experience that provides delicious meals created by an executive chef, wellness programs planned for those who want to stay active with social, intellectual, and cultural opportunities found in their yoga and dance classes.
North Pointe Care Center provides nursing home care, memory care, respite care, and skilled nursing in Fresno, CA. Nursing home and skilled nursing services include licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering, while respite care provides a short stay when a resident’s usual caregiver needs time away.
North Pointe Care Center may be a good fit for someone living with dementia who needs supervised care or for a family arranging temporary support. Rehabilitation services and short term rehabilitation are also available for residents who need care during a recovery period. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to fund care.
The community has 99 beds. Total nurse staffing is 3 hours and 30 minutes per resident per day, representing the daily nursing time allocated to each resident. A Walk Score of 80 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently.
Evergreen Life Care Homes provides nursing home care, skilled nursing, hospice care, memory care, and respite care in Fresno, CA. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for a resident at risk of wandering. Hospice care supports a resident receiving care at the end of life, and respite care provides a short stay when a usual caregiver needs to travel or recover.
The community has 49 beds. Its combination of care levels may suit a resident whose needs change over time, or a family that needs short term care while a primary caregiver is away or recovering.
Total nurse staffing is 3 hours 25 minutes per resident per day, representing the amount of daily nurse staffing time allocated to each resident. Medicare, Medicaid, and private pay are accepted; Medicare generally applies to skilled care for a limited period after a hospital stay, while Medicaid may help cover a longer stay when savings are limited. A Walk Score of 37 places the area where most errands require a car or a ride rather than being practical on foot. Pets are allowed, so residents can live with pets.
Horizon Health & Subacute Center is a nursing home in Fresno, California, offering skilled nursing care. Licensed nurses are on site around the clock, making it a potential fit for someone who needs ongoing clinical support and may prefer a private or semi-private room.
The center has 180 beds. It is a larger community, with more residents, staff and usually programming, while its 86% occupancy means some beds are currently unoccupied.
Total nurse staffing is 4 hours and 27 minutes per resident each day. That figure represents the daily hands-on nursing time allocated to each resident, and payment options include Medicare, Medicaid and private pay.
Nestled in Fresno, California, Fresno Nursing Center is dedicated to providing exceptional skilled nursing, short-term rehabilitation, and long-term care services in a compassionate and comfortable environment. With a mission to treat every patient with the utmost care and respect, the center’s team of professionals crafts tailored solutions to ensure each individual receives the best possible service. Recognizing the importance of a healing environment, Fresno Nursing Center surrounds its residents with soothing views and a family-like atmosphere. The center’s holistic approach to care includes customized therapy plans, nutritious meals, and a range of additional services such as pain management, social services, and hospice care.
Amidst the COVID-19 pandemic, Fresno Nursing Center has remained committed to keeping its residents, families, and community informed and safe. Through its comprehensive rehabilitation offerings, including physical, occupational, and speech therapy, the center helps individuals regain their independence and recover from a variety of conditions, including joint replacements, strokes, and cardiac issues. By addressing the unique needs of each patient, Fresno Nursing Center strives to foster a compassionate and supportive environment where healing and well-being can thrive.
Oakwood Gardens Care Center is a skilled nursing home that focuses on conducting results-driven programs that cater to the varying needs of the residents. With safety, wellness, and recovery in mind, the staff gives 24/7 care and supervision. Seniors can feel confident and comfortable and know they belong in a home that prioritizes their needs. Oakwood Gardens welcomes its new residents with open arms and treats them like family in a nurturing environment. The nursing home is conveniently located nearby shops and medical centers for additional needs that they may encounter. In the community, seniors can access the in-house rehabilitation gym, relax in the spacious courtyard and garden, or socialize in the lounge areas.
Overview of Pacific Gardens Nursing and Rehabilitation
Pacific Gardens Nursing and Rehabilitation is a 188-bed nursing home in Fresno, California, accommodating long-term residents and post-hospital therapy patients. The community operates with an 86 percent occupancy rate, accepting Medicare, Medicaid, and private pay. Typical resident stays an average 49 days, with Medicare primarily covering short-term rehabilitation following surgery or medical events.
Daily care routines are supported by a 24-hour staffing setup. Residents receive an average of 3 hours and 54 minutes of direct nursing attention daily, with nurse aides contributing 2 hours and 44 minutes, while registered nurses and licensed practical nurses provide the remaining time. Clinical services include speech, occupational, and physical therapies alongside respite care options.
The local neighborhood has a walkability score of 43 out of 100, which means that while some nearby destinations are within walking distance, a vehicle is usually required for outside errands.
Prospective residents looking to arrange short-term recovery or ongoing skilled nursing care can connect with the admissions department at Pacific Gardens Nursing and Rehabilitation directly to verify bed availability or discuss funding pathways.
Surrounded by convenient local amenities in Fresno, CA, Belmar Villa Assisted Living (Formerly known as Care Meridian Fresno Weber) is a distinct community that offers assisted living and skilled nursing. Residents receive the highest quality of care from a kind and highly trained team available around the clock. The community also handles the housekeeping and other chores, ensuring residents can feel a sense of belonging during their stay.
With a thoughtfully curated calendar of engaging activities and enriching programs, residents will not run out of things to do for leisure and wellness. Delicious and healthy meals are also served to satisfy residents’ dietary needs and preferences. Residents can keep their peace of mind and thrive in retirement amidst the community’s vibrant and friendly setting.
Twilight Haven has been a senior living home that provides a graceful living for independent living, assisted living, memory care, and skilled nursing residents since 1957. They follow a philosophy that encourages and empowers its residents to maintain their independence and individuality. Residents of all kinds of living options receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. Twilight Haven prioritizes wellness, comfort, and convenience for its residents. They offer 24-hour skilled nursing care services with speech, occupational, and physical therapy; ADLs, planned activities, recreational programs; and housekeeping, transportation, and religious services.
Enjoy comprehensive care from Keystone Post Acute, an esteemed community in Fresno, CA, that offers skilled nursing and rehabilitation. Residents receive top-notch care with a respectful and specially trained team attending to their needs 24/7, ensuring their comfort and safety. Promoting a cozy and nurturing environment, residents keep peace of mind in the community’s purposely built and spacious accommodations.
There’s no need to worry about daily living activities and household responsibilities, with the community handling them. Family members are also encouraged to actively coordinate with the community to stay updated about their loved ones’ care plans. Mealtimes are prepared according to each resident’s dietary needs and preferences, ensuring the finest dining experience. Here, residents experience a worry-free retirement with the community’s state-of-the-art amenities and dedicated services.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Fresno, CA
What's the difference between assisted living and a nursing home in California?
Assisted living in California is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does California Medicaid cover nursing home care?
Yes — California Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 11 nursing homes in Fresno, CA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Fresno, CA?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Fresno, CA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Fresno, CA?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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