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Other Senior care options in Fresno:

Best Nursing Homes in Fresno, CA

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 12 homes in Fresno, CA

Sources: CMS Centers for Medicare and Medicaid Services, and California Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in Fresno, California.

Watch this Video to see Fresno's Top-rated Senior Communities

Compare Nursing Homes around Fresno (Metro Area)

The information below is reported by the California Department of Social Services and Department of Public Health.

7 facilities compared · CMS & CA Dept. of Health data

Click column headers to sort
North Pointe Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Fresno (East Bullard Avenue)
99
Facility 99
CA AVG 103
Rank #727 / 1658
88.8%
Facility 88.8%
CA AVG 84.7%
Rank #345 / 1407
+5%
3.61
Facility 3.61
CA AVG 4.22
Rank #263 / 346
+19% -14%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 354
21
Facility 21
CA AVG 50.2
Rank #46 / 354
4.2
Facility 4.2
CA AVG 4.6
Rank #182 / 354
- 92 -
80
Facility 80
CA AVG 57
Rank #417 / 2093
North Point Wellness Gp LLC
$13.3M
Facility $13.3M
CA AVG $17.0M
Rank #236 / 347
$5.9M
Facility $5.9M
CA AVG $7.0M
Rank #257 / 347
44.5%
Facility 44.5%
CA AVG 45.2%
Rank #220 / 347
555179
The Terraces at San Joaquin Gardens a CCRC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno
652
Facility 652
CA AVG 103
Rank #9 / 1658
57.2%
Facility 57.2%
CA AVG 84.7%
Rank #1182 / 1407
-32%
5.21
Facility 5.21
CA AVG 4.22
Rank #33 / 346
+27% +23%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 354
32
Facility 32
CA AVG 50.2
Rank #124 / 354
4.6
Facility 4.6
CA AVG 4.6
Rank #209 / 354
1 373 -
57
Facility 57
CA AVG 57
Rank #1158 / 2093
Humangood Fresno
$37.3M
Facility $37.3M
CA AVG $17.0M
Rank #26 / 347
$14.7M
Facility $14.7M
CA AVG $7.0M
Rank #30 / 347
39.3%
Facility 39.3%
CA AVG 45.2%
Rank #277 / 347
55846
Vintage Gardens Assisted Living Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno (Roosevelt)
158
Facility 158
CA AVG 103
Rank #311 / 1658
86.0%
Facility 86.0%
CA AVG 84.7%
Rank #422 / 1407
+2%
3.90
Facility 3.90
CA AVG 4.22
Rank #203 / 346
+37% -8%
$40.4k
Facility $40.4k
CA AVG $56.5k
Rank #287 / 354
42
Facility 42
CA AVG 50.2
Rank #180 / 354
3.8
Facility 3.8
CA AVG 4.6
Rank #147 / 354
2 160 -
69
Facility 69
CA AVG 57
Rank #769 / 2093
Central California Nikkei Foundation
$23.6M
Facility $23.6M
CA AVG $17.0M
Rank #100 / 347
$13.4M
Facility $13.4M
CA AVG $7.0M
Rank #52 / 347
56.8%
Facility 56.8%
CA AVG 45.2%
Rank #101 / 347
56207
Horizon Health & Subacute Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Fresno (East Herndon Avenue)
180
Facility 180
CA AVG 103
Rank #211 / 1658
70.2%
Facility 70.2%
CA AVG 84.7%
Rank #897 / 1407
-17%
4.73
Facility 4.73
CA AVG 4.22
Rank #69 / 346
-29% +12%
$22.9k
Facility $22.9k
CA AVG $56.5k
Rank #263 / 354
43
Facility 43
CA AVG 50.2
Rank #186 / 354
3.1
Facility 3.1
CA AVG 4.6
Rank #72 / 354
2 155 -
58
Facility 58
CA AVG 57
Rank #1129 / 2093
Chad Galley
$4.8M
Facility $4.8M
CA AVG $17.0M
Rank #338 / 347
$3.6M
Facility $3.6M
CA AVG $7.0M
Rank #323 / 347
74.7%
Facility 74.7%
CA AVG 45.2%
Rank #16 / 347
55199
Evergreen Life Care Homes
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno (Roosevelt)
49
Facility 49
CA AVG 103
Rank #1139 / 1658
90.9%
Facility 90.9%
CA AVG 84.7%
Rank #283 / 1407
+7%
4.36
Facility 4.36
CA AVG 4.22
Rank #105 / 346
-27% +3%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 354
33
Facility 33
CA AVG 50.2
Rank #132 / 354
3.0
Facility 3.0
CA AVG 4.6
Rank #60 / 354
2 45 A+
37
Facility 37
CA AVG 57
Rank #1606 / 2093
Evergreen Care Center Holdings LLC
$6.6M
Facility $6.6M
CA AVG $17.0M
Rank #320 / 347
$2.8M
Facility $2.8M
CA AVG $7.0M
Rank #339 / 347
42.3%
Facility 42.3%
CA AVG 45.2%
Rank #245 / 347
555920
Fresno Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Fresno (Mclane)
65
Facility 65
CA AVG 103
Rank #1044 / 1658
95.3%
Facility 95.3%
CA AVG 84.7%
Rank #177 / 1407
+13%
3.96
Facility 3.96
CA AVG 4.22
Rank #181 / 346
-39% -6%
$90.0k
Facility $90.0k
CA AVG $56.5k
Rank #334 / 354
50
Facility 50
CA AVG 50.2
Rank #221 / 354
4.6
Facility 4.6
CA AVG 4.6
Rank #209 / 354
4 61 -
66
Facility 66
CA AVG 57
Rank #856 / 2093
Fresno Nursing And Rehab Center LLC
$8.3M
Facility $8.3M
CA AVG $17.0M
Rank #296 / 347
$5.7M
Facility $5.7M
CA AVG $7.0M
Rank #264 / 347
68.8%
Facility 68.8%
CA AVG 45.2%
Rank #29 / 347
56266
Twilight Haven -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno
166
Facility 166
CA AVG 103
Rank #271 / 1658
0.0%
Facility 0.0%
CA AVG 84.7%
Rank #1380 / 1407
-100% - - - - - - - - - - - -
2
Facility 2
CA AVG 57
Rank #2045 / 2093
Raymond Goertzen
$6.6M
Facility $6.6M
CA AVG $17.0M
Rank #319 / 347
$5.5M
Facility $5.5M
CA AVG $7.0M
Rank #273 / 347
82.2%
Facility 82.2%
CA AVG 45.2%
Rank #6 / 347
55658
Overview of North Pointe Care Center

North Point Healthcare and Wellness Centre, located in the picturesque community of Fresno, California, is a skilled nursing facility with top-notch nurses, caregivers, and therapists. Their dedicated staff offers round-the-clock one-on-one attention and care to patients, regardless of whether they require short-term or long-term care. North Point Healthcare and Wellness Centre ensures that their time spent here is a rejuvenating experience, both physically and spiritually.
With a diverse range of services, North Point Healthcare and Wellness Centre ensures that residents receive the utmost medical, restorative, and compassionate care they deserve. Whether in need of short-term rehabilitation or more traditional long-term care, the facility accommodates various senior requirements and caters to all nursing, physical therapy, and medical social services needs.

Contact North Pointe Care Center

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. 

Contact The Terraces at San Joaquin Gardens a CCRC

Overview of Keystone Post Acute

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.

Contact Keystone Post Acute

Overview of Vintage Gardens Assisted Living Community

Ideally situated near United Health Centers-Fresno Minnewawa in Fresno, CA, Vintage Gardens Assisted Living Community is a trusted community that offers assisted living. Dedicated to improving residents’ well-being, a compassionate and well-trained team provides exceptional care tailored to their needs 24/7. Residents can keep their peace of mind with the community handling the chores and housekeeping.

Encouraging residents to live actively and make new friends, a fun-filled calendar of activities and enriching programs is conducted. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy meals. The community is ideal for those needing assistance to live comfortably in retirement, especially with its top-notch services and state-of-the-art amenities.

Contact Vintage Gardens Assisted Living Community

Overview of Horizon Health & Subacute Center

Ideally situated in the peaceful residential area of Herndon Avenue, Fresno, CA, Horizon Health & Subacute Center is a distinct community that offers skilled nursing, rehabilitation, memory care, assisted living, and behavioral health. Dedicated to improving residents’ well-being, the community provides top-notch care tailored to their special needs and preferences 24/7. Residents ease their worries knowing a trusted community helps with their daily living activities and household responsibilities.

A full calendar of fun activities and engaging events is conducted so residents can live actively and remain socially engaged. The community also prioritizes residents’ mental wellness, providing mental health programs for recovery. With a wide range of comprehensive care options, residents can rest assured of finding the care they need for their ever-changing needs.

Contact Horizon Health & Subacute Center

Overview of Evergreen Life Care Homes

Evergreen Life Care Homes is a highly reliable senior care provider boasting three exceptional residential homes: Northwest Villa, Château Jesadean, and Evergreen Court. Offering a range of services, including assisted living, memory care, palliative care, short-term stays, hospice care, diabetes care, and more, their commitment is to ensure seniors receive top-notch care and attention.

Located in Fresno, California, their residential homes provide not only comprehensive services but also modern amenities, creating a comfortable and vibrant environment. With a hands-on management approach, Evergreen Life Care Homes stands out for its professional team that treats residents like family. The homes offer a smooth transition for residents and their families, fostering a sense of community, warmth, and an ideal and cherished residence to spend the golden years in.

Contact Evergreen Life Care Homes

Fresno Nursing Center

3672 N First St, Fresno, CA 93726
Overview of Fresno Nursing Center

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.

Contact Fresno Nursing Center

Overview of Helping Hands Senior Care
Helping Hands Senior Care is an assisted living and memory care community located in Fresno, CA. It offers personalized support and a nurturing environment for seniors. The facility provides a range of services tailored to meet the individual needs of residents.

Contact Helping Hands Senior Care

Overview of Twilight Haven

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. 

Contact Twilight Haven

Overview of Oakwood Gardens Care Center

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.

Contact Oakwood Gardens Care Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating

Fresno Nursing Home Facilities Overview

  • Avg payroll costs: $7,542,104.06 (California avg: $6,440,675.14)
  • Avg home costs: $10,137,815.94 (California avg: $7,865,538.87)
  • Avg occupancy: 82.29% (California avg: 87.25%)
  • Avg bed count: 149 (California avg: 109)
  • Avg home revenue: $14,587,688.89 (California avg: $15,059,642.16)

Community-level financial and occupancy data

  • SIERRA VISTA HEALTHCARE: 94.04% occupancy, 99 beds, $12,408,555.00 home revenue, $5,542,596.00 payroll costs, $8,406,209.00 home costs.
  • MANNING GARDENS: 84.92% occupancy, 59 beds, $7,659,343.00 home revenue, $3,805,297.00 payroll costs, $3,522,683.00 home costs.
  • CENTERPOINTE CARE CENTER: 95.04% occupancy, 121 beds, $15,334,564.00 home revenue, $5,475,847.00 payroll costs, $6,573,719.00 home costs.
  • COUNTRYSIDE CARE CENTER LLC: 85.08% occupancy, 59 beds, $7,190,611.00 home revenue, $3,146,550.00 payroll costs, $3,376,757.00 home costs.
  • NORTHPOINTE HEALTHCARE CENTER: 93.03% occupancy, 99 beds, $11,807,838.00 home revenue, $5,520,250.00 payroll costs, $6,255,392.00 home costs.
  • THE REHAB CENTER OF FRESNO: 87.10% occupancy, 155 beds, $19,104,438.00 home revenue, $8,357,363.00 payroll costs, $11,081,918.00 home costs.
  • HORIZON HEALTH AND SUB-ACUTE: 87.56% occupancy, 180 beds, $17,845,196.00 home revenue, $8,861,306.00 payroll costs, $12,151,429.00 home costs.
  • TWILIGHT HAVEN: 0.00% occupancy, 166 beds, $6,596,761.00 home revenue, $4,151,420.00 payroll costs, $4,119,005.00 home costs.
  • FRESNO NURSING AND REHAB CENTER: 93.23% occupancy, 65 beds, $7,202,552.00 home revenue, $3,388,745.00 payroll costs, $4,255,264.00 home costs.
  • FRESNO POSTACUTE CARE: 95.38% occupancy, 80 beds, $7,957,032.00 home revenue, $4,688,294.00 payroll costs, $4,592,476.00 home costs.
  • ORCHARD POST ACUTE: 90.61% occupancy, 99 beds, $16,173,514.00 home revenue, $5,627,422.00 payroll costs, $6,278,275.00 home costs.
View Chart Data Table
Metric Fresno California
Avg payroll costs $7,542,104.06 $6,440,675.14
Avg home costs $10,137,815.94 $7,865,538.87
Avg occupancy 82.29% 87.25%
Avg bed count 149 109
Avg home revenue $14,587,688.89 $15,059,642.16
Community Occupancy Beds Home Revenue Payroll Costs Home Costs Medicare Medicaid Private Pay
SIERRA VISTA HEALTHCARE 94.04% 99 $12,408,555.00 $5,542,596.00 $8,406,209.00 15.76% 55.70% 28.54%
MANNING GARDENS 84.92% 59 $7,659,343.00 $3,805,297.00 $3,522,683.00 2.71% 74.28% 23.01%
CENTERPOINTE CARE CENTER 95.04% 121 $15,334,564.00 $5,475,847.00 $6,573,719.00 24.90% 60.91% 14.19%
COUNTRYSIDE CARE CENTER LLC 85.08% 59 $7,190,611.00 $3,146,550.00 $3,376,757.00 17.91% 58.76% 23.33%
NORTHPOINTE HEALTHCARE CENTER 93.03% 99 $11,807,838.00 $5,520,250.00 $6,255,392.00 16.32% 61.23% 22.45%
THE REHAB CENTER OF FRESNO 87.10% 155 $19,104,438.00 $8,357,363.00 $11,081,918.00 8.21% 63.09% 28.70%
HORIZON HEALTH AND SUB-ACUTE 87.56% 180 $17,845,196.00 $8,861,306.00 $12,151,429.00 10.93% 81.45% 7.62%
TWILIGHT HAVEN 0.00% 166 $6,596,761.00 $4,151,420.00 $4,119,005.00 5.31% 36.22% 58.47%
FRESNO NURSING AND REHAB CENTER 93.23% 65 $7,202,552.00 $3,388,745.00 $4,255,264.00 11.09% 72.38% 16.53%
FRESNO POSTACUTE CARE 95.38% 80 $7,957,032.00 $4,688,294.00 $4,592,476.00 18.10% 71.39% 10.51%
ORCHARD POST ACUTE 90.61% 99 $16,173,514.00 $5,627,422.00 $6,278,275.00 29.76% 46.79% 23.45%
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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 12 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.