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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.
Watch this Video to see Fresno's Top-rated Senior Communities
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:3.0/ 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 to lowest based on our ranking methodology.
$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.
Facility$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.
CA AVG$17.0M
Rank#218 / 295
$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.
Facility$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.
CA AVG$7.0M
Rank#205 / 295
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.
Facility58.7%*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.
Facility$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.
CA AVG$17.0M
Rank#137 / 295
$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.
Facility$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.
CA AVG$7.0M
Rank#73 / 295
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.
Facility60%*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.
Facility$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.
CA AVG$17.0M
Rank#278 / 295
$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.
Facility$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.
CA AVG$7.0M
Rank#246 / 295
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.
Facility75.9%*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.
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, a 99-bed skilled nursing facility at 668 East Bullard Avenue in East Fresno, is privately operated by North Point Wellness Group LLC and certified for both Medicare and Medicaid. The community’s census and payer mix reveal a facility organized around short-term post-acute rehabilitation: 79% of its 253 admissions arrive under Medicare for typical 16-day stays, with smaller populations of private-pay short-term residents and Medicaid long-term patients.
The facility’s inspection and quality profile presents a mixed picture. Its health inspection rating, 78.8% above California average, stands as a compelling regulatory strength, backed by a clean three-year penalty record.
Its 4-star quality measures rating reflects notably strong outcomes for long-stay residents: hospitalization rates 48% lower than state average, urinary tract infection rates 44% lower, and fall-related injuries at roughly half the state rate. But short-stay discharge outcomes tell a different story. Residents leaving after brief rehabilitation stays show re-hospitalization rates 28% worse than the state average (29.8% vs. 23.2%), and emergency department visit rates 39% worse (15.6% vs. 11.2%), a signal of potential care gaps or inadequate post-discharge support for the rehab population.
Staffing metrics compound this concern. All six nursing staffing categories run below state average, with a staff-to-resident ratio of 1.28:1, 29% below the California norm, and LPN hours at roughly half the state average (50 minutes vs. 1 hour 13 minutes). Occupancy is high at 88.8%, well above state average, with strong financial demand masking an operating loss of $807,400.
The facility is well-positioned for Medicare short-stay rehabilitation in a walkable, accessible location, though the staffing profile and elevated short-stay discharge acuity warrant direct evaluation of care continuity planning.
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.
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.
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.
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.
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.
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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