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Best Nursing Homes in Fresno, CA

Why trust this guide? Our editorial team analyzed 12 nursing homes in Fresno, CA using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CA
Reviewed by
Last updated
Jun 2026
We analyzed
12 homes
Other senior care options in Fresno:

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: 3.3/ 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: 2.8/ 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: 2.8/ 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)

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

North Pointe Care Center
NH
MC
RC
Fresno (East Bullard Avenue)
99
Facility 99
CA AVG 103
Rank #725 / 1657
88.8%
Facility 88.8%
CA AVG 84.7%
Rank #358 / 1537
+5%
3.61
Facility 3.61
CA AVG 4.22
Rank #269 / 354
+19%-14%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 362
-
21
Facility 21
CA AVG 50.2
Rank #47 / 361
4.2
Facility 4.2
CA AVG 4.6
Rank #188 / 361
-92-
80
Facility 80
CA AVG 57
Rank #417 / 2092
North Point Wellness Gp LLC
$8.5M
Facility $8.5M
CA AVG $17.0M
Rank #239 / 355
$5.5M
Facility $5.5M
CA AVG $7.0M
Rank #261 / 355
64.7%
Facility 64.7%
CA AVG 45.2%
Rank #227 / 355
555179
The Terraces at San Joaquin Gardens a CCRC
NH
AL
IL
MC
Fresno
652
Facility 652
CA AVG 103
Rank #9 / 1657
57.2%
Facility 57.2%
CA AVG 84.7%
Rank #1265 / 1537
-32%
5.21
Facility 5.21
CA AVG 4.22
Rank #31 / 354
+27%+23%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 362
88
Facility 88
CA AVG 81
Rank #513 / 1401
32
Facility 32
CA AVG 50.2
Rank #128 / 361
4.6
Facility 4.6
CA AVG 4.6
Rank #216 / 361
1373A+
57
Facility 57
CA AVG 57
Rank #1157 / 2092
Humangood Fresno
$33.9M
Facility $33.9M
CA AVG $17.0M
Rank #28 / 355
$13.6M
Facility $13.6M
CA AVG $7.0M
Rank #32 / 355
40.2%
Facility 40.2%
CA AVG 45.2%
Rank #284 / 355
55846
Vintage Gardens Assisted Living Community
NH
AL
Fresno (Roosevelt)
158
Facility 158
CA AVG 103
Rank #310 / 1657
70.3%
Facility 70.3%
CA AVG 84.7%
Rank #945 / 1537
-17%
3.90
Facility 3.90
CA AVG 4.22
Rank #206 / 354
+37%-8%
$30.7k
Facility $30.7k
CA AVG $56.5k
Rank #279 / 362
69
Facility 69
CA AVG 81
Rank #1119 / 1401
42
Facility 42
CA AVG 50.2
Rank #184 / 361
3.8
Facility 3.8
CA AVG 4.6
Rank #152 / 361
2111-
69
Facility 69
CA AVG 57
Rank #768 / 2092
Central California Nikkei Foundation
$24.9M
Facility $24.9M
CA AVG $17.0M
Rank #101 / 355
$11.9M
Facility $11.9M
CA AVG $7.0M
Rank #53 / 355
48%
Facility 48%
CA AVG 45.2%
Rank #103 / 355
56207
Evergreen Life Care Homes
NH
HC
MC
RC
Fresno (Roosevelt)
49
Facility 49
CA AVG 103
Rank #1138 / 1657
90.9%
Facility 90.9%
CA AVG 84.7%
Rank #295 / 1537
+7%
4.36
Facility 4.36
CA AVG 4.22
Rank #105 / 354
-27%+3%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 362
-
33
Facility 33
CA AVG 50.2
Rank #136 / 361
3.0
Facility 3.0
CA AVG 4.6
Rank #65 / 361
246A+
37
Facility 37
CA AVG 57
Rank #1605 / 2092
Evergreen Care Center Holdings LLC
$8.6M
Facility $8.6M
CA AVG $17.0M
Rank #326 / 355
$2.8M
Facility $2.8M
CA AVG $7.0M
Rank #346 / 355
32.6%
Facility 32.6%
CA AVG 45.2%
Rank #252 / 355
555920
Horizon Health & Subacute Center
NH
Fresno (East Herndon Avenue)
180
Facility 180
CA AVG 103
Rank #210 / 1657
70.2%
Facility 70.2%
CA AVG 84.7%
Rank #949 / 1537
-17%
4.73
Facility 4.73
CA AVG 4.22
Rank #69 / 354
-29%+12%
$22.9k
Facility $22.9k
CA AVG $56.5k
Rank #268 / 362
74
Facility 74
CA AVG 81
Rank #998 / 1401
43
Facility 43
CA AVG 50.2
Rank #191 / 361
3.1
Facility 3.1
CA AVG 4.6
Rank #77 / 361
2153-
58
Facility 58
CA AVG 57
Rank #1128 / 2092
Chad Galley
$4.8M
Facility $4.8M
CA AVG $17.0M
Rank #345 / 355
$3.1M
Facility $3.1M
CA AVG $7.0M
Rank #330 / 355
65.1%
Facility 65.1%
CA AVG 45.2%
Rank #16 / 355
55199
Fresno Nursing Center
NH
Fresno (Mclane)
65
Facility 65
CA AVG 103
Rank #1044 / 1657
95.3%
Facility 95.3%
CA AVG 84.7%
Rank #188 / 1537
+13%
3.96
Facility 3.96
CA AVG 4.22
Rank #184 / 354
-39%-6%
$42.8k
Facility $42.8k
CA AVG $56.5k
Rank #302 / 362
-
50
Facility 50
CA AVG 50.2
Rank #226 / 361
4.6
Facility 4.6
CA AVG 4.6
Rank #216 / 361
461-
66
Facility 66
CA AVG 57
Rank #855 / 2092
Fresno Nursing And Rehab Center LLC
$8.7M
Facility $8.7M
CA AVG $17.0M
Rank #303 / 355
$5.1M
Facility $5.1M
CA AVG $7.0M
Rank #269 / 355
58.1%
Facility 58.1%
CA AVG 45.2%
Rank #29 / 355
56266
Twilight Haven-
NH
AL
Fresno
166
Facility 166
CA AVG 103
Rank #270 / 1657
---------------
2
Facility 2
CA AVG 57
Rank #2044 / 2092
Raymond Goertzen
$6.3M
Facility $6.3M
CA AVG $17.0M
Rank #325 / 355
$4.8M
Facility $4.8M
CA AVG $7.0M
Rank #278 / 355
75.9%
Facility 75.9%
CA AVG 45.2%
Rank #6 / 355
55658
Overview of North Pointe Care Center

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.

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 Belmar Villa Assisted Living

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.

Contact Belmar Villa Assisted Living

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 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

  • 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.
  • 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.
View Chart Data Table
MetricFresnoCalifornia
Avg payroll costs$7,542,104.06$6,440,675.14
Avg home costs$10,137,815.94$7,865,538.87
Avg occupancy82.29%87.25%
Avg bed count149109
Avg home revenue$14,587,688.89$15,059,642.16
CommunityOccupancyBedsHome RevenuePayroll CostsHome CostsMedicareMedicaidPrivate Pay
FRESNO POSTACUTE CARE95.38%80$7,957,032.00$4,688,294.00$4,592,476.0018.10%71.39%10.51%
ORCHARD POST ACUTE90.61%99$16,173,514.00$5,627,422.00$6,278,275.0029.76%46.79%23.45%
SIERRA VISTA HEALTHCARE94.04%99$12,408,555.00$5,542,596.00$8,406,209.0015.76%55.70%28.54%
MANNING GARDENS84.92%59$7,659,343.00$3,805,297.00$3,522,683.002.71%74.28%23.01%
CENTERPOINTE CARE CENTER95.04%121$15,334,564.00$5,475,847.00$6,573,719.0024.90%60.91%14.19%
COUNTRYSIDE CARE CENTER LLC85.08%59$7,190,611.00$3,146,550.00$3,376,757.0017.91%58.76%23.33%
NORTHPOINTE HEALTHCARE CENTER93.03%99$11,807,838.00$5,520,250.00$6,255,392.0016.32%61.23%22.45%
THE REHAB CENTER OF FRESNO87.10%155$19,104,438.00$8,357,363.00$11,081,918.008.21%63.09%28.70%
HORIZON HEALTH AND SUB-ACUTE87.56%180$17,845,196.00$8,861,306.00$12,151,429.0010.93%81.45%7.62%
TWILIGHT HAVEN0.00%166$6,596,761.00$4,151,420.00$4,119,005.005.31%36.22%58.47%
FRESNO NURSING AND REHAB CENTER93.23%65$7,202,552.00$3,388,745.00$4,255,264.0011.09%72.38%16.53%
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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.