Page 2 of Best Nursing Homes in Fresno, CA

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

Reviewed by

Jordan Weiss, PhD

Last updated

Jun 2026

We analyzed

11 homes

Other senior care options in Fresno:

Assisted Living Memory Care Independent Living

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.


The Terraces at San Joaquin Gardens a CCRC		NH AL IL MC SNF	Fresno	652 Facility 652 CA AVG 104 Rank #9 / 1644	57.2% Facility 57.2% CA AVG 73.9 Rank #1230 / 1492	-23%	5.21 Facility 5.21 CA AVG 4.22 Rank #24 / 293				+27%	+23%	$0 Facility $0 CA AVG $56.5k Rank #1 / 298	88 Facility 88 CA AVG 81 Rank #513 / 1400	32 Facility 32 CA AVG 50.2 Rank #107 / 293	4.6 Facility 4.6 CA AVG 4.6 Rank #182 / 293	1	373	A+	57 Facility 57 CA AVG 57 Rank #1155 / 2087	Humangood Fresno	$33.9MFiscal year ending 12/2023 Facility $33.9MFiscal year ending 12/2023 CA AVG $17.0M Rank #25 / 295	$13.6MFiscal year ending 12/2023 Facility $13.6MFiscal year ending 12/2023 CA AVG $7.0M Rank #33 / 295	40.2%Fiscal year ending 12/2023 Facility 40.2%Fiscal year ending 12/2023 CA AVG 45.2% Rank #240 / 295	55846
North Pointe Care Center		NH MC RC SNF	Fresno (East Bullard Avenue)	99 Facility 99 CA AVG 104 Rank #724 / 1644	92.9% Facility 92.9% CA AVG 73.9 Rank #267 / 1492	+26%	3.61 Facility 3.61 CA AVG 4.22 Rank #222 / 293				+19%	-14%	$0 Facility $0 CA AVG $56.5k Rank #1 / 298	-	21 Facility 21 CA AVG 50.2 Rank #38 / 293	4.2 Facility 4.2 CA AVG 4.6 Rank #158 / 293	-	92	-	80 Facility 80 CA AVG 57 Rank #416 / 2087	North Point Wellness Gp LLC	$11.0MFiscal 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 $11.0MFiscal 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	$6.5MFiscal 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 $6.5MFiscal 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. Facility 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. CA AVG 45.2% Rank #82 / 295	555179
Evergreen Life Care Homes		NH HOS MC RC SNF	Fresno (Roosevelt)	49 Facility 49 CA AVG 104 Rank #1129 / 1644	94.3% Facility 94.3% CA AVG 73.9 Rank #229 / 1492	+28%	4.36 Facility 4.36 CA AVG 4.22 Rank #88 / 293				-27%	+3%	$0 Facility $0 CA AVG $56.5k Rank #1 / 298	-	33 Facility 33 CA AVG 50.2 Rank #115 / 293	3.0 Facility 3.0 CA AVG 4.6 Rank #55 / 293	2	46	A+	37 Facility 37 CA AVG 57 Rank #1600 / 2087	Evergreen Care Center Holdings LLC	$8.6MFiscal year ending 12/2023 Facility $8.6MFiscal year ending 12/2023 CA AVG $17.0M Rank #279 / 295	$2.8MFiscal year ending 12/2023 Facility $2.8MFiscal year ending 12/2023 CA AVG $7.0M Rank #294 / 295	32.6%Fiscal year ending 12/2023 Facility 32.6%Fiscal year ending 12/2023 CA AVG 45.2% Rank #219 / 295	555920
Horizon Health & Subacute Center		NH SNF	Fresno (East Herndon Avenue)	180 Facility 180 CA AVG 104 Rank #210 / 1644	85.2% Facility 85.2% CA AVG 73.9 Rank #453 / 1492	+15%	4.73 Facility 4.73 CA AVG 4.22 Rank #56 / 293				-29%	+12%	$22.9k Facility $22.9k CA AVG $56.5k Rank #226 / 298	74 Facility 74 CA AVG 81 Rank #998 / 1400	43 Facility 43 CA AVG 50.2 Rank #157 / 293	3.1 Facility 3.1 CA AVG 4.6 Rank #66 / 293	2	153	-	58 Facility 58 CA AVG 57 Rank #1126 / 2087	Chad Galley	$17.2MFiscal 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 $17.2MFiscal 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	$10.3MFiscal 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 $10.3MFiscal 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. Facility 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. CA AVG 45.2% Rank #32 / 295	55199
Fresno Nursing Center		NH SNF	Fresno (Mclane)	65 Facility 65 CA AVG 104 Rank #1037 / 1644	93.7% Facility 93.7% CA AVG 73.9 Rank #240 / 1492	+27%	3.96 Facility 3.96 CA AVG 4.22 Rank #154 / 293				-39%	-6%	$42.8k Facility $42.8k CA AVG $56.5k Rank #247 / 298	-	50 Facility 50 CA AVG 50.2 Rank #183 / 293	4.6 Facility 4.6 CA AVG 4.6 Rank #182 / 293	4	61	-	66 Facility 66 CA AVG 57 Rank #854 / 2087	Fresno Nursing And Rehab Center LLC	$8.7MFiscal year ending 12/2023 Facility $8.7MFiscal year ending 12/2023 CA AVG $17.0M Rank #261 / 295	$5.1MFiscal year ending 12/2023 Facility $5.1MFiscal year ending 12/2023 CA AVG $7.0M Rank #239 / 295	58.1%Fiscal year ending 12/2023 Facility 58.1%Fiscal year ending 12/2023 CA AVG 45.2% Rank #25 / 295	56266
Twilight Haven	-	NH AL SNF	Fresno	166 Facility 166 CA AVG 104 Rank #270 / 1644	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	2 Facility 2 CA AVG 57 Rank #2039 / 2087	Raymond Goertzen	$6.3MFiscal 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 $6.3MFiscal 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	$4.8MFiscal 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 $4.8MFiscal 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. Facility 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. CA AVG 45.2% Rank #7 / 295	55658

Nursing Home Explorer

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Overview of Sierra Vista Healthcare Center

Sierra Vista Healthcare Center in Fresno, California, provides skilled nursing, memory care, hospice, and respite stays. The clinical team delivers 24-hour medical support and physical rehabilitation, averaging 3 hours and 53 minutes of direct nursing care per resident each day. This direct care is split among registered nurses, licensed practical nurses, and certified nurse aides.

The property features a barber shop, local transportation services, housekeeping, and laundry care. Daily activities operate under structured wellness programming, and the facility maintains a designated concern-resolution setup to handle family communications.

The surrounding Fresno neighborhood holds a walkability score of 55 out of 100, which means that some daily errands can be handled on foot by residents or visitors.

Prospective representatives researching skilled nursing or dementia care options can get in touch with Sierra Vista Healthcare Center directly to discuss specific room availability, look into direct care schedules, or organize a walkthrough.

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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

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

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

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

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

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

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
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%
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%

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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.