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Compare Nursing Homes around Fresno (Metro Area)
The information below is reported by the California Department of Social Services and Department of Public Health.
| 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).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Fresno (East Bullard Avenue) | 99
Facility
99
CA AVG
103
Rank
#725 / 1657 |
88.8%
Facility
88.8%
CA AVG
84.7%
Rank
#358 / 1530 | +5% | 3.61
Facility
3.61
CA AVG
4.22
Rank
#262 / 345 | +19% | -14% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | - | 21
Facility
21
CA AVG
50.2
Rank
#46 / 352 | 4.2
Facility
4.2
CA AVG
4.6
Rank
#181 / 352 | - | 92 | - |
80
Facility
80
CA AVG
57
Rank
#417 / 2092 | North Point Wellness Gp LLC | $13.3M
Facility
$13.3M
CA AVG
$17.0M
Rank
#236 / 346 | $5.9M
Facility
$5.9M
CA AVG
$7.0M
Rank
#257 / 346 | 44.5%
Facility
44.5%
CA AVG
45.2%
Rank
#219 / 346 | 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 / 1657 |
57.2%
Facility
57.2%
CA AVG
84.7%
Rank
#1260 / 1530 | -32% | 5.21
Facility
5.21
CA AVG
4.22
Rank
#32 / 345 | +27% | +23% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | 88
Facility
88
CA AVG
81
Rank
#513 / 1401 | 32
Facility
32
CA AVG
50.2
Rank
#123 / 352 | 4.6
Facility
4.6
CA AVG
4.6
Rank
#208 / 352 | 1 | 373 | A+ |
57
Facility
57
CA AVG
57
Rank
#1157 / 2092 | Humangood Fresno | $37.3M
Facility
$37.3M
CA AVG
$17.0M
Rank
#26 / 346 | $14.7M
Facility
$14.7M
CA AVG
$7.0M
Rank
#30 / 346 | 39.3%
Facility
39.3%
CA AVG
45.2%
Rank
#276 / 346 | 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
#310 / 1657 |
70.3%
Facility
70.3%
CA AVG
84.7%
Rank
#940 / 1530 | -17% | 3.90
Facility
3.90
CA AVG
4.22
Rank
#202 / 345 | +37% | -8% | $30.7k
Facility
$30.7k
CA AVG
$56.5k
Rank
#286 / 352 | 69
Facility
69
CA AVG
81
Rank
#1119 / 1401 | 42
Facility
42
CA AVG
50.2
Rank
#179 / 352 | 3.8
Facility
3.8
CA AVG
4.6
Rank
#147 / 352 | 2 | 111 | - |
69
Facility
69
CA AVG
57
Rank
#768 / 2092 | Central California Nikkei Foundation | $23.6M
Facility
$23.6M
CA AVG
$17.0M
Rank
#100 / 346 | $13.4M
Facility
$13.4M
CA AVG
$7.0M
Rank
#52 / 346 | 56.8%
Facility
56.8%
CA AVG
45.2%
Rank
#100 / 346 | 56207 | ||||
| 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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Fresno (Roosevelt) | 49
Facility
49
CA AVG
103
Rank
#1138 / 1657 |
90.9%
Facility
90.9%
CA AVG
84.7%
Rank
#297 / 1530 | +7% | 4.36
Facility
4.36
CA AVG
4.22
Rank
#104 / 345 | -27% | +3% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 352 | - | 33
Facility
33
CA AVG
50.2
Rank
#131 / 352 | 3.0
Facility
3.0
CA AVG
4.6
Rank
#60 / 352 | 2 | 46 | A+ |
37
Facility
37
CA AVG
57
Rank
#1605 / 2092 | Evergreen Care Center Holdings LLC | $6.6M
Facility
$6.6M
CA AVG
$17.0M
Rank
#319 / 346 | $2.8M
Facility
$2.8M
CA AVG
$7.0M
Rank
#338 / 346 | 42.3%
Facility
42.3%
CA AVG
45.2%
Rank
#244 / 346 | 555920 | ||||
| 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
#210 / 1657 |
70.2%
Facility
70.2%
CA AVG
84.7%
Rank
#944 / 1530 | -17% | 4.73
Facility
4.73
CA AVG
4.22
Rank
#68 / 345 | -29% | +12% | $22.9k
Facility
$22.9k
CA AVG
$56.5k
Rank
#262 / 352 | 74
Facility
74
CA AVG
81
Rank
#998 / 1401 | 43
Facility
43
CA AVG
50.2
Rank
#185 / 352 | 3.1
Facility
3.1
CA AVG
4.6
Rank
#72 / 352 | 2 | 153 | - |
58
Facility
58
CA AVG
57
Rank
#1128 / 2092 | Chad Galley | $4.8M
Facility
$4.8M
CA AVG
$17.0M
Rank
#337 / 346 | $3.6M
Facility
$3.6M
CA AVG
$7.0M
Rank
#322 / 346 | 74.7%
Facility
74.7%
CA AVG
45.2%
Rank
#16 / 346 | 55199 | ||||
| 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 / 1657 |
95.3%
Facility
95.3%
CA AVG
84.7%
Rank
#187 / 1530 | +13% | 3.96
Facility
3.96
CA AVG
4.22
Rank
#180 / 345 | -39% | -6% | $42.8k
Facility
$42.8k
CA AVG
$56.5k
Rank
#332 / 352 | - | 50
Facility
50
CA AVG
50.2
Rank
#220 / 352 | 4.6
Facility
4.6
CA AVG
4.6
Rank
#208 / 352 | 4 | 61 | - |
66
Facility
66
CA AVG
57
Rank
#855 / 2092 | Fresno Nursing And Rehab Center LLC | $8.3M
Facility
$8.3M
CA AVG
$17.0M
Rank
#296 / 346 | $5.7M
Facility
$5.7M
CA AVG
$7.0M
Rank
#264 / 346 | 68.8%
Facility
68.8%
CA AVG
45.2%
Rank
#29 / 346 | 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
#270 / 1657 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
2
Facility
2
CA AVG
57
Rank
#2044 / 2092 | Raymond Goertzen | $6.6M
Facility
$6.6M
CA AVG
$17.0M
Rank
#318 / 346 | $5.5M
Facility
$5.5M
CA AVG
$7.0M
Rank
#273 / 346 | 82.2%
Facility
82.2%
CA AVG
45.2%
Rank
#6 / 346 | 55658 |
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.
Pacifica Gardens Nursing and Rehabilitation nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors. They are known to deliver exceptional care provided by their patient-friendly staff to offer the best care possible for their residents. Pacifica Gardens is trusted as a safe and secure community that is known as a ‘healthcare with a heart,’ ensuring that residents are kind and professional at the same time.
Services and amenities offered at the community include specialized programs, scheduled transportation and housekeeping, a calendar of activities, community outings, 24-hour admission services, 24-hour lab and pharmacy, an outpatient therapy center, and electric beds available.
Sierra Vista Healthcare Center is a skilled nursing and rehabilitation center in Fresno that offers comfort and beauty. Management ensures that residents receive the care they rightfully deserve by providing that the professional staff offer only the highest standard of care; they ensure that seniors receive 24-hour attentive and compassionate care. Sierra Vista is a nursing home where elegance and recovery are found in a stimulating atmosphere.
Services and amenities at Sierra Vista include activities and programs that promote a continuum of growth and meaningful experiences that contribute to relaxation and fast recovery. Residents will live conveniently and stress-free, from gourmet cuisine to therapy sessions.
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.
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
| 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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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 13 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.







