Compare Nursing Homes around Fresno (Metro Area)
The information below is reported by the California Department of Social Services and Department of Public Health.
| The Terraces at San Joaquin Gardens a CCRC | NH AL IL MC SNF | 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 | 1 | 373 | A+ |
57
Facility
57
CA AVG
57
Rank
#1157 / 2092 | Humangood Fresno | $33.9MFiscal year ending 12/2023
Facility
$33.9MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#28 / 355 | $13.6MFiscal year ending 12/2023
Facility
$13.6MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#32 / 355 | 40.2%Fiscal year ending 12/2023
Facility
40.2%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#284 / 355 | 55846 | ||||
| North Pointe Care Center | NH MC RC SNF | 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 | $8.5MFiscal year ending 10/2023
Facility
$8.5MFiscal year ending 10/2023
CA AVG
$17.0M
Rank
#239 / 355 | $5.5MFiscal year ending 10/2023
Facility
$5.5MFiscal year ending 10/2023
CA AVG
$7.0M
Rank
#261 / 355 | 64.7%Fiscal year ending 10/2023
Facility
64.7%Fiscal year ending 10/2023
CA AVG
45.2%
Rank
#227 / 355 | 555179 | ||||
| Evergreen Life Care Homes | NH HOS MC RC SNF | 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 | 2 | 46 | A+ |
37
Facility
37
CA AVG
57
Rank
#1605 / 2092 | Evergreen Care Center Holdings LLC | $8.6MFiscal year ending 12/2023
Facility
$8.6MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#326 / 355 | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#346 / 355 | 32.6%Fiscal year ending 12/2023
Facility
32.6%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#252 / 355 | 555920 | ||||
| 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 | 2 | 111 | - |
69
Facility
69
CA AVG
57
Rank
#768 / 2092 | Central California Nikkei Foundation | $24.9MFiscal year ending 12/2023
Facility
$24.9MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#101 / 355 | $11.9MFiscal year ending 12/2023
Facility
$11.9MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#53 / 355 | 48%Fiscal year ending 12/2023
Facility
48%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#103 / 355 | 56207 | ||||
| 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 | 2 | 153 | - |
58
Facility
58
CA AVG
57
Rank
#1128 / 2092 | Chad Galley | $4.8MFiscal year ending 03/2023
Facility
$4.8MFiscal year ending 03/2023
CA AVG
$17.0M
Rank
#345 / 355 | $3.1MFiscal year ending 03/2023
Facility
$3.1MFiscal year ending 03/2023
CA AVG
$7.0M
Rank
#330 / 355 | 65.1%Fiscal year ending 03/2023
Facility
65.1%Fiscal year ending 03/2023
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 | 4 | 61 | - |
66
Facility
66
CA AVG
57
Rank
#855 / 2092 | Fresno Nursing And Rehab Center LLC | $8.7MFiscal year ending 12/2023
Facility
$8.7MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#303 / 355 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#269 / 355 | 58.1%Fiscal year ending 12/2023
Facility
58.1%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#29 / 355 | 56266 | ||||
| Twilight Haven | - | NH AL SNF | Fresno | 166
Facility
166
CA AVG
103
Rank
#270 / 1657 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
2
Facility
2
CA AVG
57
Rank
#2044 / 2092 | Raymond Goertzen | $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
#325 / 355 | $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
#278 / 355 | 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
#6 / 355 | 55658 |
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.
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.
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 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.
- 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.
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 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% |
| 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% |
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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.
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