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Other senior care options in Fresno:

Best Nursing Homes in Fresno, CA

Reviewed by
Last updated
Jun 2026
We analyzed
13 homes in Fresno, CA

Sources: CMS Centers for Medicare and Medicaid Services, and California Department of Health, Office of Aging and Long Term Care.

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

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

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
1373A+
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
2111-
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
246A+
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
2153-
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
461-
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
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

Overview of Pacific Gardens Nursing and Rehabilitation

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. 

Contact Pacific Gardens Nursing and Rehabilitation

Overview of Sierra Vista Healthcare Center

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. 

Contact Sierra Vista Healthcare 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 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.