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Other Senior care options in Fresno:

Best Nursing Homes in Fresno, CA

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 12 homes in Fresno, CA

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

Explore home photos

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

Click column headers to sort
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).

Fresno (East Bullard Avenue)
99
Facility 99
CA AVG 103
Rank #727 / 1658
88.8%
Facility 88.8%
CA AVG 84.7%
Rank #345 / 1407
+5%
3.61
Facility 3.61
CA AVG 4.22
Rank #263 / 346
+19% -14%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 354
21
Facility 21
CA AVG 50.2
Rank #46 / 354
4.2
Facility 4.2
CA AVG 4.6
Rank #182 / 354
- 92 -
80
Facility 80
CA AVG 57
Rank #417 / 2093
North Point Wellness Gp LLC
$13.3M
Facility $13.3M
CA AVG $17.0M
Rank #236 / 347
$5.9M
Facility $5.9M
CA AVG $7.0M
Rank #257 / 347
44.5%
Facility 44.5%
CA AVG 45.2%
Rank #220 / 347
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 / 1658
57.2%
Facility 57.2%
CA AVG 84.7%
Rank #1182 / 1407
-32%
5.21
Facility 5.21
CA AVG 4.22
Rank #33 / 346
+27% +23%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 354
32
Facility 32
CA AVG 50.2
Rank #124 / 354
4.6
Facility 4.6
CA AVG 4.6
Rank #209 / 354
1 373 -
57
Facility 57
CA AVG 57
Rank #1158 / 2093
Humangood Fresno
$37.3M
Facility $37.3M
CA AVG $17.0M
Rank #26 / 347
$14.7M
Facility $14.7M
CA AVG $7.0M
Rank #30 / 347
39.3%
Facility 39.3%
CA AVG 45.2%
Rank #277 / 347
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 #311 / 1658
86.0%
Facility 86.0%
CA AVG 84.7%
Rank #422 / 1407
+2%
3.90
Facility 3.90
CA AVG 4.22
Rank #203 / 346
+37% -8%
$40.4k
Facility $40.4k
CA AVG $56.5k
Rank #287 / 354
42
Facility 42
CA AVG 50.2
Rank #180 / 354
3.8
Facility 3.8
CA AVG 4.6
Rank #147 / 354
2 160 -
69
Facility 69
CA AVG 57
Rank #769 / 2093
Central California Nikkei Foundation
$23.6M
Facility $23.6M
CA AVG $17.0M
Rank #100 / 347
$13.4M
Facility $13.4M
CA AVG $7.0M
Rank #52 / 347
56.8%
Facility 56.8%
CA AVG 45.2%
Rank #101 / 347
56207
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 #211 / 1658
70.2%
Facility 70.2%
CA AVG 84.7%
Rank #897 / 1407
-17%
4.73
Facility 4.73
CA AVG 4.22
Rank #69 / 346
-29% +12%
$22.9k
Facility $22.9k
CA AVG $56.5k
Rank #263 / 354
43
Facility 43
CA AVG 50.2
Rank #186 / 354
3.1
Facility 3.1
CA AVG 4.6
Rank #72 / 354
2 155 -
58
Facility 58
CA AVG 57
Rank #1129 / 2093
Chad Galley
$4.8M
Facility $4.8M
CA AVG $17.0M
Rank #338 / 347
$3.6M
Facility $3.6M
CA AVG $7.0M
Rank #323 / 347
74.7%
Facility 74.7%
CA AVG 45.2%
Rank #16 / 347
55199
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).

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)
49
Facility 49
CA AVG 103
Rank #1139 / 1658
90.9%
Facility 90.9%
CA AVG 84.7%
Rank #283 / 1407
+7%
4.36
Facility 4.36
CA AVG 4.22
Rank #105 / 346
-27% +3%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 354
33
Facility 33
CA AVG 50.2
Rank #132 / 354
3.0
Facility 3.0
CA AVG 4.6
Rank #60 / 354
2 45 A+
37
Facility 37
CA AVG 57
Rank #1606 / 2093
Evergreen Care Center Holdings LLC
$6.6M
Facility $6.6M
CA AVG $17.0M
Rank #320 / 347
$2.8M
Facility $2.8M
CA AVG $7.0M
Rank #339 / 347
42.3%
Facility 42.3%
CA AVG 45.2%
Rank #245 / 347
555920
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 / 1658
95.3%
Facility 95.3%
CA AVG 84.7%
Rank #177 / 1407
+13%
3.96
Facility 3.96
CA AVG 4.22
Rank #181 / 346
-39% -6%
$90.0k
Facility $90.0k
CA AVG $56.5k
Rank #334 / 354
50
Facility 50
CA AVG 50.2
Rank #221 / 354
4.6
Facility 4.6
CA AVG 4.6
Rank #209 / 354
4 61 -
66
Facility 66
CA AVG 57
Rank #856 / 2093
Fresno Nursing And Rehab Center LLC
$8.3M
Facility $8.3M
CA AVG $17.0M
Rank #296 / 347
$5.7M
Facility $5.7M
CA AVG $7.0M
Rank #264 / 347
68.8%
Facility 68.8%
CA AVG 45.2%
Rank #29 / 347
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 #271 / 1658
0.0%
Facility 0.0%
CA AVG 84.7%
Rank #1380 / 1407
-100% - - - - - - - - - - - -
2
Facility 2
CA AVG 57
Rank #2045 / 2093
Raymond Goertzen
$6.6M
Facility $6.6M
CA AVG $17.0M
Rank #319 / 347
$5.5M
Facility $5.5M
CA AVG $7.0M
Rank #273 / 347
82.2%
Facility 82.2%
CA AVG 45.2%
Rank #6 / 347
55658
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
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 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.