5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
North Pointe Care Center, a 99-bed skilled nursing facility at 668 East Bullard Avenue in East Fresno, is privately operated by North Point Wellness Group LLC and certified for both Medicare and Medicaid. The community’s census and payer mix reveal a facility organized around short-term post-acute rehabilitation: 79% of its 253 admissions arrive under Medicare for typical 16-day stays, with smaller populations of private-pay short-term residents and Medicaid long-term patients.
The facility’s inspection and quality profile presents a mixed picture. Its health inspection rating, 78.8% above California average, stands as a compelling regulatory strength, backed by a clean three-year penalty record.
Its 4-star quality measures rating reflects notably strong outcomes for long-stay residents: hospitalization rates 48% lower than state average, urinary tract infection rates 44% lower, and fall-related injuries at roughly half the state rate. But short-stay discharge outcomes tell a different story. Residents leaving after brief rehabilitation stays show re-hospitalization rates 28% worse than the state average (29.8% vs. 23.2%), and emergency department visit rates 39% worse (15.6% vs. 11.2%), a signal of potential care gaps or inadequate post-discharge support for the rehab population.
Staffing metrics compound this concern. All six nursing staffing categories run below state average, with a staff-to-resident ratio of 1.28:1, 29% below the California norm, and LPN hours at roughly half the state average (50 minutes vs. 1 hour 13 minutes). Occupancy is high at 88.8%, well above state average, with strong financial demand masking an operating loss of $807,400.
The facility is well-positioned for Medicare short-stay rehabilitation in a walkable, accessible location, though the staffing profile and elevated short-stay discharge acuity warrant direct evaluation of care continuity planning.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 269th out of 354 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 36m per day | ▼ 8% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 50m per day | ▼ 32% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 30m per day | ▼ 6% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 36m per day | ▼ 12% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 29m per day | ▼ 3% State avg: 30m per day · National avg: 29m per day |
Reporting period: July 1 – September 30, 2025 (Q3 2025). Source: CMS Payroll-Based Journal report.
29% fewer staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
All 72 CNA Staff are full-time employees. No contractors work on this role.
72
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
This data comes from the CMS Payroll-Based Journal report covering July 1 – September 30, 2025.
| Certified Nursing Assistant | 72 | 0 | 72 | 21,282 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 15 | 0 | 15 | 5,716 | 92 | 100% | 7.7 |
| Registered Nurse | 13 | 0 | 13 | 4,282 | 92 | 100% | 8 |
| RN Director of Nursing | 3 | 0 | 3 | 1,326 | 67 | 73% | 8 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,284 | 66 | 72% | 7.1 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,228 | 81 | 88% | 6.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 708 | 92 | 100% | 7.3 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 469 | 59 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 464 | 60 | 65% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 409 | 59 | 64% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 353 | 51 | 55% | 6.9 |
| Qualified Social Worker | 2 | 0 | 2 | 187 | 40 | 43% | 4.4 |
| Physical Therapy Assistant | 1 | 0 | 1 | 9 | 2 | 2% | 4.7 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.4
34% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.4
35% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
4.4%
60% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
9.0%
25% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.8%
22% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
37% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
3.5%
29% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.7%
44% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
4.0%
In line with California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
1.5%
78% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
10.0%
In line with California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.18
48% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.28
19% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
5% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
6% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.8%
28% worse than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.6%
39% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.0%
25% better than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.8%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
79% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
96Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for North Pointe Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 10/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #261 / 355Payroll — State benchmarkedThis home is ranked 261st out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #227 / 355Payroll % — State benchmarkedThis home is ranked 227th out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 55–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (79% of admissions), and a typical Medicare stay runs around 16 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
6.0 miles from city center
Estimated distance in miles from Fresno's city center to North Pointe Care Center's address, calculated via Google Maps.
— 0.36 miles to nearest hospital (Fresno Surgical Hospital)
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The information below is reported by the California Department of Social Services and Department of Public Health.
| North Pointe Care Center | NH MC RC | 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 | $8.5M
Facility
$8.5M
CA AVG
$17.0M
Rank
#239 / 355 | $5.5M
Facility
$5.5M
CA AVG
$7.0M
Rank
#261 / 355 | 64.7%
Facility
64.7%
CA AVG
45.2%
Rank
#227 / 355 | 555179 | ||||
| The Terraces at San Joaquin Gardens a CCRC | NH AL IL MC | 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 | $33.9M
Facility
$33.9M
CA AVG
$17.0M
Rank
#28 / 355 | $13.6M
Facility
$13.6M
CA AVG
$7.0M
Rank
#32 / 355 | 40.2%
Facility
40.2%
CA AVG
45.2%
Rank
#284 / 355 | 55846 | ||||
| Evergreen Life Care Homes | NH HC MC RC | 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 | $8.6M
Facility
$8.6M
CA AVG
$17.0M
Rank
#326 / 355 | $2.8M
Facility
$2.8M
CA AVG
$7.0M
Rank
#346 / 355 | 32.6%
Facility
32.6%
CA AVG
45.2%
Rank
#252 / 355 | 555920 | ||||
| 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 | $4.8M
Facility
$4.8M
CA AVG
$17.0M
Rank
#345 / 355 | $3.1M
Facility
$3.1M
CA AVG
$7.0M
Rank
#330 / 355 | 65.1%
Facility
65.1%
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 | $8.7M
Facility
$8.7M
CA AVG
$17.0M
Rank
#303 / 355 | $5.1M
Facility
$5.1M
CA AVG
$7.0M
Rank
#269 / 355 | 58.1%
Facility
58.1%
CA AVG
45.2%
Rank
#29 / 355 | 56266 |
North Pointe Care Center is located in Fresno, California.
Here are the financial assistance programs available to residents in California.
North Pointe Care Center is in the East Bullard Avenue neighborhood.
North Pointe Care Center has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
North Pointe Care Center's occupancy is 88.8%.
North Pointe Care Center is registered as a for-profit.
Yes — there are 2 photos of North Pointe Care Center in the photo gallery on this page.
North Pointe Care Center is located at 668 E Bullard Ave, Fresno, CA 93710.
(916) 922-7177 will put you in contact with the team at North Pointe Care Center.
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