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Memory Care Home

The Terraces at San Joaquin Gardens a CCRC

Memory Care Home

The Terraces at San Joaquin Gardens a CCRC

5555 N Fresno St, Fresno, CA 93710 View map
Overview of The Terraces at San Joaquin Gardens a Ccrc

The Terraces at San Joaquin Gardens has been a pioneer in making residents feel welcomed and comfortable for its independent living, assisted living, memory care, and skilled nursing residents. Seniors live a vibrant lifestyle where they can pursue individual goals and needs with additional support. The Terraces is a safe and secure continuing retirement community that ensures seniors and their families the best senior care.

The Terraces at San Joaquin Gardens maintain an active lifestyle for its residents to take advantage of– a dining experience that provides delicious meals created by an executive chef, wellness programs planned for those who want to stay active with social, intellectual, and cultural opportunities found in their yoga and dance classes. 

(559) 299-4391

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5
California average: 3.6/5
Health Inspection Info 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.
3/5
California average: 3.2/5
Staffing Info 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.
5/5
California average: 3.5/5
Quality Measures Info 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.
4/5
California average: 4.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 13m per day

This home provides 19% more nursing time per resident than the California average.

California average: 4h 23m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 652

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in California
Occupancy rate 101.5%
Residents per day (avg) 48
Occupancy rate
101.5%
Residents per day (avg)
48

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

65% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

35% of new residents, often for short stays.

Typical stay 2 years

Finances and operations

Voluntary non-profit community
Home revenue
$37.3M
Operating deficit
-$212.4K
Voluntary non-profit community
Home revenue
$37,315,525.00
Operating deficit
$-212,358.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.8M
31.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$25.7M
Total costs $37.5M
Bed community size
652-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
56%
23% lower than California average

California average: 73%

Occupied beds
366 / 652
Average residents 87 per day

License details

County: FRESNO

Additional licensing details

CMS Certification Number: 55846
Contact The Terraces at San Joaquin Gardens a CCRC

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

16 visits

California average: 16 visits

Breakdown by visit type

4 total complaint visits

12 other visits Info Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.

California average

13 total complaint visits

7 other visits

4 complaint investigations

Investigations can have many visits.

California average: 10 complaint investigations

3 official inspections

California average: 4 official inspections

3 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

California average: 10 citations

2 serious citations

A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.

California average: 3 serious citations

1 moderate citation

A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.

California average: 4 moderate citations

Health Inspection History

Inspections
Total health inspections 7

California average 12.5


Last Health inspection on Apr 2025

Total health citations 32

California average 50.2

Citations per inspection
4.57

California average 4.65


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

27 of 32 citations resulted from standard inspections; and 5 of 32 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 1
In line with California average

California average: 1

0 critical citations More info California average: 0.4

1 serious citation More info California average: 1

31 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 23, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Mar 21, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 21, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Mar 21, 2025
Corrected

Compare Memory Care around Fresno 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

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
400
-
57
101.5%
3
4
2
-
-
-
Westmont of Fresno
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

Fresno
155
A+
39
83.9%
4
42
10
6
WESTMONT MGR GP LLC,GP OF FRESNO OPS;WESTMONT LVNG
Studio / 1 Bed
Evergreen Court
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.

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Fresno
6
-
49
100.0%
2
2
9
2
EVERGREEN LIFE CARE HOMES INC.
Private Rooms
Chateau Jesadean
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.

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Fresno
6
-
37
83.3%
2
2
12
2
EVERGREEN LIFE CARE HOMES INC
Private Rooms
Northwest Villa
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

Fresno
6
-
43
100.0%
2
2
10
2
EVERGREEN LIFE CARE HOMES, INC.
Private Rooms

Places of interest near The Terraces at San Joaquin Gardens a CCRC

Address 7.9 miles from city center — 0.46 miles to nearest hospital (Fresno Surgical Hospital)

Address 5555 N Fresno St, Fresno, CA 93710

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 118
Employees 72
Contractors 46
Staff to resident ratio 2.36:1
2359900% better than California average

California average ratio: 0.00:1

Avg staff/day 42
Average shift 7.4 hours
0% compared with California average

California average: 7.7 hours

Total staff hours (quarter) 28,323
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

13.9%

3,942 contractor hours this quarter

Licensed Practical Nurse: 12 Certified Nursing Assistant: 11 Physical Therapy Assistant: 7 Speech Language Pathologist: 6 Respiratory Therapy Technician: 4 Physical Therapy Aide: 3 Qualified Social Worker: 3
Staff by category
Certified Nursing Assistant39115012,27391100%7.5
Licensed Practical Nurse1212244,61691100%8
Registered Nurse100103,10791100%8.3
Speech Language Pathologist0661,79291100%7.5
RN Director of Nursing3031,4207178%8.1
Dental Services Staff2029396470%8.5
Physical Therapy Aide0336697178%6.2
Clinical Nurse Specialist2025716875%6.2
Physical Therapy Assistant0775186673%6.9
Administrator1015126470%8
Dietitian1014846268%7.8
Nurse Practitioner1014485662%8
Other Dietary Services Staff1014466369%7.1
Respiratory Therapy Technician0444278593%2.9
Qualified Social Worker0331013842%2.5
50 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
6 Speech Language Pathologist
% of Days 100%
3 RN Director of Nursing
% of Days 78%
2 Dental Services Staff
% of Days 70%
3 Physical Therapy Aide
% of Days 78%
2 Clinical Nurse Specialist
% of Days 75%
7 Physical Therapy Assistant
% of Days 73%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 68%
1 Nurse Practitioner
% of Days 62%
1 Other Dietary Services Staff
% of Days 69%
4 Respiratory Therapy Technician
% of Days 93%
3 Qualified Social Worker
% of Days 42%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
50 residents
Residents by payment source
Medicare
28 residents (56%)
Medicaid
1 resident (2%)
Private pay or other
21 residents (42%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.3
70% worse than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.8
84% worse than California average

California average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.0%
53% worse than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.5%
112% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.0%
77% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.4%
45% worse than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
In line with California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.9%
64% worse than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.8%
52% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with California average

California average: 98.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
80% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
5% better than California average

California average: 93.2%

Guides for Better Senior Living

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Financial Aid for California Seniors

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

California CARES Program

CA CARES

Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

No strict limit; cost-sharing above ~$2,500/month threshold.

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

High demand in inland/coastal extremes; weatherization capped at $5,000/home.