Twilight Haven
Nursing Home & Assisted Living · Fresno, CA

Twilight Haven

Nursing Home & Assisted Living · Fresno, CA
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Twilight Haven accepts Medicare, Medicaid, and private pay.

Overview of Twilight Haven

Twilight Haven has been a senior living home that provides a graceful living for independent living, assisted living, memory care, and skilled nursing residents since 1957. They follow a philosophy that encourages and empowers its residents to maintain their independence and individuality. Residents of all kinds of living options receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. 
Twilight Haven prioritizes wellness, comfort, and convenience for its residents. They offer 24-hour skilled nursing care services with speech, occupational, and physical therapy; ADLs, planned activities, recreational programs; and housekeeping, transportation, and religious services. 

Capacity and availability

Avg. Length of Stay
156 days
Bed community size
166-bed community Rank #270 / 1657Bed count — State benchmarkedThis home is ranked 270th out of 1657 homes in California. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 2 / 100 Rank #2044 / 2092Walk Score — State benchmarkedThis home is ranked 2044th out of 2092 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

Additional Services

1 service
Senior Housing

Amenities & Lifestyle

Specific ProgramsAffordable Senior Housing, Enhanced Quality of Life, Comprehensive Aging and Senior Resources

Contact Twilight Haven

Penalties and fines

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.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 9 - 10 months

Private pay

35% of new residents, often for short stays.

Typical stay 1 years

Medicaid

30% of new residents, often for long-term daily care.

Typical stay 1 - 2 months

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2022.

Nonprofit
Net patient revenue Info 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."
$6.3M
Net patient income Info 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."
-$2.0M
Nonprofit
Net patient revenue Info 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."
$6.3M Rank #325 / 355Revenue — State benchmarkedThis home is ranked 325th out of 355 homes in California. Shows this facility's annual revenue compared to the California average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$2.0M
Other income Info 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.
$47.0K
Payroll costs Info 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 #278 / 355Payroll — State benchmarkedThis home is ranked 278th 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.
$4.8M 75.9% of net patient revenue Info 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 #6 / 355Payroll % — State benchmarkedThis home is ranked 6th 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.
Other operating costs Info 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).
$3.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.3M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under Medicare (35% of admissions), and a typical Medicare stay runs around 9 - 10 months.

Admissions
100 total

Coverage residents most often arrive under.

Medicare 35%
Private pay 35%
Medicaid 30%
Discharges
92 total

Coverage residents most often leave under.

Medicare 30%
Private pay 30%
Medicaid 41%

Compare Nursing Homes around Fresno

The information below is reported by the California Department of Social Services and Department of Public Health.

5 facilities compared · CMS & CA Dept. of Health data

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
1373A+
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
246A+
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
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
2111-
69
Facility 69
CA AVG 57
Rank #768 / 2092
Central California Nikkei Foundation
$24.9M
Facility $24.9M
CA AVG $17.0M
Rank #101 / 355
$11.9M
Facility $11.9M
CA AVG $7.0M
Rank #53 / 355
48%
Facility 48%
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
2153-
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
Twilight Haven -
NH
AL
Fresno
166
Facility 166
CA AVG 103
Rank #270 / 1657
---------------
2
Facility 2
CA AVG 57
Rank #2044 / 2092
Raymond Goertzen
$6.3M
Facility $6.3M
CA AVG $17.0M
Rank #325 / 355
$4.8M
Facility $4.8M
CA AVG $7.0M
Rank #278 / 355
75.9%
Facility 75.9%
CA AVG 45.2%
Rank #6 / 355
55658

Financial Assistance for
Nursing Home in California

Twilight Haven is located in Fresno, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

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

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

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

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Frequently Asked Questions about Twilight Haven

Is Twilight Haven in a walkable area?

Twilight Haven has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Twilight Haven?

Twilight Haven's occupancy is 0.0%.

Does Twilight Haven operate as a for-profit or non-profit?

Twilight Haven is registered as a non-profit.

Are there photos of Twilight Haven?

Yes — there are 5 photos of Twilight Haven in the photo gallery on this page.

What is the phone number of Twilight Haven?

(610) 927-1466 will put you in contact with the team at Twilight Haven.

Is Twilight Haven Medicare or Medicaid certified?

Yes — Twilight Haven is a CMS-certified provider of Medicare and Medicaid.

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