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Twilight Haven
Nursing Home, Assisted Living & Skilled Nursing · Fresno, CA
Exterior view of a senior living facility with gardens Staff member posing in front of a bookshelf An elderly man standing in a library setting A man in a suit standing in front of a bookshelf

Twilight Haven

Nursing Home, Assisted Living & Skilled Nursing · Fresno, CA
1717 S Winery Ave, Fresno, CA 93727 View map Calculator: See prices in your area
Twilight Haven accepts Medicare, Medicaid, and private pay.
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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. 

Facility Direct Line (610) 927-1466
Facility Direct Line (610) 927-1466 williamsb@twilighthaven.com
By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 166 Rank #79 / 328Bed count — State benchmarkedThis home is ranked 79th out of 328 homes we track in California for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #350 / 354Walk Score — State benchmarkedThis home is ranked 350th out of 354 homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
2 / 100
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
156 days

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 the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.

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
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
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.
$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.
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
How we calculate these figures

This home is owned by Raymond Goertzen

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 55658

Show certification details

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%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Twilight Haven

Address 3.2 miles from city center Info Estimated distance in miles from Fresno's city center to Twilight Haven's address, calculated via Google Maps.

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Compare Nursing Homes around Fresno

Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Terraces at San Joaquin Gardens a CCRC ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Fresno
652
Facility 652
CA AVG 148
Rank #8 / 328
57.2%
Facility 57.2%
CA AVG 82.5%
Rank #258 / 289
-31%
5.44
Facility 5.44
CA AVG 4.22
Rank #21 / 289
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +27%+29%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
31
Facility 31
CA AVG 50.2
Rank #107 / 291
5.2
Facility 5.2
CA AVG 4.6
Rank #180 / 291
1373A+
57
Facility 57
CA AVG 60
Rank #218 / 354
Humangood & Humangood Norcal & Humangood Fresno
$33.9MFiscal year ending 12/2023
Facility $33.9MFiscal year ending 12/2023
CA AVG $15.7M
Rank #11 / 260
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
CA AVG $8.9M
Rank #32 / 260
40.2%Fiscal year ending 12/2023
Facility 40.2%Fiscal year ending 12/2023
CA AVG 61.1%
Rank #250 / 260
55846
North Pointe Care Center ★ ★ ★ ★ ★
NH
MC
RC
SNF
Fresno
99
Facility 99
CA AVG 148
Rank #162 / 328
92.3%
Facility 92.3%
CA AVG 82.5%
Rank #96 / 289
+12%
3.49
Facility 3.49
CA AVG 4.22
Rank #257 / 289
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ +19%-17%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
20
Facility 20
CA AVG 50.2
Rank #37 / 291
5.0
Facility 5.0
CA AVG 4.6
Rank #157 / 291
-91-
80
Facility 80
CA AVG 60
Rank #74 / 354
North Point Wellness Gp LLC$11.0M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$6.5M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.58.7%*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.555179
Evergreen Life Care Homes ★ ★ ★ ☆ ☆
NH
HOS
MC
RC
SNF
Fresno (Roosevelt)
49
Facility 49
CA AVG 148
Rank #289 / 328
94.5%
Facility 94.5%
CA AVG 82.5%
Rank #66 / 289
+15%
3.42
Facility 3.42
CA AVG 4.22
Rank #267 / 289
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -27%-19%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
35
Facility 35
CA AVG 50.2
Rank #115 / 291
2.7
Facility 2.7
CA AVG 4.6
Rank #53 / 291
246A+
37
Facility 37
CA AVG 60
Rank #290 / 354
Evergreen Care Center Holdings LLC
$8.6MFiscal year ending 12/2023
Facility $8.6MFiscal year ending 12/2023
CA AVG $15.7M
Rank #225 / 260
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
CA AVG $8.9M
Rank #256 / 260
32.6%Fiscal year ending 12/2023
Facility 32.6%Fiscal year ending 12/2023
CA AVG 61.1%
Rank #258 / 260
555920
Horizon Health & Subacute Center ★ ★ ☆ ☆ ☆
NH
SNF
Fresno
180
Facility 180
CA AVG 148
Rank #67 / 328
85.8%
Facility 85.8%
CA AVG 82.5%
Rank #170 / 289
+4%
4.45
Facility 4.45
CA AVG 4.22
Rank #88 / 289
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -29%+6%
$22.9k
Facility $22.9k
CA AVG $56.5k
Rank #222 / 294
45
Facility 45
CA AVG 50.2
Rank #157 / 291
3.2
Facility 3.2
CA AVG 4.6
Rank #64 / 291
2155-
58
Facility 58
CA AVG 60
Rank #215 / 354
Chad Galley$17.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$10.3M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.60%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.55199
Twilight Haven -
NH
AL
SNF
Fresno
166
Facility 166
CA AVG 148
Rank #79 / 328
--------------
2
Facility 2
CA AVG 60
Rank #350 / 354
Raymond Goertzen$6.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.75.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.55658

Rank badges are statewide: each nursing home is ranked against every CA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Nursing Home Explorer

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.

Are pets allowed at Twilight Haven?

No, Twilight Haven has a no-pet policy.

How many beds does Twilight Haven have?

Twilight Haven has 166 beds.

Are there photos of Twilight Haven?

Yes — there are 4 photos of Twilight Haven in the photo gallery on this page.

What levels of care does Twilight Haven provide?

Twilight Haven offers Senior Housing, Assisted Living, and Skilled Nursing.

What is the address of Twilight Haven?

Twilight Haven is located at 1717 S Winery Ave, Fresno, CA 93727.

What is the phone number of Twilight Haven?

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

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