Assisted Living
Fresno Guest Home #7
2228 E. Los Altos Avenue, Fresno, CA 93710 · Map
Licensed for 6 residents · XENCARE, INC.
Fresno Guest Home #7 is a state-licensed assisted living community in Fresno, California. It is licensed for 6 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 6 residents
RESIDENTIAL CARE ELDERLY 107206641, licensed since Feb 27, 2013. Licensee XENCARE, INC..
Nearest emergency room
0.8 miles
Saint Agnes Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Fresno Guest Home #7 this community | 6 | Not published | Active | 0 Type A, 0 Type B | |
| Fresno Guest Home #22 | 0.0 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Fresno Guest Home #6 | 0.1 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Fresno Guest Home #34 | 0.1 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
| Fresno Guest Home #1 | 0.1 mi | 6 | Not published | Active | 0 Type A, 0 Type B |
State inspection record0 Type A, 0 Type B
- Last state visit
- February 10, 2026
- State visits since February 24, 2022
- 5 (including 5 inspections, 1 complaint investigated)
- Type A citations
- 0 immediate risk
- Type B citations
- 0 potential risk if not corrected
- Complaint allegations investigated
- 5: 0 substantiated, 5 not substantiated
- No citations at the last 5 inspections (February 2022 to February 2026)
- License active since 2013
Complaints with no substantiated allegation (1)
- February 11, 2025: 5 unfounded
Every state visit (6)
- February 10, 2026: Inspection
- February 5, 2025: Inspection
- February 5, 2025: Complaint visit
- February 6, 2024: Inspection
- September 6, 2023: Inspection
- February 24, 2022: Inspection
Read every report on the state’s site →
What these terms mean
Type A citations are for “the most serious type of violations in which there is an immediate risk to the health, safety or personal rights of those in care,” and are issued “even if the violation is corrected on the spot.”
Type B citations are for “a violation that, if not corrected, may [pose] an immediate risk to the health, safety or personal rights of clients,” such as faulty medical record keeping or staff training.
CCLD: “There is no difference between an inconclusive and an unsubstantiated complaint allegation. Both terms mean that there was no preponderance of evidence to prove that an alleged violation occurred.” Allegations CCLD finds unfounded are also not substantiated.
This community is licensed for 6 residents; larger communities are visited and complained about more often, so read counts with size in mind. Source: California Department of Social Services, Community Care Licensing, data as of September 28, 2026, covering the five years of records the state publishes. The state’s advice: “Never rely on this information alone to make a decision about a facility. Always visit facilities in person.”
License and ownershipActive license, licensee XENCARE, INC.
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 107206641
- License status
- Active
- Licensed since
- 2013-02-27
- Licensed capacity
- 6
- Licensee
- XENCARE, INC.
- County
- Fresno County
- Administrator
- George Kutnerian
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the California licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsOn the California list of Medicaid providers (2026)
On the California list of Medicaid providers. Listed as FRESNO GUEST HOME VII under Assisted Living Waiver (ALW). (state list, as of Mar 3, 2026)
Being on the list means the community has taken part in the program. Ask whether it has a Medicaid opening now, and how many residents it serves on Medicaid.
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Location and nearby careNearest hospital 0.8 mi, nursing home 0.6 mi, pharmacy 0.4 mi
- Nearest hospital with an emergency room
- Saint Agnes Medical Center, Fresno. 0.8 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Horizon Health & Subacute Center, Fresno. 0.6 miles away, straight line.
- Nearest home health agency office
- Interim Healthcare Of The Central Valley, Fresno. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Cedar Pharmacy & Medical Supplies. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93710 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Fresno North, Fresno, 0.9 miles away, straight line (CMS rating 5 of 5 stars)
Fmc Clovis, Clovis, 1.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Herndon Dialysis, Fresno, 1.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 30 Medicare hospices tell CMS they serve ZIP code 93710.
Saint Agnes Home Health & Hospice, office in Fresno, 0.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Aseracare Hospice, office in Fresno, 1.7 miles away, straight line
Hospice Of The Valley, office in Fresno, 1.7 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 1.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk very low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- Who is here at night? Are they awake, or asleep and on call?
- Who covers when the owner is sick, on vacation, or away for the day? Can we meet them?
- Is it one flat rate, or does it rise with care needs?
- Can you help someone who needs two people to move, or a mechanical lift?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | See above |
| California Medicaid provider list | Mar 3, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Fresno Guest Home #7 provide?
Fresno Guest Home #7 is licensed by the state of California for assisted living in Fresno, California. Its licensed capacity is 6 residents.
Does Lilisity rate Fresno Guest Home #7?
No. We publish state licensing details for Fresno Guest Home #7 but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Fresno Guest Home #7 cost?
Assisted Living in California typically starts at $3,800 to $6,100 a month. Based on 267 communities that publish prices. These are area figures, not this community's price. Fresno Guest Home #7 does not publish its prices.
How do I contact Fresno Guest Home #7?
Visit Fresno Guest Home #7 at 2228 E. Los Altos Avenue, Fresno, CA 93710.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid