Assisted Living
Nazareth House
2121 North First Street, Fresno, CA 93703 · Map
Licensed for 110 residents · POOR SISTERS OF THE NAZARETH
Nazareth House is a state-licensed assisted living community in Fresno, California. It is licensed for 110 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, 110 residents
RESIDENTIAL CARE ELDERLY 100400448, licensed since Jun 6, 1975. Licensee POOR SISTERS OF THE NAZARETH.
Nearest emergency room
2.0 miles
Community Regional Medical Center, rated 1 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 |
|---|---|---|---|---|---|
| Nazareth House this community | 110 | Not published | Active | 4 Type A, 5 Type B | |
| Legacy Adult Care | 0.7 mi | 6 | Not published | Active | 4 Type A, 3 Type B |
| Royal Board and Care for Elderly | 1.0 mi | 6 | Not published | Active | 6 Type A, 4 Type B |
| Bk House of Grace | 1.2 mi | 6 | Not published | Active | 16 Type A, 6 Type B |
| William's Residential Care for the Elderly | 1.4 mi | 3 | Not published | Active | 1 Type A, 2 Type B |
State inspection record4 Type A, 5 Type B
- Last state visit
- September 14, 2026
- State visits since September 15, 2021
- 13 (including 5 inspections, 2 complaints investigated)
- Type A citations
- 4 immediate risk
- Type B citations
- 5 potential risk if not corrected
- Complaint allegations investigated
- 6: 1 substantiated, 5 not substantiated
- License active since 1975
Citations (9), newest first
- 87465(a)(4) (plan of correction due July 29, 2026): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87555(b)(23) (plan of correction due July 10, 2026): General Food Service Requirements. Meal service rules, such as at least three meals a day, snacks between meals, a suitable dining area, varied menus and planned menus in larger communities.
- 87411(c)(1) (plan of correction due July 3, 2026): Personnel Requirements - General. Staff who help residents with personal daily activities must receive initial and yearly training, including first aid.
- 87309(a) (plan of correction due June 13, 2024): Storage Space and Access. Rules for safely storing cleaning products, poisons, sharp objects, alcohol and other items that could harm residents.
- 87465(a)(4) (plan of correction due April 24, 2024): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
Show all 8
- 87468.1(a)(3) (plan of correction due August 15, 2023): Personal Rights of Residents in All Facilities. Lists the basic rights of every resident, including dignity, safe and comfortable accommodations, and freedom from punishment, humiliation and abuse.
- 87411(f) (plan of correction due August 15, 2023): Personnel Requirements - General. All staff must be in good health, with a health screening that includes a chest x-ray or skin test, and anyone whose illness threatens residents must be taken off duty.
- 87458(b)(1) (plan of correction due August 15, 2023): Medical Assessment. Requirements for a medical assessment by a licensed medical professional before a resident moves in.
Show all citations (1 more)
- 87303(e)(2) (plan of correction due July 20, 2023): Maintenance and Operation. Rules for keeping the building clean, safe and in good repair, including room temperature, lighting, water, waste, laundry, emergency lighting and call signal systems.
Plain meanings are our short reading of the rule cited, from the state’s regulation text. The state’s report says what happened.
Complaints with substantiated allegations (date the finding was approved)
- August 10, 2026: 1 substantiated, 1 Type A citation
Complaints with no substantiated allegation (1)
- February 7, 2023: 5 unfounded
Every state visit (15)
- July 28, 2026: Complaint visit
- June 27, 2026: Inspection
- May 1, 2025: Inspection
- June 12, 2024: Other visit
- May 15, 2024: Inspection
Show all 13
- April 23, 2024: Other visit
- December 27, 2023: Other visit (2)
- August 1, 2023: Other visit (2)
- July 19, 2023: Inspection
- February 22, 2023: Other visit
- September 30, 2022: Complaint visit
- July 19, 2022: Inspection
- September 15, 2021: Other visit
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 110 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 POOR SISTERS OF THE NAZARETH
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 100400448
- License status
- Active
- Licensed since
- 1975-06-06
- Licensed capacity
- 110
- Licensee
- POOR SISTERS OF THE NAZARETH
- County
- Fresno County
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.
Paying with Medicaid and other programsHow Medicaid pays for care in California, and other programs
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)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 2.0 mi, nursing home 0.7 mi, pharmacy 1.3 mi
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 2.0 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Community Subacute and Transitional Care Center, Fresno. 0.7 miles away, straight line.
- Nearest home health agency office
- St Mary'S Home Health Services, Inc, Fresno. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93703 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- San Joaquin Valley Dialysis, Fresno, 1.0 mile away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Community Dialysis Center, Fresno, 1.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Ash Tree Dialysis, Fresno, 2.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 33 Medicare hospices tell CMS they serve ZIP code 93703.
St Mary'S Hospice Services, Inc, office in Fresno, 0.7 miles away, straight line
Ardent Hospice Of Fresno, office in Fresno, 2.3 miles away, straight line
Oyuna Hospice, Inc, office in Fresno, 2.8 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 5.0 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 relatively 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively moderate, 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.
- The state recorded a finding in August 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- 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?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 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 | Not on the state list we checked. These lists are often incomplete. |
| 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 |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Nazareth House provide?
Nazareth House is licensed by the state of California for assisted living in Fresno, California. Its licensed capacity is 110 residents.
Does Lilisity rate Nazareth House?
No. We publish state licensing details for Nazareth House 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 Nazareth House 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. Nazareth House does not publish its prices.
How do I contact Nazareth House?
Use Nazareth House's website, sistersofnazareth.com/service/nazareth-house-fresno, or visit at 2121 North First Street, Fresno, CA 93703.
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