Nursing home
Orchard Post Acute
4840 E.Tulare Avenue, Fresno, CA 93727 · Map
For profit - Limited Liability company · Part of Pacs Group (264 facilities) · 99 certified beds
Orchard Post Acute is a Medicare-certified nursing home in Fresno, California. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.14 hours per resident per day, below the California average of 4.51. Its most recent inspection on May 20, 2025 cited 14 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Orchard Post Acute compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.14 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.20 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.73 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 52.1% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Orchard Post Acute
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · May 20, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · May 20, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 20, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4840 E.Tulare Avenue
Fresno, CA 93727 - CMS certification #
- 056225
- Ownership
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 92.2
- Provider type
- Medicare and Medicaid
- First certified
- 1970-10-07
- Chain
- Pacs Group (264 facilities)
- Setting
- Urban
Part of Pacs Group
Pacs Group operates 264 nursing facilities across the United States. View all Pacs Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Orchard Post Acute using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Orchard Post Acute says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24/7 Nursing Care
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 2.9 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Evergreen Care Center, Fresno. 0.6 miles away, straight line.
- Nearest home health agency office
- Ardent Home Health & Palliative Care, Fresno. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Fresno Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93727 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc Central Valley Home Therapy, Fresno, 1.8 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Fresno Airport East, Fresno, 1.8 miles away, straight line (CMS rating 4 of 5 stars)
Davita Ash Tree Dialysis, Fresno, 2.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 46 Medicare hospices tell CMS they serve ZIP code 93727.
Ardent Hospice Of Fresno, office in Fresno, 1.7 miles away, straight line
St Mary'S Hospice Services, Inc, office in Fresno, 3.4 miles away, straight line
One Good Hospice Inc, office in Clovis, 3.6 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 7.4 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 risk
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: relatively 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.
What we checked
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 |
|---|---|---|
| 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 | See above |
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Frequently asked questions
Is Orchard Post Acute a good nursing home?
CMS gives Orchard Post Acute an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Orchard Post Acute staffed?
Orchard Post Acute reports 4.14 total nurse hours per resident per day, compared with the California average of 4.51.
Has Orchard Post Acute had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Orchard Post Acute have?
Orchard Post Acute is certified for 99 beds.