Nursing homes › California › Fresno › Orchard Post Acute
4840 E.Tulare Avenue, Fresno, CA 93727 · (559) 251-7161 · 99 certified beds
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Open your comparisonCMS overall star rating: this provider 3/5; median among 1,154 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Pacs Group, a group operating 274 facilities in 16 states. Group record: average rating 2.9/5, 28 abuse citation icons, 12 facilities on the Special Focus list, $8,781,073 in federal fines. This facility rates above its group average (2.9/5).
Total nurse staffing: 3.98 (California median: 4.24). RN hours: 0.30. Weekend total: 3.58. Nursing staff turnover: 49%.
In the downloaded CMS dataset: 45 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-09 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-06-10 |
| 2026-04-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-22 |
| 2025-11-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2025-12-12 |
| 2025-05-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-10 |
| 2025-05-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-06-10 |
| 2025-05-20 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-06-10 |
| 2025-05-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-06-10 |
| 2025-05-20 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-06-10 |
| 2025-05-20 | 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. | E | Health | corrected 2025-06-10 |
| 2025-05-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-06-10 |
| 2025-05-20 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Health | corrected 2025-06-10 |
| 2025-05-20 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-06-10 |
| 2025-05-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-10 |
| 2025-05-20 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-06-10 |
| 2025-05-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-06-10 |
| 2025-05-20 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-06-10 |
| 2025-01-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-02-08 |
| 2024-12-11 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-01-03 |
| 2024-11-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-11-27 |
| 2024-07-26 | Ensure services provided by the nursing facility meet professional standards of quality. | F | complaint | corrected 2024-09-24 |
| 2024-07-26 | 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. | F | complaint | corrected 2024-09-24 |
| 2024-07-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-09-24 |
| 2024-07-26 | Dispose of garbage and refuse properly. | F | complaint | corrected 2024-09-24 |
| 2024-07-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-09-24 |
| 2024-07-26 | Ensure each resident receives an accurate assessment. | E | complaint | corrected 2024-09-24 |
| 2024-07-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | complaint | corrected 2024-09-24 |
| 2024-07-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-09-24 |
| 2024-07-26 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-09-24 |
| 2024-07-26 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2024-09-24 |
| 2024-07-26 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2024-09-24 |
| 2024-07-26 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | complaint | corrected 2024-09-24 |
| 2024-07-26 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | complaint | corrected 2024-09-24 |
| 2024-07-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-09-24 |
| 2024-07-26 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2024-09-24 |
| 2024-07-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-09-24 |
| 2023-09-27 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2023-09-22 |
| 2023-08-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2023-08-25 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 06/06/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MATIACO, JOSHUA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/09/2021 |
How to cite this page: CareRecords, “Orchard Post Acute — compliance, penalty and ownership record” (CCN 056225), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/orchard-post-acute-fresno-ca/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056225. Corrections: data@carerecords.org.