Orchard Post Acute

Nursing Home · Fresno, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number056225

Contact & location

4840 E.Tulare Avenue
Fresno, CA 93727
Fresno County
Phone
(559) 251-7161
ZIP code
93727 – all care providers

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Facility details

Certified beds
99
Residents per day
91.2 (92% occupied)
Ownership
For profit - Limited Liability company
Legal name
Fresno Valley SNF, LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
October 7, 1970
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.98 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.30 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.18 (state 1.20 · U.S. 0.86)
Nurse aides
2.50 (state 2.65 · U.S. 2.32)
Weekend total
3.58 (state 4.09 · U.S. 3.42)
Nursing staff turnover
48.8 (state 36.7 · U.S. 45.8)%
RN turnover
20.0 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 20, 2025
Health deficiencies (last cycle)
16.0 (state 15.7 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
45 health · 23 fire safety
DateCitationSeverityStatus
2026-06-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0559 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-20 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-20 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-20 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-20 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 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
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-01-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-08
2024-12-11 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-03
2024-11-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-27
2024-07-26 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-09-24
2024-07-26 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 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.
F0550 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-24
2024-07-26 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-24
2024-07-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-24
2024-07-26 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0557 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0640 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-24
2023-09-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0623 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-08-25
2022-01-21 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17
2022-01-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-02-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Grossman, Stephen (individual)Contracted Managing Employee · NOT APPLICABLE
Apt, Frederick (individual)Corporate Officer · NOT APPLICABLE
Hancock, Mark (individual)Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)Corporate Officer · NOT APPLICABLE
Matiaco, Joshua (individual)Operational/managerial Control · NOT APPLICABLE
Matiaco, Joshua (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Orchard Post Acute?

Orchard Post Acute has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Orchard Post Acute have?

It has 99 certified beds and cares for about 91 residents per day.

Has Orchard Post Acute been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Orchard Post Acute?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Orchard Post Acute?

(559) 251-7161. The facility is located at 4840 E.Tulare Avenue, Fresno, CA 93727.

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Compare all nursing homes in Fresno, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.