ORCHARD POST ACUTE

4840 E.TULARE AVENUE, FRESNO, CA 93727 · CCN 056225 · 99 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

3.80

state median 3.94

Weekend staffing gap

−9%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.23

registered nurses only

Contract (agency) staff

1%

share of all nursing hours

Nursing staff turnover

49%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company. Part of the PACS GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 44

Survey dateTagCategorySeverityCorrected
2026-04-30F0689Quality of Life and Care DeficienciesDnot recorded
2025-11-19F0812Nutrition and Dietary DeficienciesDnot recorded
2025-05-20F0559Resident Rights DeficienciesDnot recorded
2025-05-20F0582Resident Rights DeficienciesDnot recorded
2025-05-20F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-20F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-20F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-20F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-20F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-05-20F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-05-20F0689Quality of Life and Care DeficienciesEnot recorded
2025-05-20F0725Nursing and Physician Services DeficienciesEnot recorded
2025-05-20F0761Pharmacy Service DeficienciesEnot recorded
2025-05-20F0812Nutrition and Dietary DeficienciesFnot recorded
2025-05-20F0880Infection Control DeficienciesEnot recorded
2025-01-08F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-11F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-05F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-26F0550Resident Rights DeficienciesEnot recorded
2024-07-26F0552Resident Rights DeficienciesDnot recorded
2024-07-26F0557Resident Rights DeficienciesDnot recorded
2024-07-26F0584Resident Rights DeficienciesDnot recorded
2024-07-26F0640Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-26F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-26F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-26F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-26F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-26F0658Resident Assessment and Care Planning DeficienciesFnot recorded
2024-07-26F0761Pharmacy Service DeficienciesFnot recorded
2024-07-26F0806Nutrition and Dietary DeficienciesDnot recorded
2024-07-26F0812Nutrition and Dietary DeficienciesFnot recorded
2024-07-26F0814Nutrition and Dietary DeficienciesFnot recorded
2024-07-26F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-26F0880Infection Control DeficienciesEnot recorded
2023-09-27F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-08-14F0623Resident Rights DeficienciesDnot recorded
2022-01-21F0584Resident Rights DeficienciesEnot recorded
2022-01-21F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2022-01-21F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2022-01-21F0689Quality of Life and Care DeficienciesDnot recorded
2022-01-21F0695Quality of Life and Care DeficienciesEnot recorded
2022-01-21F0758Pharmacy Service DeficienciesDnot recorded
2022-01-21F0803Nutrition and Dietary DeficienciesEnot recorded
2022-01-21F0812Nutrition and Dietary DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ORCHARD POST ACUTE, FRESNO” at medicare.gov/care-compare.