Orchard Post Acute
Orchard Post Acute is a 3-star rated nursing home in Fresno, CA with 99 beds. CMS sub-ratings: health inspections 2/5, staffing 2/5, quality measures 5/5.
The facility has 43 health violations on record. Federal fines total $55,560 across 6 enforcement actions. Most recent inspection: January 8, 2025.
Data synthesized from CMS.gov and California public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Our Coverage of Orchard Post Acute
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
2022 1 penalties totaling $1,657
Fine
2021 4 penalties totaling $32,510
Fine
Fine
Fine
Fine
2019 1 penalties totaling $21,393
Fine
Health Violations by Year
2025 1 violations
Ensure services provided by the nursing facility meet professional standards of quality.
2023 2 violations
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure that residents are fully informed and understand their health status, care and treatments.
2022 8 violations
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2020 1 violations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2019 25 violations
Plan the resident's discharge to meet the resident's goals and needs.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Keep residents' personal and medical records private and confidential.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Assist a resident in gaining access to vision and hearing services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Ensure that residents are free from significant medication errors.
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.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2018 2 violations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
2017 4 violations
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Allow residents to easily view the results of the nursing home's most recent inspection.
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Frequently Asked Questions About Orchard Post Acute
- What violations has Orchard Post Acute received?
- Orchard Post Acute has 43 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of Orchard Post Acute?
- Orchard Post Acute has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
- When was Orchard Post Acute last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is Orchard Post Acute safe?
- Safety at Orchard Post Acute should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact Orchard Post Acute?
- Phone: (559) 251-7161. Address: 4840 E.tulare Avenue, Fresno, CA. For visiting hours and admission information, call the facility directly.
- What services does Orchard Post Acute offer?
- Orchard Post Acute is a skilled nursing facility with 99 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Fresno, CA?
- Compare Orchard Post Acute with other nursing homes in Fresno, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Fresno, CA
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| Orchard Post Acute (this facility) | ★★★☆☆ | 43 | 99 |
| California Home For The Aged | ★★★★★ | 82 | 120 |
| Community Subacute And Transitional Care Center | ★★★★★ | 70 | 106 |
| Dycora Transitional Health Memory Care Of Fresno | ★★★★★ | 0 | 59 |
| North Point Healthcare & Wellness Centre Lp | ★★★★★ | 69 | 99 |
| Oakwood Gardens Care Center | ★★★★★ | 0 | 104 |
| Oakwood Gardens Care Center | ★★★★★ | 55 | 103 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
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