Orchard Post Acute
Orchard Post Acute – Medicare Certified Since 1970
Orchard Post Acute is a Medicare and Medicaid certified skilled nursing facility located in Fresno, California. This facility has been serving the community for 56 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 99 certified beds with a current occupancy rate of 94% (averaging 93 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.21 hours of total nursing care per resident per day (2.7 hours from CNAs, 1.29 hours from LPNs, 0.22 hours from RNs). Physical therapy staffing is 0.06 hours per resident per day. This staffing level meets research-recommended quality thresholds.
Medicare Quality Ratings: According to CMS, Orchard Post Acute has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 3 stars, quality measures: 5 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Orchard Post Acute compares to 33 facilities in Fresno, CA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 33 facilities in Fresno, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 33 other nursing homes in Fresno, CA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in FRESNO
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Find Jobs Near MeReviews
I recently spent 26 days at Orchard Post Acute recovering from a serious surgery. The staff of nurses, nursing assistants and therapists were terrific. The facility was functional with the therapy gym outstanding. The food was surprisingly good. The atmosphere was friendly and caring. The one negative comment I have is in regard to the communication from the staff on matters of patient discharge. I was given two days to vacate by Medicare which was inadequate time to get needed medical equipment to my home. It was necessary to spend many hours following up with staff to make sure that equipment I needed was ordered. I was allowed to borrow some equipment from Orchard until the equipment I required was delivered to my home. I am grateful for that consideration.
Their website says they promote healing but how can anyone heal when patient are either room with another person or 3 other people in small tiny rooms? My parent was here for months and staff keeps losing clothing and blankets, even when labeled. Staff doesn't bathe my parent on schedule on a consistent basis and sometime we visit and notice odor and then tell staff to wash my parent before they do it. They've also lied they have given my parent a shower when they hadn't. Another staff outed them out to us. Also, my parent had to sit in his own feces in diapers for hours before they change it. I asked a staff and she said it was dinner time, they didn't have enough staff so they can't do much about it. It seems most of these patients don't have family that advocates for them, so they just take it. We visit often and sees too much unacceptable practices. Without family to advocate, patients are treated like a number. The only positive experience I had was with the skilled therapy department.
My experience as a student training here has been great! Staff are all super helpful and willing to teach students. The facility is well-kept and organized. It’s been a great environment so far!
My father had the pleasure of experiencing care at Orchard Post Acute, and I am thoroughly impressed with the quality of service provided. From the moment he walked in, my father and myself was struck by the impeccable cleanliness of the entire facility. Every area, from the patient rooms to the common spaces, is maintained with the highest standards of hygiene. Everyone, from the medical professionals to the support staff, is incredibly friendly and attentive. They go out of their way to make sure patients feel comfortable and well-cared for, always offering a warm smile and a kind word. It’s clear that they genuinely care about the well-being of their patients. My family and myself highly recommend Orchard Post Acute to anyone in need of post-acute care. The combination of a pristine environment and a compassionate team makes this facility exceptional.
My experience being at Orchard Post Acute for me was different I worked as a CNA so being the patient was hard but this place made me feel so welcome and the staff there were so good to me the social worker all the nursing staff CNA’s all the nurses and just all the people that worked there were super good to me even the kitchen staff,house keeper to everyone became my new friends and most of all the physical therapy was so good to me I had physical therapy everyday and I showed so much progress being there I was there from may 16 ,2024 to July 24 ,2024 Thank u so much for making a difference in my recovery
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