| Orchard Post Acute | |
| 4840 E.tulare Avenue, Fresno, California 93727 | |
| (559) 251-7161 | |
| Name | Orchard Post Acute |
|---|---|
| Location | 4840 E.tulare Avenue, Fresno, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 99 |
| Occupancy Rate | 92.12% |
| Medicare ID (CCN) | 056225 |
| Legal Business Name | Fresno Valley SNF, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1417503905 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fresno Valley SNF, LLC |
| Doing Business As | Orchard Post Acute |
| Address | 4840 E Tulare Ave, Fresno, CA 93727 |
| Phone Number | 559-251-7161 |
| NPI Number | 1508854795 |
| Match | Possible same name, address or phone number |
| Organization Name | Valley Healthcare Center, LLC |
| Doing Business As | Valley Healthcare Center |
| Address | 4840 E Tulare Ave, Fresno, CA 93727 |
| Phone Number | 559-251-7161 |
| NPI Number | 1538277801 |
| Match | Possible same name, address or phone number |
| Organization Name | Valley Healthcare Center, LLC |
| Address | 4840 E Tulare Ave, Fresno, CA 93727 |
| Phone Number | 559-251-7161 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.98 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.3 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.18 | 0.86 |
| Nurse aide hours per resident per day | 2.5 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.58 | 3.42 |
| RN hours per resident per day on the weekend | 0.23 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 48.8% | 45.8% |
| Registered nurse turnover | 20% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 10, 2026 |
| Apr 30, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2026 |
| Nov 19, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| May 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 10, 2025 |
| May 20, 2025 | 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, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2025 |
| May 20, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2025 |
| May 20, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2025 |
| May 20, 2025 | 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, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2025 |
| May 20, 2025 | 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, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2025 |
| May 20, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2025 |
| May 20, 2025 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2025 |
| May 20, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2025 |
| May 20, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 10, 2025 |
| May 20, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2025 |
| May 20, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2025 |
| May 20, 2025 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2025 |
| Jan 8, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 8, 2025 |
| Dec 11, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 3, 2025 |
| Nov 5, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 27, 2024 |
| Jul 26, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | 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, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | 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, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | 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, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 24, 2024 |
| Jul 26, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Sep 24, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.85 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.57 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.94 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.94 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.75 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.48 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.39 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.72 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.85 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.05 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.85 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.4 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4 | 15.38 |
California Home for the Aged Location: 6720 E. Kings Canyon, Fresno, California 93727 Phone: (559) 251-8414 |
Community Subacute and Transitional Care Center Location: 3003 N Mariposa, Fresno, California 93703 Phone: (559) 459-1711 |
Covenant Post Acute Location: 3408 East Shields Avenue, Fresno, California 93726 Phone: (559) 227-4063 |
Evergreen Care Center Location: 5265 East Huntington Avenue, Fresno, California 93727 Phone: (559) 251-8244 |
Foundation Skilled Nursing Location: 925 North Cornelia, Fresno, California 93706 Phone: (559) 275-4785 |