10 Independent Nursing Homes in Fresno County, California
10 of the 31 Medicare-certified nursing homes in Fresno County, California (32%) are independently owned, and all are listed below. 5 of the 10 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 34.5%, 6.6 points lower than the 41.1% across all homes there. Veterans Home Of California - Fresno in Fresno grades highest at A (99 out of 100).
How independently owned homes in Fresno County, California compare
This group set against every nursing home in Fresno County, California, from the current CMS release.
The Fresno Veterans Home is state-run and staffed at 6.03 nurse hours per resident day, roughly 56% above the national average of 3.86. Weekend coverage dips about 12% below its own weekday levels, so ask how that plays out on a Sunday. Staff turnover sits at 28.3% against a national average near 46%, which matters for whether you see the same faces month to month. The record shows 29 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated January 30, 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.
Community Subacute and Transitional Care Center runs on 9.19 nurse hours per resident day, roughly two and a half times the national figure, and its weekend coverage dips only about 17% below weekdays, a smaller drop than many homes see. Staff turnover sits at 21.7%, less than half the national rate, which matters because consistent caregivers know their residents. The 13 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in February 2026. For a 106-bed nonprofit in Fresno, the numbers describe steady, well-attended care rather than any single standout statistic.
Palm Village is church-affiliated and nonprofit, and its 120 beds are staffed at 4.05 nurse hours per resident day, roughly 5% above the national average. Weekend coverage slips about 6% below its own weekday level, and turnover sits at 32.6%, well under the 45.8% national figure. The catch is the inspection record: 33 deficiencies, including one at the harm or jeopardy level and one abuse-related, with a 2/5 health inspection star. That's a lot of citations for a home this size. Quality measures score 5/5, but those come largely from resident assessments the home reports itself. The most recent inspection was July 2025, so the record is current.
California Home For The Aged has one of those rare staffing pictures where nothing looks thin. At 4.24 nurse hours per resident day, it runs about 10% above the national average, and weekend coverage barely dips, roughly 5% off its own weekday level, which is small compared to most homes. Turnover sits at 33.9%, well under the 45.8% national figure, and a non-profit owner tends to hold staff longer. The catch is the inspection record: 35 deficiencies, including one at harm or jeopardy level and one abuse-related, though the most recent inspection was March 2025, so that count may not reflect current conditions.
Manning Gardens runs on a relatively lean corporate ownership structure, but the numbers that matter most here are the people on the floor. Nurse staffing sits at 4.61 hours per resident day, about 19% above the national average, and the staff retention is unusually steady, 26.7% turnover against a national 45.8% means caregivers tend to stay. Weekend coverage dips roughly 11% below weekday levels, which is worth asking about if your family visits or needs help on Saturdays and Sundays.
The inspection record is the tradeoff: 40 deficiencies on file, two of them serious enough to reach harm or jeopardy level, though none involve abuse. A single $12,000 fine and an inspection as recent as December 2025 suggest the state is watching closely.
Grace Healthcare Center runs a hundred and one beds in Fresno under a for-profit limited liability owner, and the staffing numbers are the strongest thing it has going: 4.39 nurse hours per resident day, roughly 14 percent above the national average. That edge thins on weekends, when hours drop about 12 percent below the home's own weekday level, and turnover sits at 45.7 percent, essentially the national rate, neither better nor worse. The trouble is everything else. Seventy deficiencies sit on the current record, including four tied to abuse and one serious enough to reach harm or jeopardy, with five fines totaling $32,110. Inspectors last visited in March 2026.
Bethel Lutheran Home runs 3.81 nurse hours per resident day, just under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin margin matters more when turnover sits at 52.5% against a national 45.8%, more than half the nursing staff turning over in a year makes consistent weekend coverage hard to hold. The 41 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was December 2025, so the record is current. This is a small nonprofit home with no serious safety findings, but staffing and quality measures both score low, and the turnover number is the one to ask about directly.
Sierra View Homes in Reedley is a 59-bed nonprofit, and its last state inspection was in February 2026, so the record is current. What that record shows is 29 deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The bigger issue is staffing: 0.59 nurse hours per resident day against a national average of 3.86, with weekends running about 15% below its own weekday numbers. That's the thinnest coverage in the building when families tend to visit and when problems often surface. Inspection and quality measures both land mid-range, but the staffing figure is the one to press on before deciding.
Coalinga Regional Medical Center's skilled nursing unit runs 99 beds under for-profit LLC ownership, and the federal numbers show strain on multiple fronts. Staffing is the weakest area, CMS gives it one star out of five, well below what you'd want for a resident needing daily help. The inspection record carries 40 deficiencies, including four that caused actual harm or put residents in immediate jeopardy and two tied to abuse. That's a serious pattern, not a paperwork problem. The most recent inspection was April 10, 2025, so the findings are current, not stale. Quality measures also sit at two stars. If you're considering this home, ask directly what changed after those harm-level citations and how they're staffing the floor now.
Healthcare Centre Of Fresno runs 155 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so the thinnest shifts land when families often visit.
The inspection record is where the real weight sits: 47 deficiencies, three at harm or jeopardy level, one tied to abuse, and $88,049 in fines across three events. A 2/5 inspection rating against a 4/5 quality measure score tells you the day-to-day care metrics look better than what surveyors actually found on the ground. The most recent inspection was May 2026.
Frequently asked questions
How many independently owned nursing homes are there in Fresno County, California?
There are 10 independently owned Medicare-certified nursing homes in Fresno County, California, 32% of the 31 nursing homes there.
Are independently owned nursing homes better staffed?
In Fresno County, California they average 4.52 total nursing hours per resident per day, against 4.26 for all nursing homes in Fresno County, California, a difference of +0.26 hours. Staff turnover averages 34.5% against 41.1%.
Which independently owned nursing home grades best in Fresno County, California?