31 Nursing Homes That Accept Medicaid in Fresno County, California

Nurse hours

5.13 /day

Staff turnover

30%

Serious cites

0

The Terraces at San Joaquin Gardens Village runs a strong staffing operation, 5.13 nurse hours per resident day, about a third above the national average, with a 5/5 CMS staffing star. Weekend coverage dips roughly 13% below weekday levels, and turnover sits at 30.3%, well under the 45.8% national figure. Quality measures score 5/5, though the 3/5 health inspection rating reflects 31 deficiencies on record, one serious enough to reach harm or jeopardy level; no abuse citations appear. This nonprofit's last inspection was March 21, 2025, so the record is current. The staffing and quality numbers are the real story here.

Nurse hours

6.03 /day

Staff turnover

28%

Serious cites

0

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.

Nurse hours

9.19 /day

Staff turnover

22%

Serious cites

0

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.

Nurse hours

4.05 /day

Staff turnover

33%

Serious cites

0

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.

Nurse hours

4.24 /day

Staff turnover

34%

Serious cites

0

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.

Nurse hours

4.61 /day

Staff turnover

27%

Serious cites

0

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.

Nurse hours

3.86 /day

Staff turnover

25%

Serious cites

0

Kingsburg Center runs 86 certified beds under for-profit LLC ownership, and its nurse staffing sits right at the national average, 3.86 hours per resident day, with weekends about 6% thinner than weekdays. What stands out is retention: 24.7% annual turnover against a 45.8% national average, meaning aides and nurses here tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 47 deficiencies on the current record, two serious enough to involve harm or jeopardy, though none abuse-related. The last survey was October 2024. Quality measures score well at 4/5, so day-to-day care metrics look better than the paper trail from regulators.

Nurse hours

3.85 /day

Staff turnover

36%

Serious cites

0

Vineyard Care Center runs 56 beds in Reedley under for-profit LLC ownership. Its overall nurse staffing sits at 3.85 hours per resident day, basically level with the national average of 3.86, though weekends dip about 10% below its own weekday coverage. Turnover is 35.7%, which is actually better than the national 45.8%, staff here tend to stick around more than at the typical home. Where the picture darkens is the inspection record: 40 deficiencies, including one at harm or jeopardy level and one tied to abuse, with the most recent inspection in February 2025. The quality measure score is strong, but staffing and health inspection ratings come in lower, and that gap is worth asking about directly.

Nurse hours

4.41 /day

Staff turnover

35%

Serious cites

0

Sierra Vista Healthcare runs 99 certified beds in Fresno under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.41 nurse hours per resident day against a national average of 3.86, with turnover at 34.7% compared to 45.8% nationally. Weekend coverage dips only about 6% below weekdays, which is a smaller drop than many homes show. What pulls the record down is the inspection history, 53 deficiencies on file, three of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and a $12,048 fine. A 3-out-of-5 inspection rating reflects that pattern. The most recent visit was January 9, 2026, so the findings are recent, not stale. Strong staffing, a troubled survey record.

Nurse hours

4.01 /day

Staff turnover

52%

Serious cites

0

Oakwood Gardens runs 4.01 nurse hours per resident day, which puts it a bit above the national average of 3.86, but look at weekends, when staffing drops roughly 7% below its own weekday level. That's when families tend to visit and when problems surface. The turnover number is the one I'd ask about directly: 51.7% of staff leaving in a year, against a national average of 45.8%. Inspections look solid, a 4-star health inspection rating, no deficiencies at the harm level, and the most recent visit was January 2025. The one abuse-related citation on the record is worth asking about specifically.

Nurse hours

4.06 /day

Staff turnover

36%

Serious cites

0

Pacific Gardens runs on 4.06 nurse hours per resident day, a bit above the national average, and its staff turnover of 35.9% is meaningfully lower than the 45.8% norm, people tend to stay. Weekend coverage thins out about 8% from weekday levels, worth knowing if your visits fall on Saturdays. The harder question is the inspection record: 48 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $30,654 fine and a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, but those come from resident assessments, not from surveyors walking the building. It's a for-profit LLC with 188 beds. Ask about the abuse deficiency and what changed since.

Nurse hours

3.98 /day

Staff turnover

49%

Serious cites

0

Orchard Post Acute runs about 99 beds in Fresno under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, roughly 3.98 hours per resident day. That margin narrows on weekends, when coverage drops about 10% below the home's own weekday level, and annual turnover at 48.8% runs a few points above the national figure. The inspection record is the heavier part of the story: 44 deficiencies on file, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors last visited in May 2025. Quality measure scores look strong; the inspection side is where the numbers get harder to explain.

Nurse hours

3.93 /day

Staff turnover

27%

Serious cites

0

Fresno Postacute Care runs 80 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.93 hours per resident day, just slightly above the national average of 3.86. Weekend coverage dips about 6% below its own weekday level, so the care you'd see on a Saturday isn't quite what you'd see midweek. Staff turnover of 26.6% is meaningfully lower than the national 45.8%, which matters for whether your family member sees the same faces. What pulls the record down is the inspection history: 44 deficiencies, including one at the harm level and one tied to abuse, with the last inspection dated April 2026.

Nurse hours

4.63 /day

Staff turnover

47%

Serious cites

0

Horizon Health & Subacute Center runs 180 certified beds in Fresno under for-profit LLC ownership, and its staffing is genuinely above average, 4.63 nurse hours per resident day against a national figure of 3.86. Weekends dip about 12% below its own weekday coverage, though, and turnover sits at 47.1%, slightly worse than the 45.8% national rate. The bigger concern is the inspection record: 45 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one fine of $22,913 and a survey as recent as March 2025. Quality and staffing measures look reasonable on paper, but that citation history is what pulls the overall picture down.

Nurse hours

3.68 /day

Staff turnover

47%

Serious cites

0

Covenant Post Acute runs 3.68 nurse hours per resident day, about 5% under the national average of 3.86, and weekends dip another 4% below its own weekday numbers. Turnover sits at 46.5%, slightly above the national 45.8%. The inspection record is where the real weight sits: 51 deficiencies, including 3 abuse-related citations and 1 at the harm or jeopardy level, with the most recent inspection in February 2025. That history pulled the health inspection rating to 2 out of 5 stars, even as the quality measure score hit 5. The 121-bed for-profit LLC has strong clinical metrics on paper, but the staffing and deficiency pattern is what a family should actually weigh before deciding.

Nurse hours

4.39 /day

Staff turnover

46%

Serious cites

0

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.

Nurse hours

4.25 /day

Staff turnover

40%

Serious cites

0

Rolling Hills Care Center is a 34-bed for-profit home in Selma, and the numbers point in different directions. Nurse staffing averages 4.25 hours per resident day, roughly 10% above the national figure, and its 40% turnover is lower than the 45.8% national rate, but weekend coverage dips about 7% below its own weekday level, and CMS gives staffing only 2 of 5 stars. The current record carries 35 deficiencies, one serious enough to reach harm or jeopardy level, alongside a 2-star inspection rating, while quality measures score 4 of 5. The last inspection was May 2026. Small size and limited-liability ownership mean a thin margin for error when problems do surface.

Nurse hours

4.19 /day

Staff turnover

51%

Serious cites

0

Fowler Care Center runs 46 beds in Fresno County under for-profit LLC ownership, and its nurse staffing sits at 4.19 hours per resident day, roughly 9% above the national average of 3.86. That's the strongest thing in the file, though weekend coverage dips about 5% below its own weekday level, and annual turnover runs 50.8% against a national 45.8%, so the people providing that care change often. The inspection record shows 41 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in March 2025. Quality measures score well; the staffing and health inspection stars sit lower. Read together, this is a home with adequate hands on deck and a long paper trail of smaller problems.

Nurse hours

4.71 /day

Staff turnover

60%

Serious cites

0

Vineyards At Fowler runs 4.71 nurse hours per resident day, roughly 22% above the national average, which sounds good until you notice weekends drop about 13% below its own weekday numbers, coverage gets thinner exactly when families tend to visit. Staff turnover sits at 59.6% against a national 45.8%, so the people providing that care keep changing. The current record shows 53 deficiencies, including one at the harm level and two tied to abuse, with a health inspection rating of 2 out of 5. Ownership is a for-profit limited liability company. The last inspection was January 9, 2026, so the picture is recent.

Nurse hours

3.98 /day

Staff turnover

n/a

Serious cites

0

North Point Healthcare & Wellness Centre runs about 99 certified beds in Fresno under for-profit partnership ownership, and its last health inspection was in March 2025, so what you're seeing is reasonably fresh. The inspection record is the strongest part of the picture: 20 deficiencies on file, but none at the harm or jeopardy level and none related to abuse. Nurse staffing sits at 3.98 hours per resident day, roughly 3% above the national average, though weekends run about 8% below the home's own weekday level, which is where gaps tend to show up. The tradeoff is consistency, quality measures score well, staffing is only decent against peers, and ownership structure means you should ask who's actually on the floor on a Saturday.