21 Chain-Owned Nursing Homes 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

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

4.25 /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.

Nurse hours

4.14 /day

Staff turnover

47%

Serious cites

0

Cornerstone Care Center runs 99 beds in Sanger under for-profit LLC ownership, and its nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average, though weekends drop about 13% below its own weekday numbers, so coverage isn't evenly spread across the week. Staff turnover lands at 47%, a touch above the 45.8% national figure. The inspection record is the heavier concern: 52 deficiencies, four of them serious enough to put residents at harm or jeopardy, and one fine of $27,612, with the most recent inspection in May 2025. Quality measures score well, but that gap between measured care and inspection findings is worth asking about directly.

Nurse hours

4.20 /day

Staff turnover

52%

Serious cites

0

Evergreen Care Center sits in Fresno with 49 certified beds and for-profit LLC ownership. Its 4.20 nurse staffing hours per resident day beat the national average of 3.86 by roughly 9%, but that headline number hides weaker weekends, about 7% below the home's own weekday coverage, and 51.5% annual turnover, higher than the 45.8% national figure, which means unfamiliar faces are routine. The current record shows 35 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse. Inspectors last visited May 17, 2024. Staffing quantity looks decent, but consistency and safety history are where the concerns stack up.

Nurse hours

3.91 /day

Staff turnover

48%

Serious cites

0

Morning Star Post Acute sits in Clovis with 57 certified beds, run by a for-profit limited liability company. Its nurse staffing comes in at 3.91 hours per resident day, barely a hair above the national average of 3.86, and weekends drop about 7% below its own weekday level, which is when families tend to visit and notice. Staff turnover runs 47.7%, slightly worse than the 45.8% national figure, so familiar faces aren't guaranteed. The bigger concern is the inspection record: 40 deficiencies, one serious enough to reach harm or jeopardy level, with the most recent inspection dated February 2026. CMS gave it 2 out of 5 stars for both health inspections and staffing, even though its quality measures scored 5 out of 5. Strong clinical metrics don't offset thin inspection and staffing results here.

Nurse hours

4.18 /day

Staff turnover

60%

Serious cites

0

Willow Creek Healthcare Center runs 159 certified beds in Clovis under for-profit LLC ownership, and its staffing tells two stories. Nurses give residents 4.18 hours a day, roughly 8% above the national average, but weekends drop about 7% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Staff turnover is the bigger concern: 59.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new. The inspection record shows 62 deficiencies, seven at harm or jeopardy level and three abuse-related, with $25,045 in fines. The most recent inspection was April 2025.

Nurse hours

3.93 /day

Staff turnover

47%

Serious cites

0

Keystone Post-Acute runs 65 beds in Fresno under for-profit LLC ownership, and its staffing numbers look better on paper than they hold up in practice. Total nurse hours sit slightly above the national average, but weekends drop about 11% below the home's own weekday coverage, that's when gaps tend to show. Turnover is 47.1%, a bit worse than the 45.8% national figure, so the people providing care keep changing. The inspection record is the bigger issue: 48 deficiencies, three of them serious enough to put residents at harm or jeopardy, and one fine of $42,764. The last inspection was in May 2025, so the record is current, not stale.

Nurse hours

3.74 /day

Staff turnover

n/a

Serious cites

0

Foundation Skilled Nursing in Fresno runs 59 beds under limited liability ownership, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.74 hours per resident day, roughly 3% under the national average, and weekends drop about 11% below the home's own weekday coverage, so care thins out exactly when families tend to visit. The inspection history is the heavier concern: 51 deficiencies on file, four of them at harm or jeopardy level and four abuse-related, with two fines totaling $96,763. Its most recent inspection was December 2025, so the record is current, not stale. Between the harm-level findings and thin weekend staffing, this is a home to question closely.