Nursing homes across Fresno County, California, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
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.
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.
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.
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.
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.
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.
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.
Stonehaven runs on more nursing hours than the typical American nursing home, about 4.18 per resident day against a national average of 3.86, and that margin is the main thing working in its favor. The catch is timing: weekends drop roughly 13% below the home's own weekday staffing, so the coverage you'd see on a Tuesday isn't what a Saturday looks like. Its inspection record is current, with the most recent visit in June 2025, and five deficiencies on file, none of them serious enough to register as harm or jeopardy and none abuse-related. For-profit, limited-liability ownership is worth knowing going in. Overall, this is a home whose numbers suggest adequate care with a real weekend soft spot.