Orchard Post Acute: Staffing, Turnover, and Inspection Record
Orchard Post Acute is a 99-bed for-profit nursing home in Fresno, California, part of Pacs Group. In the CMS August 2026 release it reported 2.50 nurse aide hours per resident per day, 6% below the California average of 2.65, and 48.8% nursing staff turnover (California average 36.7%).
Orchard Post Acute
4840 E.Tulare AvenueFresno, CA 93727
Fresno County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Orchard Post Acute, nurse aides logged 2.50 hours per resident per day, 6% below the California average. With about 91 residents a day, that works out to roughly 228 aide hours a day, or about 28 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.50 | 2.65 | 2.32 |
| Licensed practical nurses | 1.18 | 1.20 | 0.86 |
| Registered nurses | 0.30 | 0.67 | 0.69 |
| All nursing staff | 3.98 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.58 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
48.8% of nursing staff at Orchard Post Acute left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 20.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Orchard Post Acute holds 3 of 5 overall; the California average is 3.2.
About Orchard Post Acute
- Ownership: For profit - Limited Liability company
- Chain: Pacs Group, 274 homes
- Legal name: Fresno Valley SNF, LLC
- Medicare and Medicaid certified since: Oct 7, 1970
- Councils: resident council
- Area: urban
Nursing homes near Orchard Post Acute
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Evergreen Care Center Fresno | 0.6 | 49 | 2.79 | 4.20 | 51.5% | 3 | None |
| Pacific Gardens Nursing and Rehabilitation Center Fresno | 0.7 | 188 | 2.71 | 4.06 | 35.9% | 3 | $30,654 |
| Stonehaven Senior Living Fresno | 1.1 | — | 2.58 | 4.18 | — | — | None |
| Sierra Vista Healthcare Fresno | 1.6 | 99 | 2.65 | 4.41 | 34.7% | 3 | $12,048 |
| Healthcare Centre of Fresno Fresno | 3.3 | 155 | 2.49 | 3.81 | — | 2 | $88,049 |
| California Home for the Aged Fresno | 3.4 | 120 | 2.69 | 4.24 | 33.9% | 5 | None |
| Covenant Post Acute Fresno | 3.4 | 121 | 2.35 | 3.68 | 46.5% | 3 | None |
| Oakwood Gardens Care Center Fresno | 3.4 | 103 | 2.58 | 4.01 | 51.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.