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Nursing HomeMedicaid

Orchard Post Acute

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4840 E.tulare Avenue, Roosevelt · Fresno, CA 9372799 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 88 Google reviews

5
4
3
2
1
Orchard Post Acute Nursing Home in Fresno, CA — Street View
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What this means for your family

This facility is an excellent choice for patients needing intensive physical or occupational therapy, as the rehab team is consistently rated as top-tier. However, families should be vigilant about communication and personal property, as several reviewers have noted difficulties reaching management and issues with lost belongings.

Google Reviews

Google Reviews

88 reviews on Google
Orchard Post Acute is widely praised for its exceptional physical and occupational therapy teams and its friendly, attentive nursing staff. However, families should be cautious regarding serious allegations of neglect, poor communication from management, and issues with the loss of personal belongings.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean8.0Activities5.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent rehabilitation and therapy services
  • Compassionate and professional nursing staff
  • Clean and well-maintained facility
  • Welcoming and friendly atmosphere

Concerns

  • Poor communication from management and social workers (mentioned by 4 reviewers)
  • Loss of residents' personal belongings (clothing/wallets) (mentioned by 3 reviewers)
  • Inconsistent hygiene and bathing schedules (mentioned by 2 reviewers)
  • Difficulty reaching staff via telephone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02020(1)4.52021(22)3.22022(9)3.92023(9)3.92024(15)4.62025(16)4.82026(21)

Distribution · 93 analyzed

5
71
4
6
3
1
2
2
1
13
16 reviews posted between Mar 17, 2026Mar 18, 2026 · 16 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the rehabilitation and therapy services here; could you tell us more about how the therapy team works with new residents?
  • 2How does the nursing team ensure that medication schedules are strictly followed and documented every day?
  • 3What systems do you have in place to ensure that residents' personal belongings, like clothing and wallets, are kept safe and organized?
  • 4How does the facility handle communication with families, especially if we need to reach a staff member or social worker after hours?
  • 5Could you describe the daily dining experience and how you ensure residents receive nutritious meals on a consistent schedule?
  • 6What is the protocol for managing medical emergencies or sudden changes in a resident's health during the night?

Personalized based on this facility's data


Key Review Excerpts

The staff of nurses, nursing assistants and therapists were terrific. The facility was functional with the therapy gym outstanding. The food was surprisingly good.

Rehab patient · 2025★★★★

My dad was not cared for properly. He was never dressed when we visited him. I went from going to talk with him, feeding him until he ended up passing away from being under the care of Orchard post acute.

Long-term resident's family · 2026☆☆☆☆

The CNA’S were more than happy to help with dressing and personal needs. They and the whole staff truly went above and beyond to make her stay pleasant. The PT department was so awesome!

Long-term resident's family · 2023★★★★★
Source: 88 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
31%
Registered nurses for medical care
Total Nursing
3.96hrs
96%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Mixed Results

6

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.4%
CA
11.6%
Fresno
9.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Fresno
98.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.6%
Mixed vs Avgs
Here
13.6%
US
19.4%
CA
10.7%
Fresno
12.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
15.3%
CA
10.5%
Fresno
12.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.1%
Mixed vs Avgs
Here
15.1%
US
19.5%
CA
13.7%
Fresno
16.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.5%
Mixed vs Avgs
Here
8.5%
US
12.1%
CA
7.0%
Fresno
5.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
CA
94.2%
Fresno
94.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.0%
Mixed vs Avgs
Here
86.0%
US
79.7%
CA
93.2%
Fresno
94.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
CA
1.5%
Fresno
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
Near state avg (15.4)
23 complaint-triggered

Families have filed 23 complaints triggering inspections at Orchard Post Acute, with recurring issues in care planning, food safety, and resident rights persisting across multiple surveys. Problems include inadequate care plans, food storage violations, medication labeling issues, and failure to report suspected abuse. While the facility corrects deficiencies when cited, the pattern of repeated violations in core care areas suggests ongoing quality concerns families should carefully consider.

Nov 19, 2025Complaint
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

May 20, 2025Routine
20
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

May 20, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jan 8, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Dec 11, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Nov 5, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Orchard Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 128 of 260

Ownership & Management

Key personnel

Grossman, StephenContracted Managing EmployeeMatiaco, JoshuaW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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