Starfile / California

ORCHARD POST ACUTE

4840 E.TULARE AVENUE, FRESNO, CA 93727 · CCN 056225

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (43)

1. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-19 · Health · corrected 2025-12-12

   Potential for more than minimal harm

2. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

3. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

6. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

7. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

8. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

9. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-20 · Health · corrected 2025-06-10

   Potential for more than minimal harm

10. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-20 · Health · corrected 2025-06-10

    Potential for more than minimal harm

11. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-20 · Health · corrected 2025-06-10

    Potential for more than minimal harm

12. EF0761Ensure 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.2025-05-20 · Health · corrected 2025-06-10

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-20 · Health · corrected 2025-06-10

    Potential for more than minimal harm

14. EF0880Provide and implement an infection prevention and control program.2025-05-20 · Health · corrected 2025-06-10

    Potential for more than minimal harm

15. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-08 · Health · corrected 2025-02-08

    Potential for more than minimal harm

16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-11 · Health · corrected 2025-01-03

    Potential for more than minimal harm

17. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-05 · Health · corrected 2024-11-27

    Potential for more than minimal harm

18. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

19. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

20. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

21. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

22. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

23. EF0641Ensure each resident receives an accurate assessment.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

24. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

25. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

26. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

27. FF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

28. FF0761Ensure 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.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

29. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

30. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

31. FF0814Dispose of garbage and refuse properly.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

32. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

33. EF0880Provide and implement an infection prevention and control program.2024-07-26 · Health · corrected 2024-09-24

    Potential for more than minimal harm

34. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-27 · Health · corrected 2023-09-22

    Potential for more than minimal harm

35. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-14 · Health · corrected 2023-08-25

    Potential for more than minimal harm

36. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

37. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

38. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

40. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

41. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

42. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

43. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-01-21 · Health · corrected 2022-02-17

    Potential for more than minimal harm

Ownership

Other facilities in FRESNO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.