Jan-roy Place Of Fresno
State licensed4766 East Illinois Ave, Fresno, CA 93702
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Orchard Post Acute provides skilled nursing and rehabilitation services to Fresno, California residents recovering from surgery, injury, or illness. Our clinical team focuses on regaining independence through personalized therapy and compassionate medical care during your healing process.
Capacity
99 residents
Location
Fresno, CA
Status
Listed in a public registry
4840 E.TULARE AVENUE, Fresno, California 93727
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 20, 2025, state inspectors cited 16 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 3 hours 59 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined Orchard Post Acute in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 59 minutesBelow the California average |
| Registered nurse time per resident, per day | 18 minutesBelow the California average |
| Nursing staff who left in the past year | 49%Above the California average |
35 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 9, 2026 · Complaint investigation · 1 citation
Ensure services provided by the nursing facility meet professional standards of quality.
April 30, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure each resident receives an accurate assessment.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure services provided by the nursing facility meet professional standards of quality.
Dispose of garbage and refuse properly.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Honor 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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
4840 E.TULARE AVENUEFresno, CA 93727
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State inspectors visited on May 20, 2025 and cited 16 health deficiencies, 4 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 3 hours 59 minutes with each resident per day, including 18 minutes from registered nurses. 49% of nursing staff left over the past year.
Medicare's records show no fines against Orchard Post Acute in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.