Inspection citations
8’22
18’24
15’25
2’26
43 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 9, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Apr 30, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Nov 19, 2025 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| May 20, 2025 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Routine |
| May 20, 2025 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| May 20, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 20, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| May 20, 2025 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| May 20, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 20, 2025 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| May 20, 2025 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 20, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 20, 2025 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| May 20, 2025 | E · potential | 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. | Routine |
| May 20, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 20, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 8, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 11, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Nov 5, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 26, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jul 26, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Jul 26, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Jul 26, 2024 | D · potential | 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. | Complaint |
| Jul 26, 2024 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Complaint |
| Jul 26, 2024 | E · potential | Ensure each resident receives an accurate assessment. | Complaint |
| Jul 26, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Jul 26, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jul 26, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Jul 26, 2024 | F · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jul 26, 2024 | F · potential | 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. | Complaint |
| Jul 26, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Complaint |
| Jul 26, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Jul 26, 2024 | F · potential | Dispose of garbage and refuse properly. | Complaint |
| Jul 26, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jul 26, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jan 21, 2022 | E · potential | 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. | Routine |
| Jan 21, 2022 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jan 21, 2022 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jan 21, 2022 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 21, 2022 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jan 21, 2022 | D · potential | Implement 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. | Routine |
| Jan 21, 2022 | E · potential | Ensure 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. | Routine |
| Jan 21, 2022 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Orchard Post Acute
4840 E.tulare Avenue, Fresno, CA 93727 · (559) 251-7161
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056225
- Certified beds
- 99
- Legal owner
- Fresno Valley SNF, LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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