What are best — and worst — nursing homes in Fresno area? See Medicare ratings
Choosing a nursing home in the Fresno area can be a difficult — and expensive — decision.
To help guide that search, the U.S. Centers for Medicare and Medicaid Services grades skilled nursing facilities using data including state health inspections and complaints.
The federal scorecard looks at factors ranging from residents’ well-being and building safety to staffing levels and COVID-19 vaccination rates.
The Medicare website also notes which nursing homes have been cited for abuse, although it does not give details on what they were cited for or how many citations they received.
The Centers for Medicare and Medicaid define abuse as “willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse and mental abuse.”
Nursing homes are rated on a five-star scale, with one star indicating the facility is “much below average” and five stars indicating it’s “much above average.”
There are a total of 47 nursing facilities within a 50-mile radius from downtown Fresno, according to the federal agency.
To help you find the best nursing homes in and around Fresno, The Fresno Bee searched Medicare.gov for the local skilled nursing facilities with the lowest and highest overall ratings.
Which Fresno-area nursing homes were cited for abuse?
According to the Centers for Medicare and Medicaid, these one-star-rated nursing homes in the Fresno area had citations for abuse as of Thursday, April 3:
- Fresno Postacute Care 123 Main St., Fresno
- Evergreen Care Center 5265 East Huntington Ave., Fresno
- Orchards at Tulare 604 East Merritt Ave., Tulare
What are low-rated nursing homes in and around Fresno?
These Fresno-area nursing homes also had one-star nursing homes as of Thursday, April 3, according to Medicare.gov:
- Healthcare Centre of Fresno 1665 M St., Fresno
- Sierra Vista Healthcare 1715 South Cedar Ave., Fresno
- Orchard Post Acute 4840 East Tulare Ave., Fresno
- Keystone Post Acute 3672 North First St., Fresno
- Grace Healthcare Center 2939 South Peach Ave., Fresno
- Fowler Care Center 8448 East Adams Ave., Fresno
- Sierra View Homes 1155 East Springfield Ave., Reedley
- Sequoia Vista 3710 West Tulare Ave., Visalia
- Majestic Mountain Care Center 40131 Highway 49, Oakhurst
- Tulare Healthcare and Wellness Center LP, 680 East Merritt Ave., Tulare
Where are highest rated nursing homes in Fresno area?
The Fresno area also has several highly rated nursing homes, according to the federal scorecard.
As of Thursday, April 3, these facilities had five-star ratings from the Centers for Medicare and Medicaid Services:
- Veterans Home of California Fresno 2811 West Cesar Chavez Blvd., Fresno
Pacific Gardens Nursing and Rehabilitation Center 577 South Peach Ave. , Fresno
Manning Gardens Care Center 2113 East Manning Ave., Fresno
Delta Healthcare and Wellness Center LP 514 North Bridge St., Visalia
Kaweah Health Skilled Nursing Center 1633 South Court St., Visalia
Two of the top-rated skilled nursing facilities previously received accolades for their quality care.
Veterans Home of California Fresno and Pacific Gardens Nursing and Rehabilitation Center were named the Best Nursing Homes in Fresno by U.S. News & World Report in 2025.
What are warning signs of elder abuse? How do I report it?
According to the California Department of Social Services, each California county has an adult protective services agency to help adults ages 60 and older, as well as dependent adults with disabilities ages 18 to 59, when “these adults are unable to meet their own needs or are victims of abuse, neglect or exploitation.”
The Fresno County Adult Protective Services Agency investigates “referrals of alleged abuse, neglect, self-neglect, financial abuse, exploitation and other forms of maltreatment,” its website said.
According to the Fresno-Madera Agency on Aging, warning signs that older adults or adults with disabilities might be experiencing abuse include:
- Unexplained bruises or injuries
- Changes in thinking, confused or disoriented
- Angry, indifferent or aggressive
- Belongings, papers or credit cards are missing
- Hesitant to talk openly
- Lacks necessities
- History of substance abuse, criminal behavior, mental illness or family violence
- Others have been added to their bank accounts or important documents
To report elder abuse, call Fresno County Adult Protective Services at 559-255-3383 or 800-418-1426 or Madera County Adult Protective Services at 559-675-7839.
Call Tulare County Adult Protective Services at 559-623-0651 or 877-657-3092.
This story was originally published April 5, 2025 at 8:00 AM.
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