Every one of the 31 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
7 of these hold the top CMS rating of five. 4 sit at one. Registered nurse cover averages 0.52 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Community Subacute and Transitional Care Center | Fresno | 5 | 5 | 5 | 1.75 | 106 | $0 |
| VETERANS HOME OF CALIFORNIA - FRESNO | Fresno | 5 | 4 | 5 | 1.52 | 120 | $0 |
| THE TERRACES AT SAN JOAQUIN GARDENS VILLAGE | Fresno | 5 | 3 | 5 | 1.02 | 54 | $0 |
| MANNING GARDENS CARE CENTER, INC | Fresno | 5 | 4 | 5 | 0.81 | 59 | $12,000 |
| CALIFORNIA HOME FOR THE AGED | Fresno | 5 | 5 | 5 | 0.71 | 120 | $0 |
| NORTH POINT HEALTHCARE & WELLNESS CENTRE LP | Fresno | 5 | 5 | 3 | 0.69 | 99 | $0 |
| OAKWOOD GARDENS CARE CENTER | Fresno | 5 | 4 | 3 | 0.30 | 103 | $0 |
| VINEYARD CARE CENTER | Reedley | 4 | 3 | 2 | 0.35 | 56 | $0 |
| PACIFIC GARDENS NURSING AND REHABILITATION CENTER | Fresno | 3 | 2 | 4 | 0.68 | 188 | $30,654 |
| EVERGREEN CARE CENTER | Fresno | 3 | 3 | 2 | 0.62 | 49 | $0 |
| MORNING STAR POST ACUTE | Clovis | 3 | 2 | 2 | 0.46 | 57 | $0 |
| WILLOW CREEK HEALTHCARE CENTER | Clovis | 3 | 2 | 3 | 0.46 | 159 | $25,045 |
| SIERRA VISTA HEALTHCARE | Fresno | 3 | 3 | 4 | 0.45 | 99 | $12,048 |
| COVENANT POST ACUTE | Fresno | 3 | 2 | 2 | 0.32 | 121 | $0 |
| ORCHARD POST ACUTE | Fresno | 3 | 2 | 3 | 0.30 | 99 | $0 |
| FRESNO POSTACUTE CARE | Fresno | 3 | 3 | 3 | 0.28 | 80 | $0 |
| BETHEL LUTHERAN HOME | Selma | 3 | 3 | 2 | 0.24 | 59 | $0 |
| PALM VILLAGE RETIREMENT COMM. | Reedley | 3 | 2 | 3 | 0.21 | 120 | $0 |
| FOWLER CARE CENTER | Fowler | 3 | 2 | 2 | 0.19 | 46 | $0 |
| HORIZON HEALTH & SUBACUTE CENTER | Fresno | 2 | 2 | 4 | 0.52 | 180 | $22,913 |
| HEALTHCARE CENTRE OF FRESNO | Fresno | 2 | 2 | 3 | 0.46 | 155 | $88,049 |
| CORNERSTONE CARE CENTER | Sanger | 2 | 2 | 3 | 0.42 | 99 | $27,612 |
| Rolling Hills Care Center | Selma | 2 | 2 | 2 | 0.39 | 34 | $0 |
| VINEYARDS AT FOWLER | Fowler | 2 | 2 | 2 | 0.28 | 49 | $0 |
| KEYSTONE POST-ACUTE | Fresno | 2 | 2 | 2 | 0.23 | 65 | $42,764 |
| SIERRA VIEW HOMES | Reedley | 2 | 3 | 1 | 0.12 | 59 | $0 |
| GRACE HEALTHCARE CENTER | Fresno | 1 | 1 | 4 | 0.81 | 101 | $32,110 |
| Kingsburg Center | Kingsburg | 1 | 1 | 3 | 0.31 | 86 | $0 |
| Foundation Skilled Nursing | Fresno | 1 | 1 | 1 | 0.25 | 59 | $96,763 |
| COALINGA REGIONAL MEDICAL CTR DP/SNF ⚑ | Coalinga | 1 | 2 | 1 | 0.00 | 99 | $0 |
| Stonehaven Senior Living | Fresno | - | - | - | 0.32 | - | $0 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 20 |
| Non profit - Corporation | 5 |
| For profit - Corporation | 3 |
| For profit - Partnership | 1 |
| Non profit - Church related | 1 |
| Government - State | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.