4840 E.TULARE AVENUE, FRESNO, CA 93727
99 beds · For profit - Limited Liability company
CMS Provider #056225
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
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Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Apr 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 2★ | 3★ | 3★ | 3★ | 3★ | 3★ | |
| Staffing | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 2★ | 2★ | 3★ | 3★ | 2★ | 2★ | |
| Health | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 4.5 hrs/resident/day
0
administrators departed in past year
Stable52.1%
State avg: 38.1%
50.0%
State avg: 40.6%
0.1%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
24
Car-Dependent
Transit Score
0
Minimal Transit
Median Income
$78,036
Median Home Value
$341,800
Poverty Rate
17.5%
Age 65+
10.6%
Median Age
32
Pop. Density
82,176/mi²
Median Rent
$1,202
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 11/19/2025 | 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Minimal harm | 12/12/2025 | Complaint | |
| 5/20/2025 | 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Minimal harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Minimal harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Minimal harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Minimal harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Minimal harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Actual harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Actual harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Actual harm | 6/10/2025 | Standard | |
| 5/20/2025 | 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Actual harm | 6/10/2025 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
No penalties or fines recorded for this facility.
Ownership structure and changes can affect facility quality.
Facilities in Chain
264
Chain Avg Rating
2.9 ★
Years Operating
55
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | — | 100% | 6/30/2023 |
| PACS GROUP, INC. | Organization | — | — | 6/30/2023 |
| PACS HOLDINGS, LLC | Organization | — | — | 6/30/2023 |
| HANCOCK, MARK | Individual | — | — | 4/15/2024 |
| MURRAY, JASON | Individual | — | — | 4/15/2024 |
| MATIACO, JOSHUA | Individual | — | — | 12/9/2021 |
| APT, FREDERICK | Individual | — | — | 1/1/2024 |
| HANCOCK, MARK | Individual | — | — | 1/1/2024 |
| JERGENSEN, JOSHUA | Individual | — | — | 6/6/2024 |
| MITCHELL, JOHN | Individual | — | — | 1/1/2024 |
| GROSSMAN, STEPHEN | Individual | — | — | 1/15/2020 |
| MATIACO, JOSHUA | Individual | — | — | 12/9/2021 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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