Nursing homes in Fresno County, California

There are 31 Medicare- or Medicaid-certified nursing homes in Fresno County, California, across 8 cities and towns. The federal record holds 838 inspection citations against them since January 2024 — 24 at actual-harm level or above, and 1 at immediate jeopardy.

1 of these homes carries the CMS abuse icon. Both terms are explained on each facility page.

City or town	Homes	Citations	Actual harm
Fresno	19	507	15
Reedley	3	51	0
Clovis	2	56	5
Fowler	2	66	0
Selma	2	63	1
Coalinga	1	22	0
Kingsburg	1	36	1
Sanger	1	37	2

Counted from CMS inspection records dated on or after January 1, 2024, in the file dated August 1, 2026. Citation counts also track how often a home was inspected and how many complaints were filed, so a higher count is not by itself proof of worse care.

See every nursing home in California, or all California counties.

Worried about somebody in a home in Fresno County?

Tell us what you have seen. Use the form at the bottom of this page, or call or text (888) 538-0158. Texting is fine, and it is often easier if you cannot speak freely at home. There is no charge for asking.

What our watchdogs found in Fresno County’s inspection records

Our team read the federal inspection record for all 31 certified nursing homes in Fresno County. Since January 2024, inspectors have written 838 citations against these homes — 24 of those findings were serious enough that inspectors concluded a resident was actually harmed, and 1 reached immediate jeopardy, the most dangerous category. (Source: CMS Provider Information and Health Deficiencies files dated August 1, 2026.)

Here’s what stood out when we did the arithmetic: 15 of the county’s 31 homes — nearly half — have at least one actual-harm finding on the record since January 2024. That’s our count from the federal file, and a single harm finding doesn’t make a home dangerous; but it does mean that in Fresno County, a finding where somebody’s mother was actually hurt is not a rare event confined to a few bad addresses. Two of the homes with harm findings hold the top rating of 5 stars. The star on the sign and the record in the file are two different things.

The Fresno County homes with the most serious findings

These are the 15 county homes with findings at actual-harm level or above since January 2024 — every home in the county with such a finding — ranked by harm findings and then by total citations. Every number comes straight from the CMS file dated August 1, 2026; click any home to read its full record.

Nursing home	City	CMS rating	Citations since Jan 2024	Actual-harm findings
Willow Creek Healthcare Center	Clovis	3 of 5	33	4
Foundation Skilled Nursing	Fresno	1 of 5	41	3
Pacific Gardens Nursing and Rehabilitation Center	Fresno	3 of 5	44	2
Healthcare Centre of Fresno	Fresno	2 of 5	39	2
Cornerstone Care Center	Sanger	2 of 5	37	2
Manning Gardens Care Center	Fresno	5 of 5	26	2
Grace Healthcare Center	Fresno	1 of 5	48	1
Kingsburg Center	Kingsburg	3 of 5	36	1
Rolling Hills Care Center	Selma	2 of 5	35	1
Horizon Health & Subacute Center	Fresno	2 of 5	33	1
Sierra Vista Healthcare	Fresno	3 of 5	32	1
Fresno Postacute Care	Fresno	3 of 5	30	1
Morning Star Post Acute	Clovis	3 of 5	23	1
California Home for the Aged	Fresno	5 of 5	20	1
Evergreen Care Center	Fresno	3 of 5	20	1

Read the table the way an inspector would, not the way a brochure would. The home with the county’s most harm findings holds a middle-of-the-road 3 stars, and two homes on this list hold 5 — the rating system averages over time while a harm finding records a single day somebody got hurt. Citation counts also partly reflect how often inspectors visited and how many complaints families filed, so a longer paper trail isn’t by itself proof of worse care. It is a reason to read the record before you sign anything.

One county home carries the federal abuse icon

CMS puts a warning icon on a home’s public listing when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed residents in each of the last two years. That’s the federal government’s own definition. In Fresno County the icon currently sits on one home: Coalinga Regional Medical Ctr DP/SNF (Coalinga). (Source: CMS Provider Information file dated August 1, 2026.) Note what the record shows here: this home has no actual-harm finding in the January 2024 window, yet it carries the icon — the icon looks at abuse citations specifically, on its own clock. The icon reflects the inspection record; it is not a prediction about any resident’s future care.

What happens next for a Fresno County family

If someone you love was hurt in one of these homes — an unexplained fall, a pressure sore, bruises nobody will account for, sudden weight loss — here is what the process actually looks like, in plain English.

1. Talk it through with us first. Tell us what happened, even if you’re not sure it counts. We’ll tell you exactly which agency handles it — the county’s long-term care ombudsman, the state health department, or the police — and what to say when you call.

2. We’ll help you file the report. California gives you several doors: Adult Protective Services, the ombudsman program, the California Department of Public Health. We’ll help you pick the right one and file it with you.

3. Get the records before they’re gone. The home’s charts, staffing logs, and incident reports are the evidence. Under California law your family can demand them — and we send that written request for you the same day you ask.

4. Find out what your family is owed. California’s Elder Abuse Act lets a family hold a nursing home financially responsible when neglect or abuse caused real harm — and in serious cases the home can be made to pay for more than the medical bills. There’s a clock on this, so don’t sit on it. Cases from this county are heard in Fresno County Superior Court. Send us what happened — it’s free, and you’ll usually hear back by text within 15 minutes.

Questions Fresno County families ask us

Nearly half of Fresno County’s homes have a harm finding. Should I be scared to place my mom anywhere?

No — but choose with the record open in front of you, not the brochure. Sixteen of the county’s homes have no harm finding at all in this period, and several carry short citation lists. Start from a home’s own record page, then visit at odd hours and watch the night-shift staffing, not the lobby.

The home we’re considering has 5 stars. The record shows a harm finding. Which do I believe?

Both are real; they measure different things. The star rating averages inspections, staffing, and self-reported quality measures over time. A harm finding records one specific day an inspector concluded a resident was actually hurt. Read what the finding was for — it’s on the home’s page — and ask the home directly what changed afterward.

How do I check a Fresno nursing home’s inspection record?

Every certified home in the county has a page on this site — start from the city table above. Each page restates the home’s federal record in plain language: citations, severity, harm findings, and the dates, with a link to the underlying government file.

My dad fell at his nursing home and nobody saw it happen. Is that anyone’s fault?

Sometimes. Homes are required to figure out who’s at risk of falling and take real precautions. An unwitnessed fall, a repeat fall, or a fall the home can’t explain is worth having someone look at. Tell us the dates and we’ll pull the home’s record.

Will the home retaliate against my mom if I complain?

Retaliating against a resident is itself illegal, and inspectors treat it seriously. You can raise a concern anonymously through the ombudsman, and if retaliation is what you’re afraid of, say so when you write to us — there are ways to start without a name attached.

How long do I have to bring a case in California?

There’s a clock, and for most elder-abuse and neglect cases it’s short — generally two years, sometimes less depending on the facts and who ran the facility. Don’t guess from an article; tell us the dates and we’ll tell you where the clock stands. It costs nothing to ask.

Where these numbers come from

Every count on this page comes from the federal government’s own files: the CMS Provider Information file and the CMS Health Deficiencies file, both dated August 1, 2026, covering citations issued since January 1, 2024. We restate what the record says and link to the underlying file on every home’s page — read how we count, and if we got something wrong, tell us and we’ll fix it. Statewide context lives on our California help page and the full California directory.