About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2024 Assisted Living Winners
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About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Pacifica Senior Living Fresno

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1715 E Alluvial Ave, Fresno, CA 93720

8.8
Review score
46 reviews
Add review
8.8
Review score
46 reviews
5 star
57%
4 star
30%
3 star
9%
2 star
2%
1 star
2%
See all reviews
8.9
Review score
9603 reviews
99 facilities
For pricing & availability:
(866) 374-4058
Pricing promotions expiring soon
Pacifica Senior Living Fresno
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Pacifica Senior Living Fresno
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Anonymous
-
Family/friend
4.0
Our Experience
My loved one is a resident at Pacifica Senior Living Fresno. The staff is AMAZING! However, it's the new owners that are failing. The carpets are nasty and should be replaced like we were told at the time of our sign up. Their staff is way over worked. The new owners don't treat them very

About the facility
Pacifica Senior Living Fresno

Find great options for independent and assisted living at Pacifica Senior Living Fresno. This senior living community in Fresno, California, features elegant interiors and a neighborhood-style campus that lies in the heart of the city.

Community Amenities and Services

With customized care plans and a range of health services available on-site, you’ll find proper care for your loved one. And housekeeping and linen services can create a fully cared-for experience.

In the dining room, chefs prepare fresh dishes with seasonal ingredients and can accommodate a variety of dietary restrictions. After satisfying meals, residents have a medley of choices for relaxation and entertainment.

Lay out by the swimming pool, watch new releases in the theater room, shoot pool in the billiards lounge, or join in one of the community’s regularly scheduled activities. Water aerobics, tai chi, live performances, and more create an enriching atmosphere that promotes well-being and lifelong learning.

Living Arrangements

Pacifica Senior Living Fresno offers one- and two-bedroom apartments that come equipped with full kitchens, walk-in closets, and private patios or balconies.

State licensing information

To explore the licensing information and compliance histories of senior living communities in the state of California, visit the California Community Care Facility Search directory.

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Senior living options offered

Assisted Living

Independent Living

Pricing
for Pacifica Senior Living Fresno

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*Prices quoted are monthly rental charges and are provided by the communities themselves. Actual prices may differ due to one-time fees, timing and care services required. Speak with your Senior Living Advisor to learn more.
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Pacifica Senior Living Fresno
Pacifica Senior Living Fresno

1715 E Alluvial Ave, Fresno, CA 93720

Fairwinds - Woodward Park
Fairwinds - Woodward Park

9525 N. Fort Washington Rd., Fresno, CA 93730

Summerfield of Fresno
Summerfield of Fresno

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The Windham
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1100 E Spruce Ave, Fresno, CA 93720

8.8
Review score
46 reviews
8.8
Review score
46 reviews
5 star
57%
4 star
30%
3 star
9%
2 star
2%
1 star
2%
9.3
Review score
47 reviews
9.3
Review score
47 reviews
5 star
60%
4 star
23%
3 star
6%
2 star
9%
1 star
2%
9.2
Review score
10 reviews
9.2
Review score
10 reviews
5 star
70%
4 star
10%
3 star
10%
2 star
0%
1 star
10%
9.2
Review score
21 reviews
9.2
Review score
21 reviews
5 star
66%
4 star
5%
3 star
24%
2 star
0%
1 star
5%
Studio
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Studio
Starting at $X,XXX/mo
Studio
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Studio
Starting at $X,XXX/mo
1 bedroom
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1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
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2 bedrooms
Starting at $X,XXX/mo

Active promotion

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Assists with expenses related to relocating and settling in.

Active promotion

No

Active promotion

No

Active promotion

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Lowers your rent by a dollar amount or percentage.

Fee Discount

Reduces entrance fees required upon move in

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

No

Pet friendly

Yes

Care types offered

2

Assisted Living, Independent Living

Care types offered

2

Assisted Living, Independent Living

Care types offered

1

Memory Care

Care types offered

2

Assisted Living, Independent Living

Amenities
at Pacifica Senior Living Fresno

Healthcare Services

  • High Acuity Care
  • Staffing & Ancillary Services
  • Non-Ambulatory Care
  • Medication Management
  • Incontinence Care
  • Diabetic Care

Meals & Dining

  • Professional Chef
  • Pureed Meals
  • Low / No Sodium
  • Guest Meals
  • No Sugar
  • Room Service
  • Vegetarian
  • Meals Provided
  • Restaurant Style Dining
  • Vegan
  • Anytime Dining

Room Amenities

  • Private patio, deck, or balcony
  • Full kitchen
  • Respite or Short Term Stays Offered
  • Air Conditioned
  • Ground Floor Units
  • Handicap Accessible
  • Cable or Satellite TV
  • Wheelchair Accessible Showers
  • Wi-Fi/high-speed internet
  • Garden View
  • Kitchenette

Community Amenities

On-site dining options

  • Private Dining Room
  • Café or Bistro

Transportation & parking

  • Uncovered Parking
  • Property Convenient to Public Transit
  • Covered Parking
  • Complimentary Transportation
  • Resident Parking Available

Pets

  • Weight Limit (lbs)
  • Cats Allowed
  • Dogs Allowed

Common areas

  • Central Fireplace
  • Outdoor Common Areas
  • Outside Patio
  • Indoor Common Areas
  • TV Lounge
  • Computer or Media Center
  • Beauty Salon
  • Meeting Room
  • Barber Shop
  • Library
  • Private Bath

Recreational areas

  • Jacuzzi
  • Movie or Theater Room
  • Game Room
  • Piano or Organ
  • Fitness Center
  • Swimming Pool
  • Arts and Crafts Center
  • Raised Garden Beds

Services

  • Grocery Shopping and Errands
  • Housekeeping
  • Laundry Service / Drycleaning
  • Beautician

Languages spoken

  • English
  • Spanish

Activities

  • Jewish Services
  • Birthday Parties
  • Walking Club
  • Karaoke
  • Book Club
  • Happy Hour
  • Live Well Programs
  • Bible Study Group
  • Devotional Activities On-Site
  • Art Classes
  • Yoga / Chair Yoga
  • Brain fitness / Dakim
  • Dances
  • Protestant Services
  • Gardening Club
  • Bridge Club
  • Men's Club
  • Intergenerational Programs
  • Christian Services
  • Wine Tasting
  • Tai Chi
  • Community Service Programs
  • Wii Bowling
  • Live Dance or Theater Performances
  • Holiday Parties
  • BBQs or Picnics
  • Live Musical Performances
  • Stretching Classes
  • Trivia Games
  • Catholic Services
  • Activities Off-site
  • Pet-focused Programs
  • Educational Speakers / Life Long Learning
  • Day Trips and Outings
  • Water Aerobics
  • Activities On-site

Reviews

for Pacifica Senior Living Fresno

8.8Review score46 reviews
8.8
Review score
46 reviews
5 star
57%
4 star
30%
3 star
9%
2 star
2%
1 star
2%
Pacifica Senior Living
8.9
Review score9603 reviews99 communities
Write a review
A Place for Mom has scored Pacifica Senior Living Fresno with 8.8 out of 10 using our proprietary review score based on 6 reviews in the last 2 years. Over all time, Pacifica Senior Living Fresno has 46 reviews with an average "overall experience" of 4.3 out of 5.
Overall Rating
4.3
Cleanliness
4.5
Friendliness
4.5
Care Services
4.4
Staff
4.8
Meals & Dining
2.3
Activities
4.3
Value for Cost
4.4
A Place for Mom has scored Pacifica Senior Living Fresno with 8.8 out of 10 using our proprietary review score based on 6 reviews in the last 2 years. Over all time, Pacifica Senior Living Fresno has 46 reviews with an average "overall experience" of 4.3 out of 5.
Parent company
Best of Senior Living 2023
Pacifica Senior Living
8.9
Review score9603 reviews99 communities
Logo for Pacifica Senior Living
Filters
Overall Experience
Date Submitted
Reviewer
Care Received
Verified Review
A Place For Mom has verified the person writing the review and their connection to the community.
1-20 of 46 reviews
Anonymous - Family/friend
Independent Living
January 18, 2024
4.0
Verified Review
Our Experience
My loved one is a resident at Pacifica Senior Living Fresno. The staff is AMAZING! However, it's the new owners that are failing. The carpets are nasty and should be replaced like we were told at the time of our sign up. Their staff is way over worked. The new owners don't treat them very well and staff are leaving and they aren't hiring more people to replace them. The food quality and portion sizes are going down hill FAST! They no longer have a chef, only 1 cook and it shows! It takes way too long to get food and we were told by the cook that all of the meals are now pre-made meals that they just warm up as they are ordered. They don't have any activities, except for bingo or cards after every meal and also an art class. Overall, for the cost, they need to do better.
Cleanliness
3
Friendliness
5
Care Services
3
Staff
5
Meals & Dining
2
Activities
1
Value for Cost
3
Response from Pacifica Senior Living Fresno
February 20, 2024
First, thank you for your compliments about our staff. We have a temporary Executive Director who is doing a tremendous job and will continue to do so until the permanent Executive Director starts on March 1st. We have sent over your comments to the community for them to look into the dining quality.
Anonymous - Resident/client
Independent Living
June 29, 2023
4.0
Verified Review
Affordable, yet overall I would not recommend if you can afford more.
Overall, nice. Meals lacking. Too much grease, Hispanic food, cockroaches (saw 1 in kitchen area.) Maintenance poor, housekeeping weak (lackluster). Overall, appears they are trying to save money such that it compromises residents needs/comforts. Staff good with few exceptions. Lots of residential complaints. I am comfortable for cost. Affordable, yet overall I would not recommend if you can afford more. Unprofessional and extremely cheap on repairs and maintenance issues. Overall acceptable, yet lots of room for improvement!
Cleanliness
3
Friendliness
4
Staff
5
Meals & Dining
2
Activities
3
Value for Cost
4
Response from Pacifica Senior Living Fresno
October 9, 2023
First we would like to thank you for the compliments of our staff and your overall impression of our community. It has been a while since your review and you will be pleased to know that we have a new Chef and we are receiving a lot of positive feedback about the food and menu. With regard to any outstanding housekeeping or maintenance issues, please feel free to reach out and speak directly with our Executive Director.
JC - Family/friend
Assisted Living
March 22, 2023
4.0
Verified Review
Would recommend - they take good care of Mom. More variety of support options than other similar places.
My mom can't live with me for various reasons. Pacifica offers a variety of assisted living support that similar places do not offer. They are is taking good care on my mom.
Cleanliness
4
Friendliness
4
Care Services
4
Staff
4
Meals & Dining
3
Activities
3
Value for Cost
4
Response from Pacifica Senior Living Fresno
May 5, 2023
JC, we’re so happy to hear you’ve had a great experience at Pacifica Senior Living Fresno. We appreciate your feedback and are thankful that you took the time to leave us this positive review!
Anonymous - Family/friend
Assisted Living
November 23, 2022
5.0
Verified Review
Overall good community
I would tell them to definitely visit it and see if it meets the needs of your family member. Overall it has been a great place for my mom. I just wish they would accommodate her dietary needs.
Cleanliness
4
Friendliness
3
Care Services
4
Staff
5
Meals & Dining
1
Activities
4
Value for Cost
3
Response from Pacifica Senior Living Fresno
December 5, 2022
Hi! Thank you for your review and feedback! It brings a smile to our faces to read this review and we have shared with the team.
anonymous - Family/friend
Assisted Living
November 7, 2022
4.0
Verified Review
Would recommend
What sticks out the most to us about Pacifica Senior Living Freso is: the helpful and caring staff members as well as the great shuttle service that is provided. The residents here also seem to be happy. The room sizes here are very nice. My loved one also had a friend who lived here as well, which is a main reason he decided on Pacifica.
Cleanliness
4
Friendliness
4
Care Services
4
Staff
4
Meals & Dining
3
Activities
4
Value for Cost
5
Response from Pacifica Senior Living Fresno
December 7, 2023
Hi, we are so glad our team could exceed all of your expectations. Thank you for taking the time to leave this positive review for our community! We look forward to seeing you again at Pacifica Senior Living Fresno.
anonymous - Family/friend
Assisted Living
September 2, 2022
5.0
Verified Review
A caring place where my loved one feels comfortable.
We like the fact that it's light and airy. She has a nice view from her second floor window, which was really important to her. She also has an extra room, so she doesn't have to have her TV in her bedroom. She has some paintings hung in that extra room as well, and having that extra space makes her feel more like she's home vs. just living in a bedroom. The staff has been great. They're very friendly and look after her needs. She likes the dining service, although sometimes she gets a little tired of the food. She also likes using uses the hairdresser they bring in on-site.
Cleanliness
5
Friendliness
4
Care Services
5
Staff
5
Meals & Dining
4
Value for Cost
5
anonymous - Toured community
Assisted Living
November 5, 2021
3.0
Verified Review
Our Tour Experience
The people we met on our tour were very nice. They just wanted to put us into assisted living, and independent living is a better fit for us. We are both younger, still in our 70s, and I thought their pool was inadequate. And the activities were nice, but they were geared toward people who were more handicapped.
Response from Pacifica Senior Living Fresno
November 12, 2021
Thank you for letting us know about your recent visit to Pacifica Senior Living Fresno.
Iris C - Resident/client
Independent Living
April 19, 2021
4.0
Verified Review
It is a good place to live
The community is very clean and the staff members are very nice. The activities are opening back up which is nice, and they have opened back up the dining room. The food is not very good at all, but since we can eat in the dining room I am able to meet new people and have made a bunch of new friends. They take really good care of us and I am very happy here.
Friendliness
5
Cleanliness
5
Staff
5
Meals & Dining
2
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hello, thank you for leaving us such a wonderful review. We are thrilled that you enjoyed your experience here; our staff will definitely be happy to read what you wrote. We put resident experience and satisfaction as our priority, and your review reaffirms the hard work we put in every day. Thank you again for your kind words and we look forward to seeing you again.
anonymous - Family/friend
Independent Living
January 13, 2021
1.0
Verified Review
My review of Pacifica Senior Living Fresno
Before covid it would be a 4.5 out of 5 stars, and after covid they had to close down completely which we understand. The only way we could see our loved one, was to call her and she come outside. There was two ways we could do it, either come outside, or we could go to her patio and she could stand at her window and talk. She is 96 years old and we felt that she was to unstable to stand outside. The temperature in the summer time can be well over 100 and in the winter it can go down to the 30s, meeting outside was a little dicey to say the least. Our loved one has her own bedroom, bathroom, kitchenette and living room. Before covid they could use a pool, dining room, and library. They library was awesome for our loved one, she also had a group of people she would sit with everyday. It was perfect, we could not ask for better. During covid they would give the residents a menu so the food could be delivered to them, in a bad situation they did the best they could. Now there are no amenities, and she has lost all communication with her friends since they have to be confined to their rooms, which has been rough.
Cleanliness
5
Friendliness
5
Staff
5
Value for Cost
1
Meals & Dining
1
Activities
1
Response from Pacifica Senior Living Fresno
December 30, 2021
Your review is very concerning to us. We would appreciate if you would contact our community by calling (559) 298-4900 to speak with our Executive Director about your recent experience.
Jimmy Cantu - Toured community
Independent Living
October 12, 2020
5.0
FaceTime Tour
I toured this community today and thought that it was nice. They did a tour with me over FaceTime to keep me safe and they really did a good job showing me around. [name removed] was the person touring and she seemed to really care about me and the situation.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
December 30, 2021
We look forward to your next visit! Take care!
anonymous - Toured community
Independent Living
May 8, 2020
5.0
The people here are so wonderful, so welcoming from the staff to the residents.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hi there, we are very happy to have provided you with such a positive experience!
anonymous - Toured community
Independent Living
March 11, 2020
4.0
We would rate Atria at 4.5 if possible. Very pleasant staff, and [name removed] was delightful. Attractions: nice-sized apartments, many open spaces/gardens, lots of activities for residents, laundry facilities available for residents, several meeting/activity areas. Detractors: limited choices on meal menu, necessity to change apartments if extended care is necessary, even though the main lobby was spacious and well-appointed, the seating appeared to be arranged in such a manner as to hinder conversation. Much of the seating was against the walls, with a lot of space between seating.
Cleanliness
4
Friendliness
4
Value for Cost
4
Care Services
4
Activities
4
Response from Pacifica Senior Living Fresno
December 30, 2021
Thank you again for taking the time to let us know how we did. We hope you have a great day!
anonymous - Toured community
Independent Living
February 14, 2020
5.0
Beautiful facility. I met with an advisor here and the meeting was extremely informative and beneficial. I was advised that mom needs to be in a memory care facility. She is considered mid range alzhiemers/dementia. This facility is better suited for assisted and independent living. Very active residents.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hi , thank you very much for taking the time to leave us this positive review for our team at Pacifica Senior Living Fresno. We appreciate it & so do our other reviewers at APlaceForMom. We hope to see you again soon!
anonymous - Toured community
Independent Living
March 29, 2019
5.0
My wife and I met with [name removed], who was very nice and gave us a good tour of Atria. We also had lunch there. Based on my observations of the staff, the overall facility, and the meal, I was very impressed. Unfortunately, they do not have anyone on staff certified to give a daily insulin shot, so this may not work out for my Dad.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
April 5, 2019
Thank you for visiting us at Atria Fresno. Our residents' well-being and health is our top priority. If we can support you in answering other questions, please feel free to contact us.
anonymous - Toured community
Independent Living
August 22, 2018
5.0
As soon as I walked in I felt I could possibly call this my home. Everyone was warm and friendly. The grounds are very clean and kept up well. I was happy that they accept pets.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hello, we are glad we could help!
anonymous - Toured community
Independent Living
March 6, 2018
4.0
[name removed] was very helpful with all of our questions. We enjoyed the facility, and the sing-along with the pianist. Rooms were nice. We were put off by odors, which is why only 4 stars.
Cleanliness
4
Friendliness
4
Value for Cost
4
Care Services
4
Activities
4
Response from Pacifica Senior Living Fresno
December 30, 2021
Hello, thank you for your positive review, we are grateful to see that you feel this way! We strive to provide excellent care and service to our residents and their families at Pacifica Senior Living Fresno. Thank you again, we hope you have a wonderful day!
anonymous - Toured community
Independent Living
February 17, 2018
5.0
Very nice facility. It will be a definite consideration if we relocate dad to Fresno. Great staff too
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hello, thank you for your kind words and this wonderful review!
anonymous - Family/friend
Independent Living
August 10, 2017
4.0
Verified Review
Comfortable care!!
I have no complaints of how things are going for my mother since she made the move into this community. The staff have been wonderful to work with and I am comfortable with the care they have providing her. She has had no problem with the meals and enjoys participating in the activities they have from time to time. Overall it has been a pleasant experience and I would recommend it to anyone.
Cleanliness
4
Friendliness
4
Value for Cost
4
Care Services
4
Activities
4
Response from Pacifica Senior Living Fresno
December 30, 2021
Hi, we are very happy we could provide you with a positive experience!
anonymous - Toured community
Independent Living
July 26, 2017
3.5
Verified Review
A tour for care
We toured this community for care. The staff was friendly and we liked the environment. The communist did not allow pets and the cost was more than planned. They do offer activities and the menu is appealing. We would suggest that families tour this community for the options and cost available.
Cleanliness
3.5
Friendliness
3.5
Value for Cost
3.5
Care Services
3.5
Activities
3.5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hi there, we are very happy to have provided you with such a positive experience!
anonymous - Family/friend
Independent Living
May 25, 2017
5.0
Verified Review
My mom's care
I like this community for good care for my mom. The meals are excellent and the variety is wonderful. The community has a lot of nice activities. It makes me happy to know that she is getting excellent care. We would recommend this community for the care of a loved
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Fresno
December 30, 2021
Hello, thank you for the high star rating!
Viewing 1-20 out of 46 reviews

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Frequently Asked Questions
about Pacifica Senior Living Fresno

Pacifica Senior Living Fresno offers 1 Bedroom and 2 Bedrooms. Learn more.

A Place for Mom has scored Pacifica Senior Living Fresno 8.8 out of 10 using our proprietary review score.

 

We assign review scores to give a more reliable view into senior living communities and home care agencies. Our review scores prioritize reviews that are recent — the past 24 months — because we know families need current information when choosing senior care.

 

Those with many recent, positive reviews receive a high review score, while providers with few recent reviews — regardless of how positive — receive a lower review score. Communities with no recent reviews will not have a review score, even if older reviews are positive. The maximum A Place for Mom review score a community can receive is 10 points.

Call (559) 298-4900 to reach a resident at Pacifica Senior Living Fresno.

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Starting at $X,XXX+ monthly
8.0
Review score
27 reviews
8.0
Review score
27 reviews
5 star
82%
4 star
7%
3 star
4%
2 star
0%
1 star
7%
Studio, 1bd, 2bd, Semi-Private
Oakmont of Fresno is a family owned and operated community newly opened in March 2015. Features include industry renowned dining, and endless on-site amenities. If an active lifestyle is what you desire, you'll feel at home at Oakmont where friends and neighbors enjoy our day spa, private movie...
Photo of Nazareth House

Nazareth House

2121 North First St, Fresno, CA 93703
Starting at $X,XXX+ monthly
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
Studio
Nazareth House is a Catholic assisted living community owned by the Sisters of Nazareth and located in central Fresno, Fresno County, California. Recently celebrating 60 years of serving the Fresno senior community, Nazareth House welcomes seniors seeking supportive services in a compassionate...
Photo of The Windham

The Windham

1100 E Spruce Ave, Fresno, CA 93720
Starting at $X,XXX+ monthly
9.2
Review score
21 reviews
9.2
Review score
21 reviews
5 star
66%
4 star
5%
3 star
24%
2 star
0%
1 star
5%
Studio, 1bd, 2bd, Detached Cottages / Bungalows
Experience Life at The Windham.Imagine living in one of the most desirable neighborhoods in Fresno on a beautiful 10-acre campus with lush landscaping and walking paths, close to shopping, restaurants, and medical services, and just minutes from Woodward Park. At The Windham you get all this and...
Photo of Garden Manor

Garden Manor

4983 E Olive Ave, Fresno, CA 93727
Starting at $X,XXX+ monthly
Photo of Twilight Haven

Twilight Haven

1717 S. Winery Ave., Fresno, CA 93727
Starting at $X,XXX+ monthly
Studio, Semi-Private, Private, 1bd

The features and amenities that are displayed on this page contain marketing information provided by the community. A Place for Mom has not confirmed the completeness of the provided information, and cannot guarantee its accuracy.

To conduct a complete investigation, seniors and their families should:

  • Tour any listed location to confirm the accuracy of the community description
  • Confirm that the community offers services that are required for the senior’s specific needs and budget
  • Check additional licensing and state audit information

If you become aware of any information that should be updated or noted, please contact A Place for Mom. A Place for Mom uses the term “assisted living” to indicate that the community provides some level of assistance with daily living activities. It does not indicate that the facility meets official state requirements for level of care.

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