Twilight Haven: Nursing Home OverviewSkip to content

Twilight Haven

  • Nursing Home
  • Independent Living
  • Assisted Living

Updated Nov 1, 2023 by Nick Reese

Historical Rating
Grade: B
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Twilight Haven's website

1717 S. Winery Avenue,
Fresno CA 93727

(559) 251-8417

51.8% estimated occupancy 1

Twilight Haven is a small non-profit facility in Fresno, California. We gave this nursing home an overall grade of B. A grade of this caliber requires respectable scores in most areas. We found this facility to be better than the majority of the nursing homes in Fresno, which has a city grade of B-. This nursing home's impressive report card was highlighted by its short-term care rating, which you can find in the next section.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • Is CCRC
  • Has Resident Council
  • No Family Council
  • Non profit - Corporation
  • Offers Hospice
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Transportation
  • Medical Transportation
  • Speech Therapy
  • Occupational Therapy
  • Podiatry
  • Physical Therapy
  • Nutritional Counseling
  • Recreational Therapy

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
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Short-term Care Quality

Grade: A

To go along with its strong overall grade, we awarded this nursing home a grade of A for our short-term care grade. Our short-term care scores are likely more meaningful for people needing rehabilitation from their nursing home. Rehabilitation typically requires additional highly-skilled nursing services. This means not merely nursing, but also physical and occupational therapy, as well as other forms of therapy. It does not appear that this nursing home provided data regarding its registered nurse or physical therapy staffing. Finally, we looked at the percentage of patients that eventually returned home from this facility. We found that 5.9 percent of this nursing home's patients were able to return home.

Nurse Quality

Grade: B-plus

One of the other reasons we rated this facility so highly is that it earned a very impressive nursing grade. In that area, we awarded this facility an B+. In computing our nursing scores, we analyze both the number of hours nurses spend with residents and the skill levels of the nurses. This nursing home averages 0 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a facility has reliable quality controls in place. Major falls can typically be prevented if more nurses aids and better safety protocols are in place.

Facility Inspections

Grade: B

This nursing home earned a very good government inspection report this year as well. For this reason, it earned one of our higher grades in that area with a B. We weigh several aspects of a nursing home's inspection report in determining these inspection scores. One key factor is deficiencies. You should keep in mind that the severity of deficiencies is arguably more important than the number of deficiencies, as some of these can be quite minor. This particular nursing home received 3 deficiencies on its inspection report. Overall, this is still a good inspection report, but we'd always recommend looking into any deficiencies you find troubling.

Long-term Care Quality

Grade: C

The last category we assessed was long-term care. This facility was given a C in the category. Our long-term care scores are based on a facility's amount of care. This includes a broad scope of personal care services, ranging from assistance with activities of daily living to routine medical services. Once we assessed the amount of care provided by nurses aids and other staff, we then analyzed the facility's vaccination statistics. We were optimistic to discover that this nursing home vaccinated 96.478874 percent of its patients for pneumonia. Lastly, this nursing home was also able to limit hospitalizations. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Twilight Haven Quality Metrics

Minimizes Pressure Ulcers

Grade: A-minus

In Twilight Haven, 5.04% of Patients had Pressure Ulcers

This datapoint is a measure of the percent of long-term stay patients that are suffering from new or worsened pressure ulcers or bed sores. We use this statistic in calculating both nursing and long-term care grades.

Minimizes Serious Falls

Grade: C

In Twilight Haven, 4.23% of Patients had Serious Falls

This indicates the percentage of residents who have had a major fall. Falls resulting in severe injuries are often linked to poor nursing care. More supervision can limit the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: B

In Twilight Haven, 1.44% of Patients had UTIs

This datapoint is an indication of the percentage of long-term care residents that have suffered from UTI's. Although more infections could reflect poorly on a nursing home's nursing care, it is difficult to compare between nursing homes due to differing reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Twilight Haven, 11.45% of Patients use Anti-Psychotic Medication

This is the percentage of patients who were given antipsychotic medications. These drugs are used to treat several medical conditions, including dementia.

Appropriately Uses Anti-Anxiety Medication

Grade: B-plus

In Twilight Haven, 16.51% of Patients use Anti-Anxiety Medication

This datapoint indicates the percentage of long-term residents receiving antianxiety drugs.

Managing Depression Among Residents

Grade: A+

In Twilight Haven, 0% of Patients

This indicates the percentage of patients who are showing signs of depression. Increased levels of depression may reveal a less hospitable environment.

Appropriate Vaccine Usage

Grade: B

In Twilight Haven, 97.58% of Patients

This indicates the percent of residents that were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.

Residents Maintain Autonomy

Grade: A+

In Twilight Haven, 0% of Patients

This is the percentage of residents that required additional assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: D

In Twilight Haven, 7.71% of Residents

This metric measures the percent of long-term stay patients who remained mobile levels.

Hospitalizations

Grade: A-plus

In Twilight Haven, 0.43 Hospitalizations per 1,000 resident days

This is the number of times residents are hospitalized per thousand days of care.

Short-term Care: Rehospitalizations

Grade: A

In Twilight Haven, 7.71% of Residents Rehospitalized

This tells you the number of rehospitalizations per thousand days of short-term care. There is usually a correlation between avoiding hospitalizations and the quality of rehabilitation services.

Short-term Care: Facilitates Functional Improvement

Grade: A-minus

In Twilight Haven, 86.4% of Resident

This tells you the percentage of short-term stay patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with activities of daily living usually correlates with higher quality rehabilitation services.

Scores for Fresno, CA

  • Overall Rating has a grade of B-minus
  • Nurse Rating has a grade of B-plus
  • Long-term Care Rating has a grade of B
  • Short-term Care Rating has a grade of B
  • Inspection Rating has a grade of B

Looking for more options? Fresno, California has 18 other nursing homes

Nearby Hospitals

  • Community Regional Medical CenterAcute Care Hospitals 3.06 miles away2823 Fresno Street Fresno California 93721Voluntary non-profit - Private(559) 459-6000
  • Saint Agnes Medical CenterAcute Care Hospitals 7.96 miles away1303 E Herndon Ave Fresno California 93710Voluntary non-profit - Church(559) 450-3000
  • Clovis Community Medical CenterAcute Care Hospitals 8.57 miles away2755 Herndon Ave Clovis California 93611Voluntary non-profit - Private(559) 324-4000
  • Kaiser Foundation Hospital - FresnoAcute Care Hospitals 8.63 miles away7300 North Fresno St Fresno California 93720Voluntary non-profit - Private(559) 448-4500
  • Valley Children's HospitalChildrens 11.69 miles away9300 Valley Childrens Place Madera California 93636Voluntary non-profit - Private(559) 353-5116

Nearby Dialysis

  • Fmc Fresno Airport East2.91 miles away1899 North Helm Ave Suite 101 Fresno California 93727Dialysis Stations: 24 (559) 452-1480
  • Community Dialysis Center3.1 miles away215 North Fresno Street Suite 150 Fresno California 93701CMS Rating: 4 stars Dialysis Stations: 41 (559) 459-3901
  • Ash Tree Dialysis3.34 miles away2666 North Grove Industrial Drive Suite 106 Fresno California 93727CMS Rating: 3 stars Dialysis Stations: 36 (559) 251-1919
  • San Joaquin Valley Dialysis4.59 miles away3636 North First #144 Fresno California 93726CMS Rating: 3 stars Dialysis Stations: 22 (559) 221-6311
  • Fmc North Fresno Dialysis7.54 miles away6737 N. Willow Bldg C Fresno California 93710CMS Rating: 4 stars Dialysis Stations: 20 (559) 324-1070
  • Davita Herndon Dialysis Center8.21 miles away560 E Herndon Ave, Ste 101 Fresno California 93720CMS Rating: 3 stars Dialysis Stations: 48 (559) 432-5278
  • Community Dialysis Center - Clovis8.73 miles away501 North Medical Center Dr East, Suite 1100 Clovis California 93611Dialysis Stations: 12 (559) 324-4030
  • Sanger Sequoia Dialysis Center8.9 miles away2517 Jensen Avenue Building B Sanger California 93657CMS Rating: 3 stars Dialysis Stations: 16 (559) 876-3852