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Twilight Haven

  • Nursing Home
  • Independent Living
  • Assisted Living

Updated Sep 1, 2022 by Nick Reese

Historical Rating
Grade: B
Oct 18: DNov 18: DDec 18: CJan 19: B-Feb 19: B-Mar 19: B-Apr 19: BMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: B-Mar 20: B-Apr 20: BMay 20: BJun 20: BJul 20: BAug 20: BSep 20: BOct 20: BJan 21: B+Feb 21: B+Mar 21: B+Apr 21: B+May 21: B+Jun 21: B+Jul 21: A-Aug 21: A-Sep 21: A-Oct 21: A-Nov 21: A-Jan 22: B+Feb 22: B+Mar 22: B+Apr 22: BMay 22: BJun 22: BAug 22: BSep 22: B
See Rating Overview
Twilight Haven's website

1717 S. Winery Avenue,
Fresno CA 93727

(559) 251-8417

78% 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. This grade was right in line with the city grade in Fresno. The best aspect of this nursing home's strong profile is its inspection rating. We discuss inspections in the next section

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 (2021)
Less:
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April
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May
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June
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October
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December
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January
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February
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March
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Facility Inspections

Grade: B-plus

On top of performing well overall, this facility earned a very good inspection report this year as well. For this reason, it earned one of our better grades in that category with a B+. These inspection ratings weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these factors by obtaining copies of nursing homes' inspection reports. 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: B-plus

This nursing home is also strong in the category of long-term care, where it was awarded a score of B+. It outpaced most facilities in this category. When facilities receive a grade in this range in long-term care it typically means it has plenty of staff and is an overall good place to reside on a permanent basis. After considering the quantity of care provided by aids and other staff, we next considered the facility's vaccination data. This nursing home vaccinated 100 percent of its residents for pneumonia, which is significantly higher than the majority of nursing homes. Finally, this facility was able to limit hospitalizations. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.

Short-term Care Quality

Grade: B

Turning to our next category, this facility also earned a grade of B for its short-term care rating. This is an above average grade in this category. In the area of short-term care, we attempt to evaluate measures of a facility's rehabilitation. We analyze a facility's skilled nursing services, such as the ones performed by registered nurses and physical and occupational therapists. We weren't able to find information on registered nurse or physical therapy staffing for this nursing home. Finally, we assessed the percentage of residents who were able to return to the community from this nursing home. We found that 0 percent of this nursing home's residents returned home.

Nurse Quality

Grade: B

The next area we graded is nursing, in which this facility was given a B. This facility ended up being relatively strong in each area we assessed. There are a number of criteria within this grade. Most of these data points reflect levels of nurse staffing. This facility provided 0.5 hours of nursing care per resident per day. Finally, we also looked at some nursing quality-based metrics in determining our nursing grades. This place performed very well in the area of avoiding major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Twilight Haven Quality Metrics

Minimizes Pressure Ulcers

Grade: A-minus

In Twilight Haven, 7.45% of Patients had Pressure Ulcers

This indicates the percent of patients that suffered from a pressure ulcer. Pressure ulcers are damage to the skin caused by staying in the same position for too long.

Minimizes Serious Falls

Grade: D

In Twilight Haven, 1.7% of Patients had Serious Falls

This tells you the percentage of residents who suffered from a fall resulting in major injury.

Minimizes Urinary Tract Infections

Grade: A+

In Twilight Haven, 1.24% of Patients had UTIs

This statistic indicates the percentage of long-term stay patients who had UTI's. UTI's could be a sign of a nursing home with worse hygiene protocols. However, this statistic could be misleading for some facilities due to inconsistent reporting standards for urinary tract infections.

Appropriately Uses Anti-Psychotic Medication

Grade: A-plus

In Twilight Haven, 10.1% of Patients use Anti-Psychotic Medication

This figure measures the percentage of long-term patients receiving antipsychotic drugs. While antipsychotic medications serve an important medical purpose, it is important to make sure these medications are being used appropriately. In some cases, excessive reliance on these medications may suggest a nursing home is using these drugs to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: B-plus

In Twilight Haven, 13.85% of Patients use Anti-Anxiety Medication

This indicates the percent of residents prescribed antianxiety drugs. Antianxiety drugs are prescribed to residents experiencing anxiety or depression.

Managing Depression Among Residents

Grade: A+

In Twilight Haven, 4.64% of Patients

This metric is a measure of the percent of long-term stay patients who are showing symptoms of depression.

Appropriate Vaccine Usage

Grade: A

In Twilight Haven, 95.44% of Patients

This is a measure of the percentage of long-term stay residents that have received the pneumonia and flu vaccines. Respiratory viruses can be fatal for nursing home residents, making these vaccines important for resident well-being.

Residents Maintain Autonomy

Grade: A-plus

In Twilight Haven, 7.92% Percentage of Patients

This is the percent of patients that needed additional assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: F

In Twilight Haven, 12.45% Percentage of Residents

This metric measures the percentage of long-term stay residents that maintained mobility. Many believe that mobility is important for residents' physical and mental well-being.

Short-term Care: Rehospitalizations

Grade: A-plus

In Twilight Haven, 12.45 Percentage of Residents Rehospitalized

This metric tracks the number of times residents are rehospitalized per 1,000 days of short-term patient care.

Short-term Care: ER Visits

Grade: A-plus

In Twilight Haven, 9.83 Percentage of Patients

This metric tracks the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: A-plus

In Twilight Haven, 79.79% Percentage of Resident

This is a measure of the percent of short-term stay residents that experienced functional improvements, such as enhanced ability to perform activities of daily living. Some believe this is a measure of a nursing home's rehabilitation services.

Scores for Fresno, CA

  • Overall Rating has a grade of B
  • 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 19 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