The Terraces at San Joaquin Gardens

    5555 N Fresno St, Fresno, CA 93710
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Comfortable community with excellent amenities

    I moved in last year and I'm very pleased-beautiful, well-maintained grounds and spotless, comfortable rooms with maintenance-free living. The staff are friendly, professional and genuinely caring; therapy and medical care are excellent, meals are good, and there are plentiful activities and amenities (fitness, spa, salon, library) plus reliable transportation. It's a safe, tight-knit community that made my transition seamless and lets me feel at home long-term.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.42·(36)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.4
    • Meals

      3.7
    • Amenities

      4.8
    • Value

      3.0

    Pros

    • Caring, professional staff
    • Wide continuum of care (independent living, memory care, skilled nursing)
    • Nonprofit continuing-care model
    • Lifetime residency guarantee
    • Multiple on-site dining venues
    • Nutritious, high-quality meals with accommodating options
    • Extensive activities and programming
    • Strong rehabilitation and physical-therapy services
    • Well-maintained, landscaped grounds
    • Upscale amenities (fitness center, spa, library, salon)
    • Pet-friendly community
    • Spacious, comfortable living spaces with recent remodeling
    • Takeout and flexible dining options
    • Safe, quiet atmosphere
    • Tight-knit community with resident involvement

    Cons

    • Inconsistent clinical monitoring for chronic conditions
    • Gaps in responsiveness to acute clinical changes
    • Perceived understaffing during some shifts
    • Communication and care-coordination breakdowns with families
    • High buy-in and ongoing monthly fees
    • Complex billing and limited fee transparency
    • Essential services (for example, internet) excluded from base fees
    • Large campus layout that can be difficult for residents with mobility limits
    • Separated dining venues requiring outdoor transit between buildings
    • Dated decor in some areas despite partial renovations

    Summary of reviews

    The Terraces at San Joaquin Gardens presents as an upscale, nonprofit continuing-care community offering a full spectrum of services from independent living through memory care and skilled nursing. Reviewers consistently praise the campus for its landscaped grounds, spacious residences, multiple dining venues, and a broad amenity set—fitness center, spa, library, salon—and programming that includes fitness classes, lectures, arts and games, outings and robust rehabilitation and physical-therapy services. The community emphasizes resident involvement, pet-friendly policies, and a lifetime residency guarantee, features that will appeal to families seeking long-term continuity of care in a single campus.

    Staff and day-to-day care receive substantial positive feedback: many families described staff as friendly, respectful and professional, and reviewers highlighted clean, orderly rooms and accommodating dining service. Therapy and rehab services are noted as a strength, and the facility is viewed by many as providing good nutrition and flexible meal options across several restaurants and takeout choices. At the same time, a portion of reviewers raised clinical concerns that merit attention. These comments point to inconsistent clinical monitoring for chronic conditions (for example, weight and fluid-status tracking), gaps in responsiveness when conditions change, and communication breakdowns between staff and families. Some families escalated individual incidents externally; those experiences suggest prospective residents should ask specific questions about clinical protocols, staffing ratios, and escalation procedures during their tour.

    Operational considerations and cost are recurring themes. The community charges a significant entrance fee and monthly service fee; several reviewers called out the high buy-in and the ongoing monthly cost and noted that some essential services (notably internet) are not included in base pricing. There are also mentions of complex billing and the need for clearer fee transparency. The campus scale and layout are double-edged: many appreciate the large, landscaped grounds and separate venues, but others noted the size can feel isolating for some residents and that moving between buildings (including for dining) can require outdoor transit, which may present challenges for residents with limited mobility. Finally, while portions of the facility have been remodeled and are described as comfortable and modern, some areas retain dated decor.

    Overall, The Terraces at San Joaquin Gardens is portrayed as a high-quality, full-service continuing-care community with strong amenities and an active program life, supported by many staff members who are described as caring and capable. Prospective residents and families should weigh the community’s hospitality, rehabilitation strengths, and continuity-of-care model against the relatively high cost and operational issues flagged by reviewers — notably clinical monitoring practices, staffing consistency, billing transparency, and campus layout. Recommended pre-admission steps include reviewing clinical protocols for chronic-condition monitoring, asking for current staffing ratios and emergency-response procedures, clarifying all fees and what is included, and touring the specific living and dining areas a prospective resident would use to assess accessibility and layout impact on daily life.

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Terraces at San Joaquin Gardens

    The Terraces at San Joaquin Gardens is located at 5555 N Fresno St, Fresno, CA, 93710.

    About The Terraces at San Joaquin Gardens

    The Terraces at San Joaquin Gardens sits on 26 acres in Fresno, California, and offers a range of senior living options including independent living, assisted living, memory care, and skilled nursing care, so folks can stay in the same place even if their needs change over time, and it's a Life Plan Community too which means it covers continuing care. The campus feels homey with shaded spaces, flower gardens, outdoor walking paths, an enclosed courtyard, and lots of trees; people enjoy gardening, birdwatching, or just spending time outside. The apartments and cottage homes look modern and they fit a host of needs, with private and semi-private suites, kitchenettes or full kitchens, private bathrooms, air conditioning, cable TV, and free Wi-Fi so everyone can stay comfortable and connected. Safety is a big priority with emergency alert systems, a secured memory care building, wander alert technology, and 24-hour staffing that includes RNs, LPNs, and on-site nurses.

    Residents have plenty to do with movie nights in the theater, the billiards lounge, music and arts programs, water aerobics classes in the swimming pool and hot tub, raised gardening beds, a fitness center, a library, atrium, beauty salon, barber shop, and a computer room, so there's a nice mix of activities whether folks like to socialize or enjoy quiet hobbies. There are regular schedules of activities for all interests, including stretching, Tai Chi or chair yoga, brain fitness, arts and crafts, educational lectures, Wii bowling, trips, gardening club, live music, and even intergenerational programs with younger people coming in, while devotional services happen on-site, and residents can run their own little clubs too. The on-site wellness center offers therapy services like physical, occupational, and speech therapy, plus help with medication and diabetes management, wound care, respiratory treatments, IV therapy, and hospice support when needed. The community has specialized staff and programs for people with dementia or Alzheimer's, and can handle folks who may wander, need more supervision, or have behaviors related to memory illnesses.

    Meals get a lot of attention with restaurant-style dining options that serve up chef-prepared food made to order, with private dining rooms for special occasions and menus for special diets like low-sodium, gluten-free, sugar-free, vegetarian, and vegan, plus guest meals if visitors come by, and food is available all day. Housekeeping, laundry and dry cleaning, grocery shopping, move-in coordination, and concierge support take some everyday worries off folks' plates. The facility welcomes pets, which is important for residents who want to keep their cats or dogs with them. Parked cars are safe and there's complimentary transportation as well as paid rides for outings or appointments.

    Healthcare is personalized, based on each resident's needs, and covers everything from light help with bathing or eating, to heavy care with incontinence, non-ambulatory assistance, and help moving around using lifts or standby aid, and there's full nursing care for those with chronic conditions. The memory care building is secure and designed specifically for people with dementia, while the skilled nursing section supports those who need more help, whether short-term for recovery or long-term for ongoing issues, all with professional staff and personalized care plans. The community is nonprofit, licensed by the state of California (license number 100400544) with a capacity for up to 652 residents, and it's rated well by the Centers for Medicare & Medicaid Services. Being close to medical offices and major hospitals gives residents quick access to outside healthcare when needed.

    Overall, The Terraces at San Joaquin Gardens tries to bring together comfort, safety, support, and a mix of activities so older adults can stay active, healthy, and connected no matter what stage of life they're in, and families can feel reassured about a good level of care all on one big, friendly campus.

    People often ask...

    The Terraces at San Joaquin Gardens offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 81 photos of The Terraces at San Joaquin Gardens on Mirador.

    Yes, The Terraces at San Joaquin Gardens allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 5555 N Fresno St, Fresno, CA 93710.

    No, The Terraces at San Joaquin Gardens does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number100400544
    StatusLicensed
    Facility typeRcfe-continuing Care Retirement Community
    Capacity652 residents
    LicenseeHUMANGOOD & HUMANGOOD NORCAL & HUMANGOOD FRESNO
    EffectiveFebruary 9th, 1994
    View the official license record

    Inspection Reports

    28

    Reports

    3

    Type A Citations

    2

    Type B Citations

    6

    Complaints

    7

    Years

    19 May 2026Complaint
    Investigated an incident where staff did not allow a resident's family member to visit during placement.
    • Type B87468.1(a)(11)
    25 Feb 2026Inspection
    Observed no deficiencies or citations issued during the visit.
    28 May 2025Inspection
    Investigated a death-related case management matter and reviewed water test results; all water tests were negative for bacteria. Cross-reporting to the county health department was noted.
    13 Jan 2025Inspection
    Observed compliant operations across living areas, including temperature controls, food storage, medication security, fire safety equipment, and recordkeeping; no deficiencies or citations were issued.
    23 Jul 2024Complaint
    Found that a resident's fall resulted in injuries requiring emergency medical treatment, and concluded that the allegations of neglect, insufficient staffing, and failure to conduct change-of-condition appraisals did not establish violations.
    12 Feb 2024Inspection
    Found failure to prominently identify taps delivering water at 125°F or higher with warning signs, creating burn risk for residents.
    • Type B87303(e)(3)
    08 Feb 2024Inspection
    Observed that water temperatures, fire safety measures, medication storage, and bedrooms met basic requirements during an unannounced visit; interviews were conducted and a sample of staff files reviewed. Due to time constraints, the annual review could not be completed, and no deficiencies or citations were issued.
    13 Dec 2023Inspection
    Investigated self-reported incidents dated 11/30/23 and 12/06/23; file reviews and interviews were completed, and no deficiencies were cited.
    22 Nov 2022Inspection
    Identified two resident incidents: a vehicle backing up and hitting another resident with EMS responding and the struck resident discharged the same day, and a fall with a small head laceration requiring first aid and hospice notification, with no deficiencies observed.
    25 Feb 2022Inspection
    Observed clean, odor-free rooms and common areas with infection-control measures in place; staff wore masks and hand hygiene resources were available.
    12 Oct 2021Inspection
    Conducted a case management visit to review an incident; no deficiencies observed.
    12 Oct 2021Inspection
    Investigated an allegation of abuse involving staff and a resident. Internal findings based on interviews indicated no abuse.
    12 Oct 2021Complaint
    Investigated allegation of an unwitnessed fall with fracture; determined the fall was not due to neglect and the complaint was unfounded.
    17 Sept 2021Inspection
    Investigated an incident report about a resident's arm bruising during care. Admin stated an internal review was conducted and it could not be determined whether bruising was caused by staff holding the resident's arm.
    17 Sept 2021Inspection
    Found no immediate health or safety concerns after a health check of memory unit residents; there was a sufficient supply of perishable and non-perishable food.
    17 Sept 2021Inspection
    Observed an incident involving a resident found on the bedroom floor with her head caught under her bed frame; reassessment completed and care plan updated; no deficiencies were observed.
    17 Sept 2021Inspection
    Identified an incident report about potential abuse by a staff member toward a resident. An internal investigation was conducted.
    18 Jun 2021Complaint
    Investigated an allegation that a resident sustained a fall while in care.
    15 Apr 2021Inspection
    Identified failure to perform timely follow-up wellness checks after residents did not respond, risking residents' health and safety.
    • Type A87466
    07 Apr 2021Inspection
    Investigated information regarding a resident death reported to licensing and spoke with the administrator to obtain additional details.
    13 Jan 2021Complaint
    Investigated the allegation that a resident was found on the floor for an extended period; evidence could not determine how long the resident was on the floor or whether the incident occurred.
    • Type A87468.2(a)(4)
    07 Jan 2021Inspection
    Followed up on the health and safety check of a resident due to COVID-19 precautions. The manager will provide additional information by 01/08/2021.
    05 Oct 2020Inspection
    Identified an unusual incident involving injury from 09/25/2020, reported on 09/29/2020; requested by 10/08/2020 submission of a signed agreement, progress notes, and the most recent medical assessment, with the related form emailed for signature and the final submission by 10/06/2020.
    02 Sept 2020Inspection
    Investigated the death of a resident and collected additional information during a phone call with the administrator.
    29 Jul 2020Inspection
    Confirmed health and safety concerns during a follow-up check of a resident.
    • Type A87466
    05 Mar 2020Complaint
    Confirmed complaint of lack of access to records unfounded as records were provided to authorized representative. No deficiencies cited during inspection.
    20 Feb 2020Inspection
    Confirmed cleanliness, maintenance, and adequate accommodations in resident rooms, common areas, and medication administration during inspection.
    04 Nov 2019Inspection
    Confirmed no deficiencies during inspection of the facility, including resident rooms, safety measures, food storage, and medication administration.

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    Mirador Living is not affiliated with the owner or operator(s) of The Terraces at San Joaquin Gardens. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Terraces at San Joaquin Gardens directly. There is no cost for this service. We are compensated by the community you select.

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