The Terraces at San Joaquin Gardens

    5555 North Fresno Street, Fresno, CA, 93710
    4.2 · 13 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful campus poor medical oversight

    I considered this nonprofit continuing-care community for my mother and was impressed by the beautiful, well-kept grounds and buildings, clean rooms, three dining venues, abundant activities, strong rehab/physical therapy and many amenities - truly an all-in-one campus. However, the reality fell short: understaffing, miscommunication, and inadequate weight/edema monitoring led to an ER escalation and felt like neglect despite promises of five-star care. It's also very expensive (around $95-100K buy-in, roughly $3,000+ monthly, internet extra) and the large campus layout meant my mother could be isolated or even have to walk outside to get dinner. Beautiful facility and great programs, but I couldn't trust the medical oversight, so we chose a newer, more compassionate alternative.

    Pricing

    Schedule a Tour

    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

    4.23 · 13 reviews

    Overall rating

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

      4.4
    • Staff

      4.4
    • Meals

      3.8
    • Amenities

      4.7
    • Value

      2.3

    Pros

    • Exceptionally friendly, caring, and professional staff
    • Strong safety protocols reported by multiple reviewers
    • Nutritious and tasty meals with multiple dining venues
    • Three on-site restaurants and takeout/dining flexibility
    • Wide range of activities (yoga, pool, Great Courses, Bingo, outings, concerts, origami, card games, mahjong)
    • Beautifully landscaped grounds and attractive campus buildings
    • Spacious, comfortable living spaces with some recent remodels
    • Comprehensive continuing care model (independent living, skilled nursing, memory care)
    • Lifetime residency guarantee and nonprofit status (keeps costs down according to reviewers)
    • Rehabilitation and physical therapy services praised
    • Amenities including fitness center, spa, library, beauty salon, happy hour
    • Resident involvement and tight-knit community atmosphere reported by many
    • Pet-friendly policy
    • Clean, orderly rooms and overall facility cleanliness
    • Flexible and accommodating meal options for residents

    Cons

    • Allegations of neglect, malpractice, and escalation to ER in some cases
    • Claims of understaffing and miscommunication with staff
    • Specific clinical care concerns (inadequate weight monitoring, edema/CHF neglect)
    • High upfront buy-in fee (around $95K–$100K) and high monthly fees (~$3,000+)
    • High billing charges reported by at least one reviewer
    • Campus size can feel too large and isolating for some residents
    • Some residents may have to walk outside to access dining or services
    • Internet service not included in fees
    • COVID-era restrictions impacted dining and resident interaction
    • Occasional dated decor despite some recent remodeling
    • No tour provided to at least one prospective resident
    • Mixed reports about consistency of 5-star level care versus promises

    Summary review

    Overall sentiment across the reviews is mixed but leans positive with important caveats. Many reviewers highlight a warm, caring, and professional staff culture, describing employees as attentive, well trained, compassionate, and respectful. The facility is frequently praised for its cleanliness, well-maintained grounds, and attractive buildings. Multiple reviewers point to the facility’s comprehensive continuing care model — offering independent living, skilled nursing, and memory care — as a major strength, particularly the lifetime residency guarantee and nonprofit status that some say helps control costs. Rehabilitation and physical therapy services receive consistent praise, with several reviewers describing the rehab experience as wonderful and effective.

    Amenities and dining are commonly noted as strong aspects of the community. Residents and visitors report three on-site restaurants, takeout options, and flexible meal accommodations. The food quality is described as generally very good to delicious and nutritious, with multiple dining venues and a variety of choices. Additional amenities that get repeated positive mentions include a fitness center, spa, library, beauty salon, happy hour, and a broad activities program. The activities roster is robust and diverse — yoga, pool, Great Courses, concerts, Bingo, origami, card games, mahjong, outings, and exercise classes — supporting an engaged, active resident life. Many reviews also emphasize a tight-knit culture of resident involvement and a family-like approach from staff.

    However, there are significant and serious concerns raised by several reviewers that temper the positive feedback. A subset of reviews allege clinical neglect, malpractice, inadequate monitoring (including weight monitoring), and specific instances of edema/CHF neglect that required escalation to emergency care. These accounts also mention miscommunication and understaffing as contributing factors. While other reviewers report strong safety protocols and high-quality care, the presence of multiple serious allegations means potential residents and families should investigate clinical oversight, staffing ratios, and complaint resolution processes thoroughly before committing.

    Cost and logistics are recurring practical considerations. Several reviews point out the high financial commitment required: sizable upfront entrance fees in the neighborhood of $95,000–$100,000 and monthly fees around $3,000 or more. Critics raise concerns about additional charges (one reviewer mentioned high billing charges) and items not included in fees such as internet. Some reviewers framed the buy-in and monthly cost as a life-long commitment, which is appropriate for a continuing care community but may be a barrier for some. COVID-related restrictions that temporarily affected dining and resident interaction were noted, though these appear to reflect pandemic-era policies rather than ongoing operational issues.

    There are mixed impressions of the campus layout and size. Several reviewers praise the grounds as beautifully landscaped and note the convenience of “all-in-one” care on a single campus. Conversely, a few mention that the large campus can feel isolating for certain residents — for example, one reviewer worried their mother would be alone, and another pointed out having to walk outside to get dinner. This suggests prospective residents should consider personal mobility and preferences for campus walkability and proximity of services when touring.

    Management, communication, and consistency emerge as important themes to verify in person. Many reviewers praise the leadership and customer service as outstanding and efficient, but the negative reviews about miscommunication, alleged false promises of 5-star care, and at least one report of no tour being provided indicate variability in front-line or administrative interactions. Decor and room finishes receive mixed comments — many describe comfortable, spacious living with recent remodeling, while others note dated decor in places.

    In summary, The Terraces at San Joaquin Gardens appears to offer a high-amenity, full-spectrum continuing care environment with many strengths: caring staff, excellent amenities, varied dining, active programming, attractive grounds, and well-regarded rehabilitative services. These positives are balanced by significant concerns in a subset of reviews about clinical care lapses, staffing and communication issues, and the financial commitment required. Prospective residents and families should prioritize an in-person tour, request details on clinical staffing levels and protocols, review billing practices and what is included in fees (including internet), and ask for references from current residents in the care level they expect to use. Doing so will help confirm whether the broadly reported strengths are consistent and whether any of the serious care concerns are isolated incidents or represent systemic issues.

    Location

    Map showing location of The Terraces at San Joaquin Gardens

    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.

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