Twilight Haven, located in Fresno, California, is a nonprofit senior living community offering a continuum of care that includes independent living, assisted living, and nursing home services. The facility is certified by Medicare and Medicaid and has participated in Medicare since February 28, 1967. With a current occupancy of approximately 50 residents, Twilight Haven provides 24-hour skilled nursing care along with assisted living options. Residents receive assistance with daily activities, personal care, and medication management, tailored to individual needs and medical requirements. The facility also has provisions for continuing care, meaning residents can remain in the community as their care needs change over time.
The medical support available at Twilight Haven includes on-site occupational, physical, and speech therapy services designed to help residents maintain or regain their independence and communication abilities. Skilled nursing staff, including registered nurses and licensed vocational nurses, are present to address ongoing health concerns and provide direct medical supervision. Residents have access to counseling for themselves and their families, aiming to address emotional and social aspects of transitional care. Twilight Haven also maintains opportunities for social engagement through clubs and community groups, allowing residents to connect with peers and participate in organized activities.
Reviews from residents and families reflect a widely mixed perception of care quality at Twilight Haven. Some reviewers found the staff to be caring, communicative, and attentive, with praise for the cleanliness of the premises, enjoyment of meals, and a general sense of safety and friendliness within the community. In contrast, others raised concerns about periods of poor hygiene, infrequent medical oversight, slow emergency responses, and unmet personal care needs. There have been serious allegations, including missed medications, pest infestations, call lights being ignored, rare or absent physician visits, reports of theft, and instances of staff mistreatment. Despite these criticisms, some staff members and department leaders are singled out in reviews as being highly dedicated and responsive.
Prospective residents and their families are advised to carefully review conditions at Twilight Haven, taking into account both positive feedback and the serious concerns raised. Visiting the facility, speaking with current residents and their families, and discussing specific needs with staff are recommended steps in the decision-making process.
Costs at this community start at $2,358 and range up to $6,583. The average price in the community is $4,470, which is less than the average price in the area of $4,668. The cost of nursing homes in this area is essentially the same as the cost throughout the state. If the resident needs other services, additional services may increase the monthly cost.
