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Residential care

Fresno Guest Home #20

Residential care in Fresno, California

Checked November 1, 2026

Provider details
Address2165 E MENLO AVENUE
CityFresno
StateCalifornia
ZIP code93710
CountyFRESNO
Phone(559) 434-1839
Websitehttp://www.fresnoguesthomes.com/
License number107209394
License typeResidential Care Facility for the Elderly (RCFE) — California's assisted living license
Licensing statusLICENSED
Licensed since2/16/2024
LicenseeXENCARE II, INC.
Capacity6
Care typesresidential care, assisted living
Services offered24-hour non-medical care and supervision, assistance with activities of daily living
CMS quality noteLicensed by the California Department of Social Services, Community Care Licensing Division.

Fresno Guest Home #20 is in 2165 E MENLO AVENUE, Fresno, CA 93710. Phone: (559) 434-1839. Ownership: not stated in the source file. It holds California RCFE license 107209394 (status LICENSED, first licensed 2/16/2024, capacity 6). In California, assisted living is licensed as a Residential Care Facility for the Elderly.

More about this provider

Fresno Guest Homes describes itself as a community of boutique assisted living homes serving six residents each, all located in a single Fresno neighborhood — 'We're not a facility, we're a community' — offering compassionate care at every level (Assisted Living, Memory Care, Complex Care, Nursing Care, Therapy, and Hospice and Palliative Care) with 24/7 care staff, healthcare coordination, medication management, homestyle meals and daily housekeeping. Founded in 1984 by John and Nancy Kutnerian; since 2013 their children George and Angela have continued the mission, with a focus on ensuring older adults have access to quality assisted living services regardless of their financial means.
Services and programsAssisted Living (person-centered care in a home-like environment, help with activities of daily living, medication management, meals); Memory Care (specialized care for Alzheimer's, other dementias and later stages of Parkinson's, with a state-of-the-art wander management system, change-of-condition monitoring, and hydration, nutrition, behavioral, infection, diabetic and complex medication management programs); Complex Care (proactive management of multiple chronic illnesses through an on-site coordinated system of care); Nursing Care (care for intermittent skilled nursing needs such as wound care or catheter management, with individualized treatment plans delivered by a Home Health Agency under the Primary Care Physician); Therapy (coordinated in-home Physical, Occupational and Speech Therapy, from post-operative care to acute stroke recovery); Hospice & Palliative Care (end-of-life care focused on quality of life, comfort, pain and symptom management). The home page also lists 24/7 care staff, healthcare coordination, medication management, homestyle meals and daily housekeeping.
Who it servesOlder adults who value their independence but need varying levels of assistance with everyday activities of daily living; older adults experiencing Alzheimer's, other forms of dementia or the later stages of Parkinson's; higher-acuity older adults with multiple chronic illnesses; older adults with intermittent skilled nursing needs; and residents who develop a terminal or life-limiting illness (hospice and palliative care).
Visiting and contact detailsPhone (559) 434-1839, shown on every page of the operator's site and matching the listing phone. The site does not state visiting hours; it notes that visitors may bring pets when visiting their loved ones, though pets are not permitted to reside with residents.
Websitehttp://www.fresnoguesthomes.com/

Who pays for residential care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Residential care guide · Paying for care

Other residential care in FRESNO County

Common questions about Fresno Guest Home #20

Where is Fresno Guest Home #20 located?

Fresno Guest Home #20 is at 2165 E MENLO AVENUE, Fresno, California 93710.

What care and services does Fresno Guest Home #20 offer?

Fresno Guest Home #20 offers residential care, assisted living, 24-hour non-medical care and supervision, assistance with activities of daily living.

How do I contact Fresno Guest Home #20?

Call Fresno Guest Home #20 at (559) 434-1839.

How much does assisted living cost?

The national median cost of assisted living is $6,200 a month (CareScout Cost of Care Survey, 2025). Costs in California can be higher or lower. The price goes up when a person needs more help with daily tasks. See our guide to assisted living costs and who pays for the full picture.

Does Medicare pay for assisted living?

No. Medicare does not pay for the rent or the day-to-day help in assisted living. That help is called custodial care, and Medicare does not cover it. Medicare still pays for your medical care while you live there, like doctor visits, hospital care, and home health visits.

What is the difference between assisted living and a nursing home?

Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. Staff are on hand day and night, but it does not give round-the-clock nursing care. A nursing home gives skilled nursing care and rehab around the clock. People who need help but not daily medical care often pick assisted living. People who need daily medical care often need a nursing home.

Who else pays for assisted living besides Medicare?

Most people pay out of pocket. Medicaid pays for care services in assisted living in many states through waiver programs, but it does not pay the rent. A VA pension called Aid and Attendance can add money each month for veterans who need help with daily tasks. Long-term care insurance can pay for part of the cost.

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