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HomeCaliforniaPacific Gardens Nursing and Rehabilitation Center

Pacific Gardens Nursing and Rehabilitation Center

577 S. Peach Ave., Fresno, CA 937275592518463WebsiteGoogle Maps
3.3on Google(8 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
5/5
Beds
188
certified
1 fine(s) totaling $30,654

How Pacific Gardens Nursing and Rehabilitation Center Compares in California

Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
CA average
3.2/5
Close to state average
Health inspection rating
2/5
CA average
2.8/5
Below state average
Staffing rating
4/5
CA average
3.3/5
Above state average
Nursing hours per resident
4.06 hrs/day
CA average
4.52 hrs/day
Below state average
RN hours per resident
0.68 hrs/day
CA average
0.67 hrs/day
Close to state average
Staff turnover
35.9%
CA average
36.7%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the California average of 2.8/5.
Reported nursing time is 4.06 hours per resident per day, below the state average of 4.52.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
22
deficiency citations
Inspected Feb 7, 2025
Most recent cycle
20
deficiency citations
Inspected Apr 24, 2026
The most recent cycle recorded 2 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Fresno County 65+
125,708
12.5% of county
County Population
1,008,280
Fresno County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Pacific Gardens Nursing and Rehabilitation Center is a 3-star Medicare and Medicaid certified nursing home in Fresno, California with 188 certified beds. It has been operating since 1970. Its overall CMS rating is 3 out of 5.

Beds
188
Avg Residents/Day
164.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 6, 1970
Sprinklers
Yes
Council
Resident
County
Fresno
Last Inspection
Apr 24, 2026
Deficiencies (Cycle 1)
20
Weighted Score
121.0
Infection Citations
0

Deficiency Citations (48)

F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 1, 2026Corrected: NoCycle: 1
F0621Potential for Harm

Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0688Actual Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 7, 2025Corrected: NoCycle: 2
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Feb 7, 2025Corrected: NoCycle: 2

+ 18 more deficiencies

Total Fines
$30,654
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineFeb 7, 2025
$30,654

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.71 hrs
National avg: 2.32 hrs
LPN0.67 hrs
National avg: 0.86 hrs
RN0.68 hrs
National avg: 0.69 hrs
Total Nursing4.06 hrs
National avg: 3.86 hrs
Weekend Total3.74 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
35.9%
RN Turnover
39.3%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (29)

NameRoleTypeOwnership %Since
COVENANT CARE CALIFORNIA, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
COVENANT CARE, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
CENTRE CAPITAL INVESTORS V, LP5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
CENTRE COVENANT PURCHASER (B), LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
CENTRE COVENANT PURCHASER (Q), LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
CENTRE COVENANT PURCHASER (S), LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 19, 2008
CENTRE V SECONDARY FUND, L.P.5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
COVENANT HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
COVENANT SUBCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AJul 17, 2008
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 19, 2008
STOCKWELL FUND II LP5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 19, 2008
EVANS, MARY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJul 17, 2008
LEVIN, ROBERT5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJul 17, 2008
SIMS, CHRISTINE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJul 17, 2008
TOROK, ANDREW5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJul 17, 2008
MIDCAP FUNDING IV TRUST5% OR GREATER SECURITY INTERESTOrganizationN/AFeb 20, 2014
ASHLEY, DAVACORPORATE OFFICERIndividualN/AMay 17, 2018
CARNEY, KEVINCORPORATE OFFICERIndividualN/ANov 1, 2013
EVANS, MARYCORPORATE OFFICERIndividualN/ANov 1, 2013
HASSELL, LANCECORPORATE OFFICERIndividualN/AMay 17, 2018
LEVIN, ROBERTCORPORATE OFFICERIndividualN/ANov 1, 2013
SIMS, CHRISTINECORPORATE OFFICERIndividualN/ANov 1, 2013
TOROK, ANDREWCORPORATE OFFICERIndividualN/ANov 1, 2013
ASHLEY, DAVAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 26, 2018
EVANS, MARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 14, 2006
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 17, 2018
LEVIN, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 14, 2006
SIMS, CHRISTINEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 14, 2006
SPARKS, CAROLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 17, 2006

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Pacific Gardens Nursing and Rehabilitation Center and nearby alternatives.

All California facilities
Pacific Gardens Nursing and Rehabilitation Center
Fresno, CACurrent facility
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $30,654
Evergreen Care Center
Fresno, CA1,056 ft
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Orchard Post Acute
Fresno, CA3,696 ft
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Stonehaven Senior Living
Fresno, CA4,752 ft
CMS
N/A
Health
N/A
Staffing
N/A
Recorded fines: None
Sierra Vista Healthcare
Fresno, CA1.8 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $12,048
California Home for the Aged
Fresno, CA2.8 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Grace Healthcare Center
Fresno, CA2.9 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $32,110
FacilityDistanceCMSHealthStaffingRecorded fines
Pacific Gardens Nursing and Rehabilitation Center
Fresno, CA · Current facility
—3/52/54/5$30,654
Evergreen Care Center
Fresno, CA
1,056 ft3/53/52/5None recorded
Orchard Post Acute
Fresno, CA
3,696 ft3/52/53/5None recorded
Stonehaven Senior Living
Fresno, CA
4,752 ftN/AN/AN/ANone recorded
Sierra Vista Healthcare
Fresno, CA
1.8 mi3/53/54/5$12,048
California Home for the Aged
Fresno, CA
2.8 mi5/55/55/5None recorded
Grace Healthcare Center
Fresno, CA
2.9 mi1/51/54/5$32,110

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Pacific Gardens Nursing and Rehabilitation Center?▾
Pacific Gardens Nursing and Rehabilitation Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated average.
How much does Pacific Gardens Nursing and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Pacific Gardens Nursing and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Pacific Gardens Nursing and Rehabilitation Center had any health inspection violations?▾
Pacific Gardens Nursing and Rehabilitation Center had 20 deficiency citations in its most recent health inspection (Apr 24, 2026). The current CMS dataset records 1 fine(s) totaling $30,654.
What are the staffing levels at Pacific Gardens Nursing and Rehabilitation Center?▾
Pacific Gardens Nursing and Rehabilitation Center provides 4.06 total nursing staff hours per resident per day, including 0.68 RN hours, 0.67 LPN hours, and 2.71 nurse aide hours. The total staff turnover rate is 35.9%.
How many beds does Pacific Gardens Nursing and Rehabilitation Center have?▾
Pacific Gardens Nursing and Rehabilitation Center has 188 certified beds with an average of 164.1 residents per day, resulting in approximately 87% occupancy. The facility is For profit - Limited Liability company owned and is part of the Covenant Care chain.
Are there other nursing homes near Pacific Gardens Nursing and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in California, including 6 in Fresno. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Pacific Gardens Nursing and Rehabilitation Center?▾
On Google Maps, Pacific Gardens Nursing and Rehabilitation Center has a rating of 3.3 out of 5 based on 8 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Covenant Care

This chain operates 15 facilities. View all →