CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Allow residents to self-administer drugs if determined clinically appropriate.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
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.
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.
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.
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.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
+ 18 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| COVENANT CARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| CENTRE CAPITAL INVESTORS V, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 19, 2008 |
| CENTRE V SECONDARY FUND, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| COVENANT HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| COVENANT SUBCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 17, 2008 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 19, 2008 |
| STOCKWELL FUND II LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 19, 2008 |
| EVANS, MARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 17, 2008 |
| LEVIN, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 17, 2008 |
| SIMS, CHRISTINE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 17, 2008 |
| TOROK, ANDREW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 17, 2008 |
| MIDCAP FUNDING IV TRUST | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Feb 20, 2014 |
| ASHLEY, DAVA | CORPORATE OFFICER | Individual | N/A | May 17, 2018 |
| CARNEY, KEVIN | CORPORATE OFFICER | Individual | N/A | Nov 1, 2013 |
| EVANS, MARY | CORPORATE OFFICER | Individual | N/A | Nov 1, 2013 |
| HASSELL, LANCE | CORPORATE OFFICER | Individual | N/A | May 17, 2018 |
| LEVIN, ROBERT | CORPORATE OFFICER | Individual | N/A | Nov 1, 2013 |
| SIMS, CHRISTINE | CORPORATE OFFICER | Individual | N/A | Nov 1, 2013 |
| TOROK, ANDREW | CORPORATE OFFICER | Individual | N/A | Nov 1, 2013 |
| ASHLEY, DAVA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 26, 2018 |
| EVANS, MARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 14, 2006 |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 17, 2018 |
| LEVIN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 14, 2006 |
| SIMS, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 14, 2006 |
| SPARKS, CAROL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 17, 2006 |
Compare CMS ratings and recorded fines for Pacific Gardens Nursing and Rehabilitation Center and nearby alternatives.
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.
This chain operates 15 facilities. View all →