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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaPacific Gardens Nursing and Rehabilitation Center

Pacific Gardens Nursing and Rehabilitation Center

577 S. Peach Ave., Fresno, CA 937275592518463
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
5/5
Beds
188
certified
1 fine(s) totaling $30,654

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 188 certified beds with an average of 157.1 residents per day (84% occupancy)

• Last health inspection found 20 deficiencies (inspected Feb 7, 2025)

• Has been fined a total of $30,654 across 1 fine(s)

• Total nursing staff: 2.88 hours per resident per day

• Part of the Covenant Care chain (24 facilities)

Pacific Gardens Nursing and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Fresno, California with 188 certified beds. It has been operating since 1970. The facility scored below average compared to California facilities.

Beds
188
Avg Residents/Day
157.1
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
Feb 7, 2025
Deficiencies (Cycle 1)
20
Weighted Score
113.0
Infection Citations
0

Deficiency Citations (40)

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
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: 1
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: 1
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: 1
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: 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: Feb 7, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0687Potential for Harm

Provide appropriate foot care.

Survey: Feb 7, 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: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0757Potential for Harm

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

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 7, 2025Corrected: 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: Feb 7, 2025Corrected: NoCycle: 1
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: 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: Feb 7, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Nov 26, 2024Corrected: 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: Oct 4, 2024Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Oct 4, 2024Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0554Potential for Harm

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

Survey: Nov 30, 2023Corrected: 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: Nov 30, 2023Corrected: NoCycle: 2
F0692Potential for Harm

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

Survey: Nov 30, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Nov 30, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 11, 2023Corrected: NoCycle: 3

+ 10 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 Aide1.93 hrs
National avg: 2.35 hrs
LPN0.38 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.68 hrs
Total Nursing2.88 hrs
National avg: 3.89 hrs
Weekend Total2.74 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
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
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
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
MIDCAP FUNDING IV TRUST5% OR GREATER SECURITY INTERESTOrganizationN/AFeb 20, 2014

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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 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
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 (Feb 7, 2025). The facility has been fined a total of $30,654 across 1 fine(s).
What are the staffing levels at Pacific Gardens Nursing and Rehabilitation Center?▾
Pacific Gardens Nursing and Rehabilitation Center provides 2.88 total nursing staff hours per resident per day, including 0.57 RN hours, 0.38 LPN hours, and 1.93 nurse aide hours.
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 157.1 residents per day, resulting in approximately 84% 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, there are 18 other nursing homes in Fresno, California with an average rating of 3/5. You can compare all facilities on the Fresno nursing homes page.

Part of Covenant Care

This chain operates 24 facilities. View all →