Starfile

Starfile / California

PACIFIC GARDENS NURSING AND REHABILITATION CENTER

577 S. PEACH AVE., FRESNO, CA 93727 · CCN 056207

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
188
Avg residents/day
157.1
Phone
5592518463

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-02-072015.69.5+4.4 worse
22023-11-30917.49.8-8.4 better
32019-02-151017.19.3-7.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning4
Nursing and physician services1
Resident rights5
Nutrition and dietary2
Pharmacy service3
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.88
RN staffing (reported)0.57
Total nurse staffing (adjusted)2.73

Fines & penalties

Total fines
$30,654
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
COVENANT CARE
Facilities in chain
24
Chain avg overall
2.80 / 5

Inspection citations (39)2 actual harm

  1. DF0621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source2025-08-27 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  3. EF0578Honor 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.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  4. EF0584Honor 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.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  5. DF0625Notify 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.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  8. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  9. DF0687Provide appropriate foot care.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  10. GF0688Provide 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.2025-02-07 · Health · corrected 2025-03-11

    Actual harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  12. DF0732Post nurse staffing information every day.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  13. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  14. DF0760Ensure that residents are free from significant medication errors.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  15. EF0761Ensure 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.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  16. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  19. EF0880Provide and implement an infection prevention and control program.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  20. EF0924Put firmly secured handrails on each side of hallways.2025-02-07 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  21. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-26 · Health · corrected 2024-12-29

    Potential for more than minimal harm

  22. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-11-26 · Health · corrected 2024-12-29

    Potential for more than minimal harm

  23. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-04 · Health · corrected 2024-11-01

    Potential for more than minimal harm

  24. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-10-04 · Health · corrected 2024-11-01

    Potential for more than minimal harm

  25. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-15 · Health · corrected 2024-04-01

    Actual harm

  26. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-30 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  27. DF0584Honor 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.2023-11-30 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  28. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-30 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  29. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-30 · Health · corrected 2023-12-28

    Potential for more than minimal harm

  30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-11 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  31. EF0558Reasonably accommodate the needs and preferences of each resident.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  32. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  33. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  36. EF0761Ensure 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.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  37. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  38. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

  39. EF0880Provide and implement an infection prevention and control program.2019-02-15 · Health · corrected 2019-03-14

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
COVENANT CARE CALIFORNIA, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2008-07-17
COVENANT CARE, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2008-07-17
CENTRE CAPITAL INVESTORS V, LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
CENTRE COVENANT PURCHASER (B), LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
CENTRE COVENANT PURCHASER (Q), LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
CENTRE COVENANT PURCHASER (S), LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-12-19
CENTRE V SECONDARY FUND, L.P.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
COVENANT HOLDCO, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
COVENANT SUBCO, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMSOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-12-19
STOCKWELL FUND II LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-12-19
EVANS, MARYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
LEVIN, ROBERTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
SIMS, CHRISTINEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
TOROK, ANDREWIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2008-07-17
ASHLEY, DAVAIndividualOPERATIONAL/MANAGERIAL CONTROL2018-03-26
EVANS, MARYIndividualOPERATIONAL/MANAGERIAL CONTROL2006-04-14
HASSELL, LANCEIndividualOPERATIONAL/MANAGERIAL CONTROL2018-05-17
LEVIN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2006-04-14
SIMS, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROL2006-04-14
SPARKS, CAROLIndividualOPERATIONAL/MANAGERIAL CONTROL2006-04-17
ASHLEY, DAVAIndividualCORPORATE OFFICER2018-05-17
CARNEY, KEVINIndividualCORPORATE OFFICER2013-11-01
EVANS, MARYIndividualCORPORATE OFFICER2013-11-01
HASSELL, LANCEIndividualCORPORATE OFFICER2018-05-17
LEVIN, ROBERTIndividualCORPORATE OFFICER2013-11-01
SIMS, CHRISTINEIndividualCORPORATE OFFICER2013-11-01
TOROK, ANDREWIndividualCORPORATE OFFICER2013-11-01
MIDCAP FUNDING IV TRUSTOrganization5% OR GREATER SECURITY INTEREST2014-02-20

Other facilities in FRESNO

NameOverallBeds
NORTH POINT HEALTHCARE & WELLNESS CENTRE LP★★★★★99
Community Subacute and Transitional Care Center★★★★★106
MANNING GARDENS CARE CENTER, INC★★★★★59
CALIFORNIA HOME FOR THE AGED★★★★★120
VETERANS HOME OF CALIFORNIA - FRESNO★★★★★120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.