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.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-07 | 20 | 15.6 | 9.5 | +4.4 worse |
| 2 | 2023-11-30 | 9 | 17.4 | 9.8 | -8.4 better |
| 3 | 2019-02-15 | 10 | 17.1 | 9.3 | -7.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0687Provide appropriate foot care.2025-02-07 · Health · corrected 2025-03-11
Potential for more than minimal harm
- 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
- 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
- DF0732Post nurse staffing information every day.2025-02-07 · Health · corrected 2025-03-11
Potential for more than minimal harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2025-02-07 · Health · corrected 2025-03-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-02-07 · Health · corrected 2025-03-11
Potential for more than minimal harm
- EF0924Put firmly secured handrails on each side of hallways.2025-02-07 · Health · corrected 2025-03-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-15 · Health · corrected 2024-04-01
Actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-11-30 · Health · corrected 2023-12-28
Potential for more than minimal harm
- 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
- 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
- EF0558Reasonably accommodate the needs and preferences of each resident.2019-02-15 · Health · corrected 2019-03-14
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2019-02-15 · Health · corrected 2019-03-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| COVENANT CARE, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE CAPITAL INVESTORS V, LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE COVENANT PURCHASER (B), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE COVENANT PURCHASER (Q), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| CENTRE COVENANT PURCHASER (S), LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-12-19 |
| CENTRE V SECONDARY FUND, L.P. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| COVENANT HOLDCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| COVENANT SUBCO, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-12-19 |
| STOCKWELL FUND II LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-12-19 |
| EVANS, MARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| LEVIN, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| SIMS, CHRISTINE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| TOROK, ANDREW | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2008-07-17 |
| ASHLEY, DAVA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-03-26 |
| EVANS, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-04-14 |
| HASSELL, LANCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-05-17 |
| LEVIN, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-04-14 |
| SIMS, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-04-14 |
| SPARKS, CAROL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-04-17 |
| ASHLEY, DAVA | Individual | CORPORATE OFFICER | — | 2018-05-17 |
| CARNEY, KEVIN | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| EVANS, MARY | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| HASSELL, LANCE | Individual | CORPORATE OFFICER | — | 2018-05-17 |
| LEVIN, ROBERT | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| SIMS, CHRISTINE | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| TOROK, ANDREW | Individual | CORPORATE OFFICER | — | 2013-11-01 |
| MIDCAP FUNDING IV TRUST | Organization | 5% OR GREATER SECURITY INTEREST | — | 2014-02-20 |
Other facilities in FRESNO
| Name | Overall | Beds |
|---|---|---|
| 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.