Oakwood Gardens Care Center

Nursing home in Fresno, CA

Medicare & Medicaid certified5★ overall (CMS)

Call (559) 222-4807 Send a message Map ↗

Public-record details

Address: 3510 East Shields, Fresno, CA 93726
Phone: (559) 222-4807
Listed under: For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN: 055204
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 4 of 5
Staffing rating: 3 of 5
Quality measures rating: 5 of 5
Certified beds: 103
Average residents per day: 97
Ownership: For-profit, corporation
Legal business name: Lily Holdings, LLC
Chain: Pacs Group (274 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 1, 1967
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 055204. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 30, 2025. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 5, 2020 to Jan 9, 2026): 7 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jan 9, 2026	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Jan 9, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 22, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 2, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Apr 2, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Mar 17, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	E Potential for more than minimal harm, pattern
Jan 30, 2025	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental	B Potential for minimal harm, pattern
Jan 30, 2025	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Jul 8, 2024	Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Feb 17, 2023	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care	D Potential for more than minimal harm, isolated
Feb 17, 2023	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care	D Potential for more than minimal harm, isolated
Feb 17, 2023	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.01 hours
Registered nurse (RN) time per resident per day: 0.30 hours
Nurse aide time per resident per day: 2.58 hours
Total nurse staffing on weekends: 3.73 hours
Nursing staff turnover (yearly): 52%
RN turnover (yearly): 0%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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