Pacific Gardens Nursing and Rehabilitation Center

Nursing home in Fresno, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (559) 251-8463 Send a message Map ↗

Public-record details

Address: 577 S. Peach Ave., Fresno, CA 93727
Phone: (559) 251-8463
Listed under: For-profit
Medicare CCN: 056207
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 2 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 188
Average residents per day: 164
Ownership: For-profit, limited Liability company
Legal business name: Covenant Care California, LLC
Chain: Covenant Care (12 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jul 6, 1970
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 056207. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 24, 2026. CMS lists 48 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 30, 2023 to Apr 24, 2026): 7 from complaint inspections, 2 at the “actual harm” level or higher.

Inspection	Citation	Severity
Apr 24, 2026	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights	D Potential for more than minimal harm, isolated
Apr 24, 2026	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights	D Potential for more than minimal harm, isolated
Apr 24, 2026	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Apr 24, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 24, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 24, 2026	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 24, 2026	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… Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 24, 2026	Ensure that residents are free from significant medication errors. Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 24, 2026	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 24, 2026	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 24, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 24, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 48. 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 1 fine totalling $30,654 in the last three years.

Feb 7, 2025

Fine: $30,654

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: 4.06 hours
Registered nurse (RN) time per resident per day: 0.68 hours
Nurse aide time per resident per day: 2.71 hours
Total nurse staffing on weekends: 3.74 hours
Nursing staff turnover (yearly): 36%
RN turnover (yearly): 39%
Administrators who left in the past year: 1

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.

Other nursing homes in Fresno

All 19 in Fresno →