Pacific Gardens Nursing and Rehabilitation Center
577 S. Peach Ave., Fresno, CA 93727 · (559) 251-8463
For profit - Limited Liability company · 188 certified beds
Pacific Gardens Nursing and Rehabilitation Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 18 citations (the California average is 15.6). It was fined 1 time in the last three years, $30,654 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 24, 2026 found 18 citations. What an inspection citation means
- Ensure services provided by the nursing facility meet professional standards of quality.April 24, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 24, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 24, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.April 24, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 24, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.April 24, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.April 24, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.April 24, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.April 24, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 24, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.April 24, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.April 24, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.April 24, 2026 · F0700 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.April 24, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.April 24, 2026 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.April 24, 2026 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 24, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.April 24, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 7 citations.
- Ensure services provided by the nursing facility meet professional standards of quality.April 1, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment sourceAugust 27, 2025 · F0621 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.November 26, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 26, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 4, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.October 4, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 15, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $30,654February 7, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.06 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.68 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 0.67 | 1.20 | 0.86 |
| Nurse aides | 2.71 | 2.65 | 2.32 |
| Total nursing staff turnover | 35.9% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 188 |
| Average residents per day | 164.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- California Home for the Aged Fresno · ★★★★★ 5 out of 5 stars
- Community Subacute and Transitional Care Center Fresno · ★★★★★ 5 out of 5 stars
- North Point Healthcare & Wellness Centre LP Fresno · ★★★★★ 5 out of 5 stars
- Manning Gardens Care Center, Inc Fresno · ★★★★★ 5 out of 5 stars
- Oakwood Gardens Care Center Fresno · ★★★★★ 5 out of 5 stars
Compare every nursing home in Fresno, CA · Nursing homes in California · Home health agencies in Fresno, CA
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Data from Medicare (CMS), updated October 2026, from Pacific Gardens Nursing and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.