Nursing Homes · Medicare certified
Pacific Gardens Nursing and Rehabilitation Center
577 S. Peach Ave. · Fresno, CA 93727 · 188 certified beds
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About Pacific Gardens Nursing and Rehabilitation Center
In Fresno, California, Pacific Gardens Nursing and Rehabilitation Center is listed as a nursing home. Public records list 188 beds. Ownership records list a for-profit operator and tie the listing to Covenant Care. It is Medicare certified. We hold 57 inspection citations for this listing, the most recent dated 24 April 2026. CMS also lists 1 fine or payment denial action against it. Reported staffing works out to 4.06 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
42
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
28
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
42
Inspection history (57)
Records from February 2019 to April 2026.
April 24, 2026 · D
Citation F0806Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0805Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0805 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0692Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · E
Citation F0761Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0552Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · E
Citation F0759Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · E
Citation F0658Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · E
Citation F0803Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0700Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0677Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0812Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0554Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · E
Citation F0755Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0605Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · E
Citation F0757Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0757 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0880Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0656Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 24, 2026 · D
Citation F0760Federal surveyors cited this nursing home on 2026-04-24 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2026-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-24.GOVApril 1, 2026 · D
Citation F0658Federal surveyors cited this nursing home on 2026-04-01 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-01.GOVAugust 27, 2025 · D
Citation F0621Federal surveyors cited this nursing home on 2025-08-27 under CMS tag F0621 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source. The deficiency was recorded as corrected on 2025-10-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-27.GOV
Penalties (1)
Total fines on file: $30,654
February 7, 2025 · Fine
Citation FINE-131106CMS recorded a civil money penalty of $30,654 against this nursing home on 2025-02-07 (Fine ID: 131106). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-07.GOV
Staffing
Latest: 4.06 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q44.11 hrs/resident/day
- 2026-06-014.11 hrs/resident/day
- 2026-07-014.06 hrs/resident/day
- 2026-08-014.06 hrs/resident/day
- 2026Q14.06 hrs/resident/day
Most recent period is lower than 2025Q4 (-0.06 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Covenant Care
Chain ID 166 · 12 facilities in chain (CMS)
- Chain average overall rating: 2.8
- Chain average health inspection rating: 2.5
- Chain average staffing rating: 2.9
- Chain average quality measure rating: 4.4
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Covenant Care, LLC
parent · PAC 2365529377
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical CA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · CA$12,167/moNearby alternatives
No other listed providers in Fresno yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Pacific Gardens Nursing and Rehabilitation Center
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.