Oakwood Gardens Care Center

Nursing Home · Fresno, CA

CMS overall rating 5/5 For profit - Corporation

CMS certification number055204

Contact & location

3510 East Shields
Fresno, CA 93726
Fresno County
Phone
(559) 222-4807
ZIP code
93726 – all care providers

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Facility details

Certified beds
103
Residents per day
96.8 (94% occupied)
Ownership
For profit - Corporation
Legal name
Lily Holdings, LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.2
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.01 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.30 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.13 (state 1.20 · U.S. 0.86)
Nurse aides
2.58 (state 2.65 · U.S. 2.32)
Weekend total
3.73 (state 4.09 · U.S. 3.42)
Nursing staff turnover
51.7 (state 36.7 · U.S. 45.8)%
RN turnover
0.0 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 30, 2025
Health deficiencies (last cycle)
4.0 (state 15.7 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
28 health · 29 fire safety
DateCitationSeverityStatus
2026-01-09 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-28
2026-01-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-28
2025-04-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-29
2025-04-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-04-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-01-30 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-24
2025-01-30 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-02-24
2024-07-08 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.
F0620 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-05
2023-02-17 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.
F0761 · Pharmacy Service Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F0836 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2023-02-17 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-03-18
2020-03-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-11-24
2020-03-05 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-11-24
2020-03-05 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-11-24
2020-03-05 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-11-24
2020-03-05 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-11-24
2020-03-05 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-11-24
2020-03-05 Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
F0911 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2020-11-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Hudson River Opco LLC (organization)5%+ Direct Ownership Interest · 100%
Bay Bridge Capital Partners, LLC (organization)5%+ Indirect Ownership Interest · 100%
Grossman, Stephen (individual)Contracted Managing Employee · NOT APPLICABLE
Apt, Frederick (individual)Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)Corporate Officer · NOT APPLICABLE
Hobbs, Brett (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Oakwood Gardens Care Center?

Oakwood Gardens Care Center has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Oakwood Gardens Care Center have?

It has 103 certified beds and cares for about 97 residents per day.

Has Oakwood Gardens Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Oakwood Gardens Care Center?

It is part of Pacs Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Oakwood Gardens Care Center?

(559) 222-4807. The facility is located at 3510 East Shields, Fresno, CA 93726.

Other nursing homes in Fresno

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.