Pacific Gardens Nursing and Rehabilitation Center

Nursing Home · Fresno, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number056207

Contact & location

577 S. Peach Ave.
Fresno, CA 93727
Fresno County
Phone
(559) 251-8463
ZIP code
93727 – all care providers

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Facility details

Certified beds
188
Residents per day
164.1 (87% occupied)
Ownership
For profit - Limited Liability company
Legal name
Covenant Care California, LLC
Chain
Covenant Care (12 facilities, avg 2.8★)
Medicare certified since
July 6, 1970
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

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

Total nurse staffing
4.06 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.67 (state 1.20 · U.S. 0.86)
Nurse aides
2.71 (state 2.65 · U.S. 2.32)
Weekend total
3.74 (state 4.09 · U.S. 3.42)
Nursing staff turnover
35.9 (state 36.7 · U.S. 45.8)%
RN turnover
39.3 (state 38.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 24, 2026
Health deficiencies (last cycle)
20.0 (state 15.7 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
48 health · 23 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-24 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 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 2026-05-15
2026-04-24 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 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 2026-05-15
2026-04-24 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-04-01 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 2026-04-03
2025-08-27 Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
F0621 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-01
2025-02-07 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-03-11
2025-02-07 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 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 2025-03-11
2025-02-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Put firmly secured handrails on each side of hallways.
F0924 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 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 2025-03-11
2025-02-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2025-02-07 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-11
2024-11-26 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 2024-12-29
2024-11-26 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-29
2024-10-04 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 · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-10-04 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-03-15 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-04-01
2023-11-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-28
2023-11-30 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 2023-12-28

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

1 penalty in the last three years, including $30,654 in fines.

DateTypeAmount
2025-02-07Fine$30,654

Ownership & management

NameRoleSince
Covenant Care California, LLC (organization)5%+ Direct Ownership Interest
Covenant Care, LLC (organization)5%+ Direct Ownership Interest
Centre Capital Investors V, LP (organization)5%+ Indirect Ownership Interest
Centre Covenant Purchaser (B), LLC (organization)5%+ Indirect Ownership Interest
Centre Covenant Purchaser (Q), LLC (organization)5%+ Indirect Ownership Interest
Centre Covenant Purchaser (S), LLC (organization)5%+ Indirect Ownership Interest
Centre V Secondary Fund, L.P. (organization)5%+ Indirect Ownership Interest
Covenant Holdco, LLC (organization)5%+ Indirect Ownership Interest
Covenant Subco, LLC (organization)5%+ Indirect Ownership Interest
Evans, Mary (individual)5%+ Indirect Ownership Interest
Levin, Robert (individual)5%+ Indirect Ownership Interest
Sims, Christine (individual)5%+ Indirect Ownership Interest
State Treasurer of Mich Custodian of Public School Empl Rtmnt Systems (organization)5%+ Indirect Ownership Interest
Stockwell Fund II LP (organization)5%+ Indirect Ownership Interest
Torok, Andrew (individual)5%+ Indirect Ownership Interest
Midcap Funding IV Trust (organization)5%+ Security Interest · NOT APPLICABLE
Ashley, Dava (individual)Corporate Officer · NOT APPLICABLE
Carney, Kevin (individual)Corporate Officer · NOT APPLICABLE
Evans, Mary (individual)Corporate Officer · NOT APPLICABLE
Hassell, Lance (individual)Corporate Officer · NOT APPLICABLE
Levin, Robert (individual)Corporate Officer · NOT APPLICABLE
Sims, Christine (individual)Corporate Officer · NOT APPLICABLE
Torok, Andrew (individual)Corporate Officer · NOT APPLICABLE
Ashley, Dava (individual)Operational/managerial Control · NOT APPLICABLE
Evans, Mary (individual)Operational/managerial Control · NOT APPLICABLE
Hassell, Lance (individual)Operational/managerial Control · NOT APPLICABLE
Levin, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Sims, Christine (individual)Operational/managerial Control · NOT APPLICABLE
Sparks, Carol (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Pacific Gardens Nursing and Rehabilitation Center?

Pacific Gardens Nursing and Rehabilitation Center has a 3-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 Pacific Gardens Nursing and Rehabilitation Center have?

It has 188 certified beds and cares for about 164 residents per day.

Has Pacific Gardens Nursing and Rehabilitation Center been fined?

Yes. CMS lists 1 penalty totaling $30,654 in the last three years.

Who owns Pacific Gardens Nursing and Rehabilitation Center?

It is part of Covenant Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Pacific Gardens Nursing and Rehabilitation Center?

(559) 251-8463. The facility is located at 577 S. Peach Ave., Fresno, CA 93727.

Other nursing homes in Fresno

Compare all nursing homes in Fresno, CA →

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