Pacific Gardens Nursing and Rehabilitation Center

About Pacific Gardens Nursing and Rehabilitation Center

Pacific Gardens Nursing And Rehabilitation Center, located in FRESNO, CA, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Pacific Gardens Nursing and Rehabilitation Center

More Nursing Time: Staff spends 4.11 hours per resident daily (National Avg: 3.87).

Key Performance Indicators

CMS Overall Rating 3 Stars
Nursing Hours 4.11 hrs
Safety Record Clean

Chain Affiliations & Network

This facility is part of the COVENANT CARE network. This chain operates 15 facilities.

Chain Performance Overview

Inspection

2.7

Staffing

2.6

Quality

4.4

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Mixed Staffing Levels

Pacific Gardens Nursing and Rehabilitation Center provides less care hours than the state average and more than the national average.

Registered Nurses (RN)

0.68 hrs/day

State: 0.67 US: 0.68

Case Mix Adj: 0.71

Quality Adj: 0.65

Licensed Practical Nurses

1.37 hrs/day

State: 1.88 US: 1.54

Case Mix Adj: 0.90

Quality Adj: 0.65

Certified Assistants

2.74 hrs/day

State: 2.65 US: 2.33

Case Mix Adj: 2.44

Quality Adj: 2.60

CMS Quality Ratings

Category	Rating	Stars
Overall Rating	3
Health Inspection	2
Quality Measures	5
Staffing	2

Health Inspection History

Inspection Cycle	Score	Date
Cycle 1 (Most Recent)	128	Feb 07, 2025
Weighted Average	114	Combined Score

Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure	Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521)	21.9%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522)	8.9%
Number of hospitalizations per 1000 long-stay resident days (QM551)	1.8%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552)	1.0%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure	Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401)	5.8%
Percentage of long-stay residents who lose too much weight (QM404)	4.5%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406)	0.1%
Percentage of long-stay residents with a urinary tract infection (QM407)	0.2%
Percentage of long-stay residents who have depressive symptoms (QM408)	3.1%
Percentage of long-stay residents who were physically restrained (QM409)	0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410)	1.3%
Percentage of long-stay residents assessed and appropriately given the p... (QM415)	99.8%
Percentage of short-stay residents assessed and appropriately given the... (QM430)	90.7%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434)	1.0%
Percentage of long-stay residents whose ability to walk independently wo... (QM451)	9.8%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452)	8.2%
Percentage of long-stay residents assessed and appropriately given the s... (QM454)	99.2%
Percentage of short-stay residents who were assessed and appropriately g... (QM472)	91.1%
Percentage of long-stay residents with pressure ulcers (QM479)	3.6%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480)	5.3%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481)	5.6%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

2024: 5 complaints
2025: 1 complaint
2026: 1 complaint
Total: 7 complaints on record

Recent Complaints (Since Jan 2023)

Date	Description
Apr 03, 2026	Ensure services provided by the nursing facility meet professional standards of quality.
Oct 01, 2025	Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Dec 29, 2024	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.
Dec 29, 2024	Ensure services provided by the nursing facility meet professional standards of quality.
Nov 01, 2024	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nov 01, 2024	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 01, 2024	Provide appropriate pressure ulcer care and prevent new ulcers from developing.

MADERA, CA

N/A

Owner & Operator Information

Business Entity

COVENANT CARE CALIFORNIA, LLC

Ownership Structure

CENTRE CAPITAL INVESTORS V LP Indirect
CENTRE COVENANT PURCHASER (B) LLC Indirect
CENTRE COVENANT PURCHASER (Q) LLC Indirect
CENTRE COVENANT PURCHASER (S) LLC Indirect
CENTRE V SECONDARY FUND L.P. Indirect
COVENANT CARE CALIFORNIA LLC Direct: NO PERCENTAGE PROVIDED
COVENANT CARE LLC Direct: NO PERCENTAGE PROVIDED
COVENANT HOLDCO LLC Indirect
COVENANT SUBCO LLC Indirect
MARY EVANS Indirect
ROBERT LEVIN Indirect
CHRISTINE SIMS Indirect
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS Indirect
STOCKWELL FUND II LP Indirect
ANDREW TOROK Indirect

Management & Direction

DAVA ASHLEY OPERATIONAL/MANAGERIAL CONTROL
DAVA ASHLEY CORPORATE OFFICER
KEVIN CARNEY CORPORATE OFFICER
MARY EVANS OPERATIONAL/MANAGERIAL CONTROL
MARY EVANS CORPORATE OFFICER
LANCE HASSELL CORPORATE OFFICER
LANCE HASSELL OPERATIONAL/MANAGERIAL CONTROL
ROBERT LEVIN OPERATIONAL/MANAGERIAL CONTROL
ROBERT LEVIN CORPORATE OFFICER
CHRISTINE SIMS CORPORATE OFFICER
CHRISTINE SIMS OPERATIONAL/MANAGERIAL CONTROL
CAROL SPARKS OPERATIONAL/MANAGERIAL CONTROL
ANDREW TOROK CORPORATE OFFICER

Associated Doctors

No associated doctor information available.

Local Comparison

Facility	Distance	Rating
Community Subacute and Transitional Care Center	N/A	5
North Point Healthcare and Wellness Centre LP	N/A	5
California Home For The Aged	N/A	5
Madera Care Center	N/A	4
Oakwood Gardens Care Center	N/A	5
Dinuba Healthcare	N/A	4
Manning Gardens Care Center, Inc	N/A	5
Veterans Home of California - Fresno	N/A	5
The Terraces at San Joaquin Gardens Village	N/A	5
Bethel Lutheran Home	N/A	3

Related Analysis

Best Nursing Homes in FRESNO, CA

Compare Pacific Gardens Nursing and Rehabilitation Center to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Pacific Gardens Nursing and Rehabilitation Center has a 3-star CMS overall rating out of 5, which indicates good quality care meeting industry standards. The nursing staff spends 4.11 hours per resident daily, compared to the national average of 3.87 hours.

Pacific Gardens Nursing and Rehabilitation Center is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:

Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
Long-term Residential Care: Assistance with daily living activities for extended stays
Short-term Rehabilitation: Recovery services after hospital stays or surgeries
Memory Care: Specialized programs for residents with dementia and Alzheimer's disease

The facility has 188 certified beds.

Pacific Gardens Nursing and Rehabilitation Center accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:

Level of care needed (skilled nursing vs. long-term care)
Room type (private vs. semi-private)
Insurance coverage (Medicare, Medicaid, private insurance)
Length of stay and specific services required

For current rates and to discuss payment options, contact Pacific Gardens Nursing and Rehabilitation Center directly at 5592518463. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Pacific Gardens Nursing and Rehabilitation Center, pay attention to these important factors:

Environment & Cleanliness

Overall cleanliness and odors
Resident room conditions
Common area maintenance
Safety features and accessibility

Staff & Care Quality

Staff-to-resident ratios
How staff interact with residents
Response time to resident needs
Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.