Nursing home · Top rated by CMS
Manning Gardens Care Center
2113 E. Manning Avenue, Fresno, CA 93725 · Map
For profit - Corporation · 59 certified beds
Manning Gardens Care Center is a Medicare-certified nursing home in Fresno, California. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.09 hours per resident per day, above the California average of 4.51. Its most recent inspection on Dec 19, 2025 cited 11 deficiencies.
- 1 fine totaling $12,000In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Manning Gardens Care Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.09 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.00 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.04 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 33.3% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 11.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 27, 2026 inspection was corrected by April 8, 2026
Penalties in CMS records: 1 fine totaling $12,000, 1 total penalty.
What inspectors found at Manning Gardens Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 27, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 25, 2026 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 19, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Pharmacy Service Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Dec 19, 2025 · Full report (PDF) - Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Dec 19, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2113 E. Manning Avenue
Fresno, CA 93725 - CMS certification #
- 055423
- Ownership
- For profit - Corporation
- Certified beds
- 59
- Avg residents/day
- 48.8
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Manning Gardens Care Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Manning Gardens Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Manning Gardens Care Center Inc. | Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Respite care provides a safe and nurturing environment for seniors and wonderful flexibility and peace of mind for their caregivers, combining round-the-clock nursing supervision, restaurant-style dining and a regular program of social and recreational activities.
(page, checked Oct 15, 2026) - Smoking only in designated areas.
Smoking is permitted only in the designated area, which is located in a covered area outside of the east wing (outside of the activity room).
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 9.7 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Vineyards at Fowler, Fowler. 4.7 miles away, straight line.
- Nearest home health agency office
- Central Valley Home Health Care Inc, Fresno. 9.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- FOWLER PHARMACY. 4.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93725 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Jensen Avenue Dialysis, Fresno, 7.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Selma Dialysis, Selma, 7.3 miles away, straight line (CMS rating 2 of 5 stars)
Community Dialysis Center, Fresno, 9.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 93725.
St Mary'S Hospice Services, Inc, office in Fresno, 12.1 miles away, straight line
Hospice Of The Valley, office in Fresno, 14.2 miles away, straight line
Oyuna Hospice, Inc, office in Fresno, 14.2 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 16.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very low, heat wave relatively moderate, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Manning Gardens Care Center a good nursing home?
CMS gives Manning Gardens Care Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Manning Gardens Care Center staffed?
Manning Gardens Care Center reports 5.09 total nurse hours per resident per day, compared with the California average of 4.51.
Has Manning Gardens Care Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Manning Gardens Care Center have?
Manning Gardens Care Center is certified for 59 beds.