Nursing home
Pacific Gardens Nursing and Rehabilitation Center
577 S. Peach Ave., Fresno, CA 93727 · Map
For profit - Limited Liability company · Part of Covenant Care (24 facilities) · 188 certified beds
Pacific Gardens Nursing and Rehabilitation Center is a Medicare-certified nursing home in Fresno, California. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.88 hours per resident per day, below the California average of 4.51. Its most recent inspection on Feb 7, 2025 cited 20 deficiencies.
- 1 fine totaling $30,654In 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 Pacific Gardens Nursing and Rehabilitation 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) | 2.88 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.93 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | —% | 38.1% | 46.4% | — |
| Deficiencies cited, last inspection | 20.0 | 15.4 | 9.5 | above 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.
Penalties in CMS records: 1 fine totaling $30,654, 1 total penalty.
What inspectors found at Pacific Gardens Nursing and Rehabilitation 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
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Resident Rights Deficiencies · Aug 27, 2025 · Full report (PDF) - Actual harm
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.
Quality of Life and Care Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 7, 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 · Feb 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Feb 7, 2025 · Full report (PDF) - 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 · Feb 7, 2025 · 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 7, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Feb 7, 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
- 577 S. Peach Ave.
Fresno, CA 93727 - CMS certification #
- 056207
- Ownership
- For profit - Limited Liability company
- Certified beds
- 188
- Avg residents/day
- 157.1
- Provider type
- Medicare and Medicaid
- First certified
- 1970-07-06
- Chain
- Covenant Care (24 facilities)
- Setting
- Urban
Part of Covenant Care
Covenant Care operates 24 nursing facilities across the United States. View all Covenant Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pacific Gardens Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, works with hospice, diabetes care
- Workplace safety 2 OSHA workplace safety inspections since 2017, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Pacific Gardens Nursing and Rehabilitation 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.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round-the-clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetic Management
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 29, 2022: complaint inspection, partial (health). Case closed Oct 6, 2022. No violations cited. OSHA record. OSHA recorded the employer as Covenant Care California LLC. Matched by street address; the name OSHA recorded differs from the community's.
- Jul 26, 2017: complaint inspection, partial (safety). Case closed Jan 24, 2018. 1 violation cited (1 other). Penalties: $600 proposed, $600 now. OSHA record. OSHA recorded the employer as Covenant Care LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule 3203(A). Penalty $600 proposed, $600 now. To be fixed by Jan 5, 2018.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Community Regional Medical Center, Fresno. 3.5 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Evergreen Care Center, Fresno. 0.2 miles away, straight line.
- Nearest home health agency office
- Mountain Valley Healthcare LLC, Fresno. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93727 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc Central Valley Home Therapy, Fresno, 2.2 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Fresno Airport East, Fresno, 2.2 miles away, straight line (CMS rating 4 of 5 stars)
Davita Ash Tree Dialysis, Fresno, 2.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 46 Medicare hospices tell CMS they serve ZIP code 93727.
Ardent Hospice Of Fresno, office in Fresno, 2.3 miles away, straight line
One Good Hospice Inc, office in Clovis, 4.0 miles away, straight line
St Mary'S Hospice Services, Inc, office in Fresno, 4.1 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 8.0 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
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively moderate. 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Pacific Gardens Nursing and Rehabilitation Center a good nursing home?
CMS gives Pacific Gardens Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pacific Gardens Nursing and Rehabilitation Center staffed?
Pacific Gardens Nursing and Rehabilitation Center reports 2.88 total nurse hours per resident per day, compared with the California average of 4.51.
Has Pacific Gardens Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Pacific Gardens Nursing and Rehabilitation Center have?
Pacific Gardens Nursing and Rehabilitation Center is certified for 188 beds.