Nursing homes › California › Pacific Gardens Nursing and Rehabilitation Center
577 S. Peach Ave., Fresno, CA 93727 · 5592518463 · 188 certified beds
Per CMS filings, this facility is affiliated with Covenant Care, a group operating 15 facilities in 2 states. Group record: average rating 3.1/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $304,413 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 4.06 (California median: 4.24). RN hours: 0.68. Weekend total: 3.74. Nursing staff turnover: 36%.
All-time on record: 48 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-24 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | 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. | E | Health | corrected 2026-05-15 |
| 2026-04-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2026-05-15 |
| 2026-04-24 | Ensure medication error rates are not 5 percent or greater. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2026-05-15 |
| 2026-04-24 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-05-15 |
| 2026-04-24 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2026-05-15 |
| 2026-04-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-05-15 |
| 2026-04-24 | Provide enough food/fluids to maintain a resident's health. | D | Health | 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. | D | Health | corrected 2026-05-15 |
| 2026-04-24 | Ensure that residents are free from significant medication errors. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2026-05-15 |
| 2026-04-24 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-15 |
| 2026-04-01 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-04-03 |
| 2025-08-27 | Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source | D | complaint | 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. | G | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2025-03-11 |
| 2025-02-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-11 |
| 2025-02-07 | Put firmly secured handrails on each side of hallways. | E | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-03-11 |
| 2025-02-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-03-11 |
| 2025-02-07 | Provide appropriate foot care. | D | Health | 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. | D | Health | corrected 2025-03-11 |
| 2025-02-07 | Post nurse staffing information every day. | D | Health | corrected 2025-03-11 |
| 2025-02-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-03-11 |
| 2025-02-07 | Ensure that residents are free from significant medication errors. | D | Health | 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. | D | Health | corrected 2025-03-11 |
| 2024-11-26 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-12-29 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-07 | Fine | $30,654 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| COVENANT CARE CALIFORNIA, LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT CARE, LLC | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE CAPITAL INVESTORS V, LP | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (B), LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (Q), LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| CENTRE COVENANT PURCHASER (S), LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| CENTRE V SECONDARY FUND, L.P. | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT HOLDCO, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| COVENANT SUBCO, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| STOCKWELL FUND II LP | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/19/2008 |
| EVANS, MARY | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| LEVIN, ROBERT | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| SIMS, CHRISTINE | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| TOROK, ANDREW | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 07/17/2008 |
| ASHLEY, DAVA | Corporate Officer | Individual | NOT APPLICABLE | since 05/17/2018 |
| CARNEY, KEVIN | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| EVANS, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| HASSELL, LANCE | Corporate Officer | Individual | NOT APPLICABLE | since 05/17/2018 |
| LEVIN, ROBERT | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| SIMS, CHRISTINE | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| TOROK, ANDREW | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2013 |
| ASHLEY, DAVA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/26/2018 |
| EVANS, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/14/2006 |
| HASSELL, LANCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/17/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056207. Corrections: data@carerecords.org.