Vintage Gardens
State licensed540 S. Peach, Fresno, CA 93727
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
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Prices not published
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Medicare-certifiedSkilled Nursing
Pacific Gardens Nursing and Rehabilitation Center
Fresno, CaliforniaMedicare inspection record
About Pacific Gardens Nursing and Rehabilitation Center
Pacific Gardens Nursing and Rehabilitation Center brings comprehensive skilled nursing and rehabilitation care to Fresno, California families. Our team supports patients through recovery with personalized medical attention and therapy services designed for each individual's path toward independence.
Community at a glance
Capacity
188 residents
Location
Fresno, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
577 S. PEACH AVE., Fresno, California 93727
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on April 24, 2026, state inspectors cited 19 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 3 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare fined Pacific Gardens Nursing and Rehabilitation Center once in the last three years, $30,654 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 3 minutesBelow the California average |
| Registered nurse time per resident, per day | 41 minutes |
| Nursing staff who left in the past year | 36% |
1 administrator has left the home in the past year.
Inspections
48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 24, 2026 · Standard inspection · 18 citations
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 15, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 15, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 15, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 15, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 15, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 15, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 15, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 15, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 15, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 15, 2026Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 15, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 15, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 15, 2026Try 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 15, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 15, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 15, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 15, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 15, 2026
April 1, 2026 · Complaint investigation · 1 citation
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 3, 2026
August 27, 2025 · Complaint investigation · 1 citation+
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it accepted
February 7, 2025 · Standard inspection · 19 citations+
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.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 11, 2025Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 11, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 11, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 11, 2025Put firmly secured handrails on each side of hallways.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Mar 11, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 11, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 11, 2025Post nurse staffing information every day.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Mar 11, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 11, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 11, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 11, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 11, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 11, 2025Provide appropriate foot care.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 11, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 11, 2025Notify 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 11, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 11, 2025
November 26, 2024 · Complaint investigation · 2 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 29, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Dec 29, 2024
October 4, 2024 · Complaint investigation · 2 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Nov 1, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Nov 1, 2024
March 15, 2024 · Complaint investigation · 1 citation+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 1, 2024
November 30, 2023 · Standard inspection · 4 citations+
Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 28, 2023Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 28, 2023Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 28, 2023Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 28, 2023
Fines and payment denials
1 fine totaling $30,654 in the last three years.
- February 7, 2025Fine: $30,654
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Covenant Care California, LLC
- Medicare-certified beds
- 188
- Average residents per day
- 164
- Accepts
- Medicare and Medicaid
- First certified
- July 6, 1970
- Part of a chain
- Covenant Care, 11 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 056207
Location
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577 S. PEACH AVE.Fresno, CA 93727
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Questions about Pacific Gardens Nursing and Rehabilitation Center
How did Pacific Gardens Nursing and Rehabilitation Center do on its last inspection?+
State inspectors visited on April 24, 2026 and cited 19 health deficiencies, 1 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at Pacific Gardens Nursing and Rehabilitation Center?+
Nurses and aides spend 4 hours 3 minutes with each resident per day, including 41 minutes from registered nurses. 36% of nursing staff left over the past year.
Has Pacific Gardens Nursing and Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined Pacific Gardens Nursing and Rehabilitation Center once in the last three years, totaling $30,654.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.