Pacific Gardens Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Pacific Gardens Nursing and Rehabilitation Center is a 188-bed for-profit nursing home in Fresno, California, part of Covenant Care. In the CMS August 2026 release it reported 2.71 nurse aide hours per resident per day, about the same as the California average of 2.65, and 35.9% nursing staff turnover (California average 36.7%).
Pacific Gardens Nursing and Rehabilitation Center
577 S. Peach Ave.Fresno, CA 93727
Fresno County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Pacific Gardens Nursing and Rehabilitation Center, nurse aides logged 2.71 hours per resident per day, about the same as the California average. With about 164 residents a day, that works out to roughly 444 aide hours a day, or about 56 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.71 | 2.65 | 2.32 |
| Licensed practical nurses | 0.67 | 1.20 | 0.86 |
| Registered nurses | 0.68 | 0.67 | 0.69 |
| All nursing staff | 4.06 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.74 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.9% of nursing staff at Pacific Gardens Nursing and Rehabilitation Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 39.3%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 24, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 20 health deficiencies (California average 15.7). CMS lists 1 fine totaling $30,654 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 7, 2025 | Fine | $30,654 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pacific Gardens Nursing and Rehabilitation Center holds 3 of 5 overall; the California average is 3.2.
About Pacific Gardens Nursing and Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Covenant Care, 12 homes
- Legal name: Covenant Care California, LLC
- Medicare and Medicaid certified since: Jul 6, 1970
- Councils: resident council
- Area: urban
Nursing homes near Pacific Gardens Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Evergreen Care Center Fresno | 0.2 | 49 | 2.79 | 4.20 | 51.5% | 3 | None |
| Orchard Post Acute Fresno | 0.7 | 99 | 2.50 | 3.98 | 48.8% | 3 | None |
| Stonehaven Senior Living Fresno | 0.9 | — | 2.58 | 4.18 | — | — | None |
| Sierra Vista Healthcare Fresno | 1.8 | 99 | 2.65 | 4.41 | 34.7% | 3 | $12,048 |
| California Home for the Aged Fresno | 2.8 | 120 | 2.69 | 4.24 | 33.9% | 5 | None |
| Grace Healthcare Center Fresno | 2.9 | 101 | 3.05 | 4.39 | 45.7% | 1 | $13,761 |
| Healthcare Centre of Fresno Fresno | 3.9 | 155 | 2.49 | 3.81 | — | 2 | $88,049 |
| Oakwood Gardens Care Center Fresno | 4.0 | 103 | 2.58 | 4.01 | 51.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.