Pacific Gardens Nursing & Reha
Nursing Home Facility
577 S. Peach Ave., Fresno, CA 93727
Pacific Gardens Nursing & Reha is a senior care community located in Fresno, CA. It provides nursing home care and senior living for older adults in the Fresno area. To learn more or schedule a tour, call (559) 251-8463.
Operated by The Ensign Group, which runs 419 communities in our directory.
With 188 beds, Pacific Gardens Nursing & Reha is one of the larger communities in the area, senior care communities in Fresno average about 22 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 87% of its licensed beds.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in April 2026 and recorded 20 deficiencies.
Residents receive about 4.1 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 36%.
The community is located in Fresno County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 48 problems at Pacific Gardens Nursing & Reha. 2 findings involved harm to a resident. 7 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $30,654.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
Show 12 more
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Pacific Gardens Nursing & Reha offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 188
- Occupancy 87%
- Nursing hours per resident/day 4.1
- Annual staff turnover 36%
- Last health inspection April 2026
Resident & family reviews
No one has shared a review of Pacific Gardens Nursing & Reha yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.