California › Stanislaus County › Modesto
Garden City Healthcare Center
1310 West Granger, Modesto, CA 95350
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 104 beds, Garden City Healthcare Center serves Modesto in Stanislaus County, California and has taken Medicare and Medicaid residents since 1967.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (15, 22, 23 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 57.7 per 100 beds, about the same as the state median of 51.1.
CMS lists 3 penalties in the period covered: fines totalling $35K.
Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 62.8%.
Compared with county, state and nation
| Measure | This facility | Stanislaus Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 42 | 44 | 28.7 |
| Citations per 100 beds | 57.7 | 57.7 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 62.8% | 37.5% | 36.4% | 45.8% |
| Fines listed | $35,153 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 24 Oct 2024.
Severity mix: J ×1 G ×2 D ×36 E ×19 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Jun 2026 |
| 12 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0578 | 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 | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0761 | 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 | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0584 | 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. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Mar 2026 |
| 12 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 6 Mar 2026 |
| 10 Dec 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 17 Dec 2025 |
| 10 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Dec 2025 |
| 24 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Nov 2025 |
| 15 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation (under dispute review) | 25 Jul 2025 |
| 13 Feb 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 14 Mar 2025 |
| 13 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Mar 2025 |
| 6 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Feb 2025 |
| 6 Jan 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 7 Feb 2025 |
| 24 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0761 | 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 | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 12 Nov 2024 |
| 24 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 12 Nov 2024 |
| 27 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Oct 2024 |
| 27 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Oct 2024 |
| 21 Mar 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 10 May 2024 |
| 21 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 May 2024 |
| 21 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 May 2024 |
| 18 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 15 Feb 2024 |
| 14 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0688 | 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. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0761 | 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. | D | Standard survey | 13 Oct 2023 |
| 8 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Oct 2023 |
| 8 Sep 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 3 Oct 2023 |
| 8 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Nov 2025 | Fine | $11,190 | |
| 15 Jul 2025 | Fine | $9,110 | |
| 24 Oct 2024 | Fine | $14,853 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 62.8%, RNs 35.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Fig Holdings Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hudson River Opco LLC | 5% or greater direct ownership interest | 100% | 08/01/2019 |
| Bay Bridge Capital Partners, LLC | 5% or greater indirect ownership interest | 100% | 08/15/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Stanislaus County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crestwood Manor | Modesto | 194 | 5 | 5 | 4 | 19 | 9.8 | — | 2 May 2025 |
| Modesto Post Acute Center | Modesto | 99 | 5 | 4 | 4 | 29 | 29.3 | — | 20 Mar 2026 |
| Covenant Village Care Center | Turlock | 50 | 4 | 4 | 4 | 18 | 36.0 | — | 27 Jun 2025 |
| North Starr Postacute Care | Turlock | 31 | 4 | 4 | 3 | 23 | 74.2 | — | 8 May 2026 |
| Oakdale Nursing and Rehabilitation Center | Oakdale | 115 | 4 | 3 | 5 | 33 | 28.7 | — | 22 Mar 2025 |
| Valley Skilled Nursing Center | Modesto | 70 | 4 | 4 | 3 | 48 | 68.6 | — | 10 Mar 2026 |
| Ceres Postacute Care | Ceres | 46 | 3 | 3 | 3 | 37 | 80.4 | — | 28 Apr 2026 |
| English Oaks Convalescent & Rehabilitation Hospita | Modesto | 180 | 3 | 3 | 4 | 47 | 26.1 | — | 17 Jun 2026 |
All 17 facilities in Stanislaus County
Questions and answers
How many deficiencies has Garden City Healthcare Center been cited for?
60 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Garden City Healthcare Center been fined?
Yes. CMS lists fines totalling $35K in the period covered.
How does staffing at Garden City Healthcare Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Garden City Healthcare Center?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Hudson River Opco LLC and Bay Bridge Capital Partners, LLC. Individual owners and managers are not listed on this site.
When was Garden City Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 May 2026; the most recent standard health survey was 12 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.