Oakwood Gardens Care CenterCMS ratings, inspections and fines
- Address
- 3510 East Shields, Fresno, CA 93726
- CCN
- 055204
- Ownership type
- For-profit, corporation
- Certified beds
- 103
- Chain
- PACS Group
- Residents per day
- 97
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Oakwood Gardens Care Center an overall rating of 5 of 5 stars. The last standard survey was on 30 Jan 2025. The latest survey cycle has 4 health citations. The median for nursing homes in California is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Fresno County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 31 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Jan 2025 | 4 | 14 |
| Cycle 2 | 17 Feb 2023 | 16 | 14 |
| Cycle 3 | No date | 8 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Jan 2026 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 28 Jan 2026 |
| 9 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Jan 2026 |
| 30 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 24 Feb 2025 |
| 30 Jan 2025 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 24 Feb 2025 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 May 2025 |
| 2 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Apr 2025 |
| 2 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Apr 2025 |
| 17 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 3 Apr 2025 |
| 17 Feb 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 18 Mar 2023 |
| 17 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 18 Mar 2023 |
| 17 Feb 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 | 18 Mar 2023 |
| 17 Feb 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 18 Mar 2023 |
| 17 Feb 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Mar 2023 |
| 17 Feb 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 18 Mar 2023 |
| 17 Feb 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 18 Mar 2023 |
| 17 Feb 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. | F | Standard survey | 18 Mar 2023 |
| 17 Feb 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 18 Mar 2023 |
| 17 Feb 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 | 18 Mar 2023 |
| 17 Feb 2023 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Standard survey | 18 Mar 2023 |
| 17 Feb 2023 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | D | Standard survey | 18 Mar 2023 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jul 2024 | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | Complaint investigation | 5 Sep 2024 |
| 5 Mar 2020 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 24 Nov 2020 |
| 5 Mar 2020 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 24 Nov 2020 |
| 5 Mar 2020 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Nov 2020 |
| 5 Mar 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 Nov 2020 |
| 5 Mar 2020 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 24 Nov 2020 |
| 5 Mar 2020 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 24 Nov 2020 |
| 5 Mar 2020 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 24 Nov 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 4.01 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.30 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.13 | 1.20 | |
| Nurse aides | 2.58 | 2.65 | |
| All nurse staff, weekends | 3.73 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 51.7%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 0.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.1% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Lily Holdings, LLC
- Chain
- PACS Group (274 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hudson River Opco LLC | 5% or greater direct ownership interest | 100% | 5 Nov 2021 |
| Bay Bridge Capital Partners, LLC | 5% or greater indirect ownership interest | 100% | 5 Nov 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Fresno County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Covenant Post Acute | Fresno | 3 of 5 | 8 | $0 | 6 Feb 2025 | |
| Keystone Post-Acute | Fresno | 2 of 5 | 14 | $42,764 | 30 May 2025 | |
| Community Subacute and Transitional Care Center | Fresno | 5 of 5 | 0 | $0 | 6 Feb 2026 | |
| The Terraces at San Joaquin Gardens Village | Fresno | 5 of 5 | 11 | $0 | 21 Mar 2025 | |
| Healthcare Centre of Fresno | Fresno | 2 of 5 | 13 | $88,049 | 8 May 2026 | |
| North Point Healthcare & Wellness Centre LP | Fresno | 5 of 5 | 3 | $0 | 27 Mar 2025 | |
| Orchard Post Acute | Fresno | 3 of 5 | 16 | $0 | 20 May 2025 | |
| Fresno Postacute Care | Fresno | 3 of 5 | 10 | $0 | 10 Apr 2026 | |
| Sierra Vista Healthcare | Fresno | 3 of 5 | 13 | $12,048 | 9 Jan 2026 | |
| Evergreen Care Center | Fresno | 3 of 5 | 11 | $0 | 17 May 2024 | |
| Pacific Gardens Nursing and Rehabilitation Center | Fresno | 3 of 5 | 20 | $30,654 | 24 Apr 2026 | |
| Morning Star Post Acute | Clovis | 3 of 5 | 13 | $0 | 20 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Oakwood Gardens Care Center (CCN 055204). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/oakwood-gardens-care-center-fresno-ca-055204/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Oakwood Gardens Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 9 Jan 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 17 Feb 2023.
- Who operates Oakwood Gardens Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain PACS Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Oakwood Gardens Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.