The home failed to properly label and securely store medications and biologicals. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Nursing home report
OAKWOOD GARDENS CARE CENTER
FRESNO, CA · Medicare-certified · 103 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Oakwood Gardens Care Center (Fresno, CA) has a 5-star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 5 stars for quality measures. It reported 4.01 nurse staffing hours per resident per day, just below the federal benchmark of 4.1, had $0 fines in the last 24 months, and recent inspection citations included drug storage/labeling, food safety, and timely reporting of suspected abuse, neglect, or theft.
Facility ratings
Health inspections
Staffing
4.0074 hrs/resident/day
Quality measures
Last inspection: January 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0074.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.58
- Weekend nursing
- 3.73
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.6%4.4%Worsening
Residents with a fall causing major injury
1.4%2.9%Worsening
Residents with pressure ulcers (bedsores)
1%1.1%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.6%7.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.9%9.6%Worsening
Residents whose ability to walk got worse
7.2%10.1%Worsening
Long-stay residents on antianxiety or sleep medication
5.4%5.2%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15%9.8%Improving
Residents with depressive symptoms
0%3.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85.1%—
Short-stay residents given the pneumonia vaccine
100%95.9%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited February 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 96.8 residents on an average day (94% of 103 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.