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
5 of 5 overall
OAKWOOD GARDENS CARE CENTER (Fresno, CA) has an overall 5 out of 5 stars, with 4 stars for health inspections, 3 stars for staffing, and 5 stars for quality measures. It reported 3.99 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included medication storage/labeling, food handling, and timely reporting of suspected abuse or neglect.
Facility ratings
Health inspections
Staffing
3.9861 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 3.9861.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.14
- Nurse aides
- 2.56
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.7%Improving
Residents with a fall causing major injury
1.8%Worsening
Residents with pressure ulcers (bedsores)
1.9%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.4%Improving
Residents whose ability to walk got worse
5.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
5.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.4%Improving
Residents with depressive symptoms
2.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
85.1%Steady
Short-stay residents given the pneumonia vaccine
99.5%Improving
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 · 279 homes · 3 stars avg
- Occupancy
- 97.1 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.