Manning Gardens Care Center, Inc

2113 E. Manning Avenue · Fresno, CA · 93725 · 5598342586

59 certified beds For profit - Corporation

  • Staffing hours comfortably above national benchmarks.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 88
Staffing 20% 92
Federal penalties 15% 75
Trend 10% 68
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.963.48 min · 4.1 strong
RN hours / resident-day0.960.55–0.75
Weekend hours / resident-day4.33≈ weekday level
Nursing turnover / year24%median 45%
Fines (3-yr window)1 · $12,000

Inspection citations (40 in the current record)

  • Potential for harm · D March 27, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 8, 2026 · Quality of Life and Care

  • Potential for harm · D February 25, 2026 · found via complaint

    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.

    Corrected March 13, 2026 · Resident Rights

  • Potential for harm · E February 13, 2026 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 13, 2026 · Environmental

  • Potential for harm · D December 19, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected January 29, 2026 · Resident Rights

  • Potential for harm · D December 19, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected January 29, 2026 · Resident Rights

  • Potential for harm · D December 19, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 29, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 19, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 29, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 19, 2025

    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.

    Corrected January 29, 2026 · Pharmacy Service

  • Potential for harm · D December 19, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected January 29, 2026 · Nutrition and Dietary

  • Potential for harm · E December 19, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 29, 2026 · Nutrition and Dietary

  • Potential for harm · E December 19, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 29, 2026 · Infection Control

  • No harm found · B December 19, 2025

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected January 29, 2026 · Environmental

  • No harm found · B December 19, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected January 29, 2026 · Environmental

  • Potential for harm · E April 16, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 16, 2025 · Infection Control

  • Actual harm · G February 6, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 25, 2025 · Quality of Life and Care

  • Actual harm · G November 8, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 8, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 8, 2024 · Resident Rights

  • Potential for harm · D November 8, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 8, 2024

    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.

    Corrected December 8, 2024 · Quality of Life and Care

  • Potential for harm · D November 8, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 8, 2024 · Pharmacy Service

  • Potential for harm · E November 8, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 8, 2024 · Nutrition and Dietary

  • Potential for harm · F November 8, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 8, 2024 · Infection Control

  • Potential for harm · E November 8, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected December 8, 2024 · Environmental

  • No harm found · B November 8, 2024

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected December 8, 2024 · Environmental

  • No harm found · B November 8, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected December 8, 2024 · Environmental

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 6, 2025Fine$12,000

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055423 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.