Oakwood Gardens Care Center
3510 East Shields · Fresno, CA · 93726 · 5592224807
103 certified beds For profit - Corporation Chain: Pacs Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
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: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.65 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D January 9, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected January 28, 2026 · Resident Rights
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Potential for harm · D January 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D April 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D April 2, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 3, 2025 · Infection Control
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Potential for harm · E March 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 24, 2025 · Pharmacy Service
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No harm found · B January 30, 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 February 24, 2025 · Environmental
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Potential for harm · D July 8, 2024 · found via complaint
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.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · E February 17, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 18, 2023 · Resident Rights
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Potential for harm · E February 17, 2023
Ensure each resident receives an accurate assessment.
Corrected March 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · E February 17, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 18, 2023 · Quality of Life and Care
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Potential for harm · D February 17, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected March 18, 2023 · Quality of Life and Care
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Potential for harm · D February 17, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 18, 2023 · Pharmacy Service
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Potential for harm · E February 17, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected March 18, 2023 · Pharmacy Service
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Potential for harm · F February 17, 2023
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 March 18, 2023 · Pharmacy Service
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Potential for harm · E February 17, 2023
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.
Corrected March 18, 2023 · Nutrition and Dietary
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Potential for harm · F February 17, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 18, 2023 · Nutrition and Dietary
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Potential for harm · D February 17, 2023
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.
Corrected March 18, 2023 · Administration
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Potential for harm · D February 17, 2023
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected March 18, 2023 · Environmental
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Potential for harm · D March 5, 2020
Reasonably accommodate the needs and preferences of each resident.
Corrected November 24, 2020 · Resident Rights
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Potential for harm · D March 5, 2020
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 24, 2020 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2020
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 24, 2020 · Quality of Life and Care
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Potential for harm · E March 5, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 24, 2020 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055204 · 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.