Pacific Gardens Nursing and Rehabilitation
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Pacific Gardens Nursing and Rehabilitation

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Calculator: See prices in your area
Pacific Gardens Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Pacific Gardens Nursing and Rehabilitation

Pacifica Gardens Nursing and Rehabilitation nursing home aims to change the meaning of skilled nursing and rehabilitation for seniors. They are known to deliver exceptional care provided by their patient-friendly staff to offer the best care possible for their residents. Pacifica Gardens is trusted as a safe and secure community that is known as a ‘healthcare with a heart,’ ensuring that residents are kind and professional at the same time. 
Services and amenities offered at the community include specialized programs,  scheduled transportation and housekeeping, a calendar of activities, community outings, 24-hour admission services, 24-hour lab and pharmacy, an outpatient therapy center, and electric beds available. 

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 4.7% Below CA avg. ▼ 4.7% Below CA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 28.5% Below CA avg. ▼ 28.5% Below CA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 36.3% Below CA avg. ▼ 36.3% Below CA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 22.4% Above CA avg. ▲ 22.4% Above CA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to California state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 54m per day
This facility California avg (4h 13m per day)
vs California avg
-8%

3 of 6 metrics below state avg

Standout metric Weekend RN is +24% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 41m per day ▲ 5% State avg: 39m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 41m per day ▼ 43% State avg: 1h 13m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 44m per day ▲ 3% State avg: 2h 39m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 46m per day ▼ 8% State avg: 4h 5m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 4m per day ▼ 19% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 37m per day ▲ 24% State avg: 30m per day · National avg: 29m per day

Capacity and availability

This home usually has limited availability

Higher occupancy than the California average: 84.7%
Occupancy rate
86%
Avg. Length of Stay
49 days
Walk Score
Walk Score: 43 / 100 Rank #1505 / 2092Walk Score — State benchmarkedThis home is ranked 1505th out of 2092 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Short-Term Rehabilitation

Amenities & Lifestyle

Specific ProgramsState-of-the-Art Care, At Your Service

Contact Pacific Gardens Nursing and Rehabilitation

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.76
22% better than California average

California average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.10
31% better than California average

California average: 1.59

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.8%
7% worse than California average

California average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.9%
29% better than California average

California average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than California average

California average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 42.7%
20% worse than California average

California average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.4%
20% better than California average

California average: 50.6%

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

57% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 1 - 2 months

Finances and operations

Privately-owned community
Operated by a single business entity.
Home revenue
$23.6M
Profit
$1.4M
Privately-owned community Operated by a single business entity.
Home revenue
$23.6M
Profit
$1.4M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$13.4M
56.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.7M
Total costs $22.1M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Financial Assistance for
Nursing Home in California

Pacific Gardens Nursing and Rehabilitation is located in Fresno, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Compare Nursing Home around Fresno

The information below is reported by the California Department of Social Services and Department of Public Health.

4 facilities compared · CMS & CA Dept. of Health data

The Terraces at San Joaquin Gardens a CCRC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno
652
Facility 652
CA AVG 103
Rank #9 / 1657
57.2%
Facility 57.2%
CA AVG 84.7%
Rank #1260 / 1530
-32%
5.21
Facility 5.21
CA AVG 4.22
Rank #32 / 345
+27%+23%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 352
88
Facility 88
CA AVG 81
Rank #513 / 1401
32
Facility 32
CA AVG 50.2
Rank #123 / 352
4.6
Facility 4.6
CA AVG 4.6
Rank #208 / 352
1373A+
57
Facility 57
CA AVG 57
Rank #1157 / 2092
Humangood Fresno
$37.3M
Facility $37.3M
CA AVG $17.0M
Rank #26 / 346
$14.7M
Facility $14.7M
CA AVG $7.0M
Rank #30 / 346
39.3%
Facility 39.3%
CA AVG 45.2%
Rank #276 / 346
55846
Evergreen Life Care Homes
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno (Roosevelt)
49
Facility 49
CA AVG 103
Rank #1138 / 1657
--
4.36
Facility 4.36
CA AVG 4.22
Rank #104 / 345
-27%+3%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 352
-
33
Facility 33
CA AVG 50.2
Rank #131 / 352
3.0
Facility 3.0
CA AVG 4.6
Rank #60 / 352
246A+
37
Facility 37
CA AVG 57
Rank #1605 / 2092
Evergreen Care Center Holdings LLC
$6.6M
Facility $6.6M
CA AVG $17.0M
Rank #319 / 346
$2.8M
Facility $2.8M
CA AVG $7.0M
Rank #338 / 346
42.3%
Facility 42.3%
CA AVG 45.2%
Rank #244 / 346
555920
Vintage Gardens Assisted Living Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno (Roosevelt)
158
Facility 158
CA AVG 103
Rank #310 / 1657
70.3%
Facility 70.3%
CA AVG 84.7%
Rank #940 / 1530
-17%
3.90
Facility 3.90
CA AVG 4.22
Rank #202 / 345
+37%-8%
$30.7k
Facility $30.7k
CA AVG $56.5k
Rank #286 / 352
69
Facility 69
CA AVG 81
Rank #1119 / 1401
42
Facility 42
CA AVG 50.2
Rank #179 / 352
3.8
Facility 3.8
CA AVG 4.6
Rank #147 / 352
2111-
69
Facility 69
CA AVG 57
Rank #768 / 2092
Central California Nikkei Foundation
$23.6M
Facility $23.6M
CA AVG $17.0M
Rank #100 / 346
$13.4M
Facility $13.4M
CA AVG $7.0M
Rank #52 / 346
56.8%
Facility 56.8%
CA AVG 45.2%
Rank #100 / 346
56207
Horizon Health & Subacute Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Fresno (East Herndon Avenue)
180
Facility 180
CA AVG 103
Rank #210 / 1657
--
4.73
Facility 4.73
CA AVG 4.22
Rank #68 / 345
-29%+12%
$22.9k
Facility $22.9k
CA AVG $56.5k
Rank #262 / 352
74
Facility 74
CA AVG 81
Rank #998 / 1401
43
Facility 43
CA AVG 50.2
Rank #185 / 352
3.1
Facility 3.1
CA AVG 4.6
Rank #72 / 352
2153-
58
Facility 58
CA AVG 57
Rank #1128 / 2092
Chad Galley
$4.8M
Facility $4.8M
CA AVG $17.0M
Rank #337 / 346
$3.6M
Facility $3.6M
CA AVG $7.0M
Rank #322 / 346
74.7%
Facility 74.7%
CA AVG 45.2%
Rank #16 / 346
55199

Frequently Asked Questions about Pacific Gardens Nursing and Rehabilitation

Is Pacific Gardens Nursing and Rehabilitation in a walkable area?

Pacific Gardens Nursing and Rehabilitation has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Pacific Gardens Nursing and Rehabilitation?

Pacific Gardens Nursing and Rehabilitation's occupancy is 86.0%.

Are there photos of Pacific Gardens Nursing and Rehabilitation?

Yes — there is 1 photo of Pacific Gardens Nursing and Rehabilitation in the photo gallery on this page.

What is the phone number of Pacific Gardens Nursing and Rehabilitation?

(559) 251-8463 will put you in contact with the team at Pacific Gardens Nursing and Rehabilitation.

Is Pacific Gardens Nursing and Rehabilitation Medicare or Medicaid certified?

Pacific Gardens Nursing and Rehabilitation is not currently listed as a CMS-certified provider of Medicare or Medicaid.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.