OAKWOOD GARDENS CARE CENTER
OAKWOOD GARDENS CARE CENTER, in FRESNO, California, holds 103 certified beds and has been certified for Medicare and Medicaid since 1967-01-01, averaging 96.8 residents a day.
Has OAKWOOD GARDENS CARE CENTER been cited for violations?
CMS lists 28 health-inspection deficiencies for OAKWOOD GARDENS CARE CENTER since 2020-03-05, 9 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-01-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-09 | F0573, F0689 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-04-22 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-02 | F0658, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. | D |
| 2025-03-17 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2025-01-30 | F0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2025-01-30 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B |
| 2024-07-08 | F0620 | 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. | D |
| 2023-02-17 | F0761, F0812 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-02-17 | F0552, F0641, F0656, F0759, F0801 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure medication error rates are not 5 percent or greater. / 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. | E |
| 2023-02-17 | F0676, F0692, F0757, F0836, F0911 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | D |
| 2020-03-05 | F0812, F0813 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E |
| 2020-03-05 | F0558, F0655, F0698, F0919 | Reasonably accommodate the needs and preferences of each resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2020-03-05 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B |
How is OAKWOOD GARDENS CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.00743 | 4.51570 |
| Total nursing staff turnover (%) | 51.7 | 36.7 |
| Average number of residents per day | 96.8 | 87.9 |
Who owns OAKWOOD GARDENS CARE CENTER, and what chain is it in?
OAKWOOD GARDENS CARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name LILY HOLDINGS, LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | HUDSON RIVER OPCO LLC | since 11/05/2021 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BAY BRIDGE CAPITAL PARTNERS, LLC | since 11/05/2021 |
| CONTRACTED MANAGING EMPLOYEE | GROSSMAN, STEPHEN | since 06/01/2002 |
| W-2 MANAGING EMPLOYEE | HOBBS, BRETT | since 12/01/2022 |
| CORPORATE OFFICER | APT, FREDERICK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
Were you or a family member harmed at OAKWOOD GARDENS CARE CENTER?