CCN 056207 · Fresno County, California
Pacific Gardens Nursing and Rehabilitation Center
577 S. Peach Ave., Fresno, CA 93727
Pacific Gardens Nursing and Rehabilitation Center is a 188-bed for-profit nursing home in Fresno, California, first certified for Medicare or Medicaid in 1970. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 164.1 residents a day, about 87% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 188
- Average residents per day
- 164.1 (87.3% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Covenant Care California, LLC
- Certified since
- Jul 6, 1970
- Chain or affiliated group
- Covenant Care (11 facilities, chain average 3.0 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 4.06 | 4.24 | 3.68 |
| RN hours per resident per day | 0.68 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 3.74 | ||
| Nursing staff turnover | 35.9% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 87.3% | 92.0% | 85.7% |
| Fines reported by CMS | 1 totaling $30,654 | ||
| Health deficiencies, latest standard survey | 19 (Apr 24, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pacific Gardens Nursing and Rehabilitation Center meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Covenant Care California, LLCOrganization | Direct Ownership Interest | n/a | 07/17/2008 |
| Covenant Care, LLCOrganization | Direct Ownership Interest | n/a | 07/17/2008 |
| Centre Capital Investors V, LPOrganization | Indirect Ownership Interest | n/a | 07/17/2008 |
| Centre Covenant Purchaser (B), LLCOrganization | Indirect Ownership Interest | n/a | 07/17/2008 |
| Centre Covenant Purchaser (Q), LLCOrganization | Indirect Ownership Interest | n/a | 07/17/2008 |
| Centre Covenant Purchaser (S), LLCOrganization | Indirect Ownership Interest | n/a | 12/19/2008 |
| Centre V Secondary Fund, L.P.Organization | Indirect Ownership Interest | n/a | 07/17/2008 |
| Covenant Holdco, LLCOrganization | Indirect Ownership Interest | n/a | 07/17/2008 |
| Covenant Subco, LLCOrganization | Indirect Ownership Interest | n/a | 07/17/2008 |
| State Treasurer of Mich Custodian of Public School Empl Rtmnt SystemsOrganization | Indirect Ownership Interest | n/a | 12/19/2008 |
| Stockwell Fund II LPOrganization | Indirect Ownership Interest | n/a | 12/19/2008 |
| Evans, MaryIndividual | Indirect Ownership Interest | n/a | 07/17/2008 |
| Levin, RobertIndividual | Indirect Ownership Interest | n/a | 07/17/2008 |
| Sims, ChristineIndividual | Indirect Ownership Interest | n/a | 07/17/2008 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 1, 2025 | Juniper Springs Healthcare Inc | Covenant Care California, LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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