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Nursing homeFAID #693

Oakwood Gardens Care Center

3510 EAST SHIELDS, FRESNO, CA, 93726

(559) 222-4807

www.oakwoodgardenscarecenter.com

103 licensed beds

CMS rates Oakwood Gardens Care Center 4 out of 5 overall. Federal inspectors issued 71 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Oakwood Gardens Care Center

Address

3510 East Shields

Fresno, CA 93726

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Public record summary

What we can show you for free.

Bed capacity

103

CMS facility ID

055204

Care type

Nursing home

County

Fresno

Facility name

Oakwood Gardens Care Center

Street address

3510 EAST SHIELDS

City / state / ZIP

Fresno, CA 93726

Phone

(559) 222-4807

Website

www.oakwoodgardenscarecenter.com

About this facility — Oakwood Gardens Care Center

Oakwood Gardens Care Center is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 103 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 213 senior care facilities in Fresno and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Pacs Group, a group of 277 facilities on this site.

Federal inspectors have cited Oakwood Gardens Care Center 71 times across 11 inspections in the last three years, including 6 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Pacs Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Bay Bridge Capital Partners, Llc

Indirect owner — 100% stake — since 2021

Hudson River Opco Llc

Direct owner — 100% stake — since 2021

Apt, Frederick

Officer — since 2024

Grossman, Stephen

Managing employee — since 2002

Hobbs, Brett

Managing employee — since 2022

Jergensen, Joshua

Officer — since 2024

Mitchell, John

Officer — since 2024

Regulatory standing

Federal court records

6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1967-01-01

CMS overall rating

4 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-07-02

Nurse staffing

4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$606 per day (≈ $18,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

10% Medicaid · 25% Medicare · 64% private/other

Occupancy

88% (fiscal year 2023)

Vs. state median

18% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

103

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-02Health inspection13 citations

F-0605

E · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-09-08

F-0658

E · No harm found

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

Corrected 2026-09-08

F-0755

D · No harm found

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

Corrected 2026-09-08

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-09-08

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-09-08

F-0761

E · No harm found

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 2026-09-08

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-09-08

F-0810

D · No harm foundFood safety

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2026-09-08

F-0812

F · No harm foundFood safety

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

Corrected 2026-09-08

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-09-08

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-09-08

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-09-08

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-09-08

2026-01-09Health inspectionComplaint-triggered2 citations

F-0573

D · No harm foundFrom a complaint

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2026-01-28

F-0689

D · No harm foundFrom a complaint

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

Corrected 2026-01-28

9 earlier / fire-safety inspections (56 citations)

2025-04-22Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-29

2025-04-02Health inspectionComplaint-triggered2 citations

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-04-03

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-04-03

2025-03-17Health inspectionComplaint-triggered1 citation

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-03

2025-01-30Health inspection2 citations

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-24

F-0911

B · No harm found

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

Corrected 2025-02-24

2024-07-08Health inspectionComplaint-triggered1 citation

F-0620

D · No harm foundFrom a 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 2024-09-05

2023-02-17Health inspection12 citations

F-0552

E · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-03-18

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-03-18

F-0656

E · No harm found

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

Corrected 2023-03-18

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-03-18

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-03-18

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-03-18

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-03-18

F-0761

F · No harm found

Corrected 2023-03-18

F-0801

E · No harm foundFood safety

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 2023-03-18

F-0812

F · No harm foundFood safety

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

Corrected 2023-03-18

F-0836

D · No harm found

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 2023-03-18

F-0911

D · No harm found

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

Corrected 2023-03-18

2026-07-02Fire-safety inspection11 citations

E-0004

C · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-07-16

E-0013

C · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2026-07-17

E-0029

C · No harm found

Develop a communication plan.

Corrected 2026-07-16

E-0036

C · No harm found

Establish emergency prep training and testing.

Corrected 2026-07-16

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2026-07-16

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-07-16

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-07-16

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-07-16

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-07-16

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2026-07-16

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-07-16

2025-01-30Fire-safety inspection13 citations

E-0007

E · No harm found

Address patient/client population and determine types of services needed.

Corrected 2025-02-12

E-0018

C · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-02-12

E-0023

E · No harm found

Establish policies and procedures for medical documentation.

Corrected 2025-02-12

E-0024

E · No harm found

Establish policies and procedures for volunteers.

Corrected 2025-02-12

E-0026

E · No harm found

Establish roles under a Waiver declared by secretary.

Corrected 2025-02-12

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-02-12

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-02-12

K-0347

F · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-02-12

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-12

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-12

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-01

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-02-05

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-04

2023-02-17Fire-safety inspection13 citations

E-0039

D · No harm found

Conduct testing and exercise requirements.

Corrected 2023-03-20

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2023-03-20

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-03-20

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-20

K-0347

D · No harm found

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-03-20

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-20

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-03-20

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-03-20

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2023-03-20

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-20

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-20

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2023-03-20

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-20

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055204.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 59% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

4.1

Higher than 33% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

53%

Higher than 92% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 13 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	6.6%	10.2%	13.5%	Better than state
Lose too much weight	4.7%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	4.5%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	2.6%	1.6%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	5.9%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	6.8%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	95.1%	97.9%	95.3%	Near state average
With pressure ulcers	1.7%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	14.0%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	3.8%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.63	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.89	1.50	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.7%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	88.2%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	27.2%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	9.5%	11.1%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0759 3 inspections. Ensure medication error rates are not 5 percent or greater.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0919 3 inspections. Meet requirements for the use of electrical equipment.
K-0920 3 inspections. Ensure proper usage of power strips and extension cords.
E-0039 2 inspections. Conduct testing and exercise requirements.
F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.

What its owners also hold

Bay Bridge Capital Partners, Llc has an ownership stake on file at 28 nursing homes, averaging 3.5 of 5 on CMS's overall rating.
Hudson River Opco Llc has an ownership stake on file at 26 nursing homes, averaging 3.6 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Fresno Va Medical Center (va Central California Healthcare System), about 0.8 miles. CMS rating 5 of 5.
Community Regional Medical Center, about 2.7 miles. CMS rating 1 of 5.
Saint Agnes Medical Center, about 4.0 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Covenant Post Acute, Fresno, less than 0.1 miles. CMS rating 3 of 5.
Keystone Post-acute, Fresno, about 0.3 miles. CMS rating 2 of 5.
Community Subacute and Transitional Care Center, Fresno, about 0.6 miles. CMS rating 5 of 5.
Lagacy Adult Care, Fresno, about 0.6 miles. 3 state visits on record.
Royal Board and Care for Elderly, Fresno, about 0.7 miles. 8 state visits on record.

Visitor reviews

What people say on Google.

4.2131 ratings on Google

★★★★★Judy Simms · 2026-06-20 · via Google
“Our 98 year old mother was at Oakwood for about 6 weeks. The staff there was exceptional. Everyone was so very nice and the physical therapy was fantastic. The food was very good and plentiful. Mom was there after an accident so I don't know what they charge. Our thanks to everyone there for taking such great care of our mother.”

★★★★Melissa De Los Santos · 2026-04-09 · via Google
“There's always a good, bad, and ugly but there's a lot of positive here at Oakwood. The therapy team is awesome. They're very attentive and caring. They push you to the limits. The nursing staff is good, as well as the food. Sunny from admissions made my stay worthwhile. She always made sure I was well taken care of. I would highly recommend this place for those who need rehab.”

★★★★★Brian Duffy · 2026-05-11 · via Google
“I had a stroke and without the help of the professional therapist and entire staff, I would never be anywhere I'm at now. Their motivations and encouragement made it happen. I'm forever truly grateful. I'm glad to say that I'm discharging home better than I was when i came in. If i ever need therapy and/or placement in the future, there's only one place to go...and that's Oakwood. Thank you all.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 71 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered