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Nursing homeFAID #915

The Terraces At San Joaquin Gardens Village

5551 N. FRESNO ST, FRESNO, CA, 93710
(559) 430-8202
54 licensed beds

CMS rates The Terraces At San Joaquin Gardens Village 5 out of 5 overall. Federal inspectors issued 39 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall3/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
54
State license
100400544
CMS facility ID
055846
Care type
Nursing home
Facility name
The Terraces At San Joaquin Gardens Village
Street address
5551 N. FRESNO ST
City / state / ZIP
Fresno, CA 93710
Phone
(559) 430-8202
State license #
100400544

The Terraces At San Joaquin Gardens Village is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 54 beds — below 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 Humangood, a group of 17 facilities on this site.

Federal inspectors have cited The Terraces At San Joaquin Gardens Village 39 times across 9 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.

What the public record shows.

Ownership & operator

Parent company
Humangood
Ownership type
Non profit - Corporation

Registered owners & officers

Humangood
Indirect owner · Additional disclosable party — 100% stake — since 2016
Humangood Fresno
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2012
Baker Tilly Advisory Group Lp
Additional disclosable party — since 2025
Baker Tilly Us Llp
Additional disclosable party — since 2024
Baker, Judith
Director — since 2012
Battison, William
Director — since 2011
Brown, Herman
Director · Officer — since 2016
Case, Alexis
Operational control · Additional disclosable party — since 2022
Chahal, Parmveer
Operational control · Additional disclosable party — since 2023
Cochrane, John
Officer · Operational control — since 2009
Coleman, Esmeralda
Operational control · Additional disclosable party — since 2023
Dowell, Robert
Director — since 2024
Ghassemi, Bethany
Officer · Operational control — since 2019
Griffith, Alan
Director · Operational control — since 2019
Grossman, Stephen
Operational control · Additional disclosable party — since 1998
Hansen Hunter Llc
Additional disclosable party — since 2017
Holmes, Michelle
Director — since 2016
Humangood Norcal
Operational control · Additional disclosable party — since 2012
Kelley, Albert
Director — since 2008
Lopez, Jessica
Operational control — since 2020
Mcdonald, Andrew
Officer · Operational control — since 2020
Ogus, Daniel
Officer · Operational control — since 2009
U.s. Bank
Security-interest holder · Additional disclosable party — since 2018
Vangelisto, Gwen
Operational control · Additional disclosable party — since 2021
Washington Federal Bank
Additional disclosable party — since 2020

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1967-11-15
CMS overall rating
5 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-03-21
Nurse staffing
5.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$244 per day (≈ $7,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 5% Medicare · 95% private/other
Occupancy
100% (fiscal year 2023)
Vs. state median
53% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
54
Licensed as
RCFE
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
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.
2025-04-23Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-30
2025-03-21Health inspection11 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-04-14
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-14
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 2025-04-14
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-14
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-14
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-04-14
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 2025-04-14
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-04-14
F-0803
D · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-04-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-14
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-04-14
7 earlier / fire-safety inspections (27 citations)
2024-09-03Health inspectionComplaint-triggered2 citations
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-20
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-09-20
2024-05-30Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-13
2024-02-12Health inspection8 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-08
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-08
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-08
F-0758
E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-03-08
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-08
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 2024-03-08
F-0812
E · 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 2024-03-08
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-08
2022-05-10Health inspection8 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-09
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 2022-06-09
F-0692
I · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-06-09
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-06-09
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-06-09
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-06-09
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 2022-06-09
F-0888
D · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2022-06-09
2025-03-21Fire-safety inspection4 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-04-14
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-04-14
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-14
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-04-14
2024-02-12Fire-safety inspection2 citations
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 2024-02-21
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-21
2022-05-10Fire-safety inspection2 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-05-13
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-13
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 055846.
How it compares in California.
Inspection citations, 3 years
39
More than 14% of nursing homes in the state
State median: 65
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
5.1
Higher than 86% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
40%
Higher than 64% of nursing homes in the state
State median: 36%

Resident outcomes

On 20 federal quality measures, this facility does better than the California average on 12 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.7%10.2%13.5%Worse than state
Lose too much weight1.6%4.1%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.7%0.7%Better than state
With a urinary tract infection0.0%1.2%1.5%Better than state
Have depressive symptoms0.0%7.6%13.5%Better than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury0.0%1.6%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%98.7%93.7%Near state average
Received an antianxiety or hypnotic medication21.9%13.7%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.9%95.3%Near state average
With pressure ulcers1.0%4.3%4.5%Better than state
With new or worsened bowel or bladder incontinence12.6%9.8%18.3%Worse than state
Received an antipsychotic medication8.5%12.3%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.742.211.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days0.641.501.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine99.7%94.6%82.3%Near state average
Newly received an antipsychotic medication0.7%1.3%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine97.8%93.1%80.1%Near state average
Were rehospitalized after a nursing home admission21.2%22.6%23.4%Near state average
Had an outpatient emergency department visit9.4%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-0658 4 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0655 2 inspections. Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  • F-0758 2 inspections. Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  • F-0761 2 inspections. 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.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

  • Humangood has an ownership stake on file at 17 nursing homes, averaging 4.5 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
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

  • Kaiser Foundation Hospital - Fresno, about 1.6 miles. CMS rating 4 of 5.
  • Saint Agnes Medical Center, about 1.6 miles. CMS rating 2 of 5.
  • Fresno Va Medical Center (va Central California Healthcare System), about 3.2 miles. CMS rating 5 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 39 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

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
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