PACIFIC GARDENS NURSING AND REHABILITATION CENTER

FRESNO, CA 2025 Assisted Living / Long-Term Care
CMS Actual Harm Documentation Failure Inadequate Staffing Infection Control Medication Error Nutrition Care Wound Care
Penalty
$30,654

Outcome

PACIFIC GARDENS NURSING AND REHABILITATION CENTER in FRESNO, CA was fined $30,654 by CMS following 39 deficiency citations identified during federal surveys.

Details

PACIFIC GARDENS NURSING AND REHABILITATION CENTER (FRESNO, CA) — $30,654 in CMS Fines

Outcome: PACIFIC GARDENS NURSING AND REHABILITATION CENTER in FRESNO, CA was fined $30,654 by CMS following 39 deficiency citations identified during federal surveys.

Deficiency areas cited:


  • Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

How Crucible Prevents This

Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.

Source: CMS Nursing Home Penalties Dataset — PACIFIC GARDENS NURSING AND REHABILITATION CENTER

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