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Nursing HomeMedicaid Top Rated

Manning Gardens Care Center, INC

Strong Medicare quality ratings; families often praise effective physical therapy and wound care. Still worth an in-person visit.

2113 E. Manning Avenue, Fresno, CA 9372559 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 43 Google reviews

5
4
3
2
1
Manning Gardens Care Center, INC Nursing Home in Fresno, CA — Street View
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What this means for your family

This facility offers excellent physical therapy and wound care that has successfully helped many residents recover from surgery. However, you must be extremely vigilant regarding medication accuracy and hygiene, as multiple recent reviews report lost medications and unsanitary conditions. We recommend visiting frequently to ensure call lights are being answered promptly.

Google Reviews

Google Reviews

43 reviews on Google
Families considering Manning Gardens Care Center will find a polarizing environment. While many long-term residents and their families praise the physical therapy, wound care, and the kindness of specific CNAs and nurses, there are serious, recurring reports of medication mismanagement, hygiene issues, and unresponsive call lights. The facility is highly regarded for its rehabilitative success by some, but others have reported critical safety concerns regarding neglect and sanitation.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean2.0Activities8.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical therapy and wound care
  • Kind and professional nursing/CNA staff
  • Engaging activities and social networking
  • Positive rehabilitative outcomes for some residents

Concerns

  • Medication mismanagement and loss of medication (mentioned by 2 reviewers)
  • Unresponsive call lights and slow staff response (mentioned by 3 reviewers)
  • Poor facility cleanliness and pest issues (mentioned by 3 reviewers)
  • Staffing shortages and being too busy to assist (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(2)'21(1)'23(3)'25(14)'26(2)

Distribution · 43 analyzed

5
21
4
1
3
1
2
3
1
17

How They Respond to Reviews

13%response rate
Good

The owner uses personalized language for positive reviews by acknowledging specific details like recovery or staff. For negative reviews, they use a consistent template to express regret and invite private communication to resolve issues.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and wound care here; could you tell us more about how the rehab team works with residents?
  • 2What specific steps are in place to ensure medications are administered accurately and that nothing is ever misplaced?
  • 3How do you ensure that call lights are answered promptly, even during the busier shifts?
  • 4Could you describe the daily activity calendar and how you help residents stay socially engaged with one another?
  • 5What are your current protocols for maintaining deep cleanliness and pest prevention throughout the facility?
  • 6How does the nursing team communicate important medical updates or changes in condition to family members?

Personalized based on this facility's data


Key Review Excerpts

My wound care nurses are forever the BEST since day one 💯🤍 My physical therapy has helped a lot. I've improved alot since I got here.

Long-term resident · 2024★★★★★

The first 5 minutes of being there visiting my family member seen 4 mice running around the room I told them about it all they did was put sticky traps on the floor

Family member of resident · 2025★★☆☆☆

How the heck do u lose someones medication? 21 days worth!!!! Knowing there is no exception to the rule.

Resident/Family member · 2025☆☆☆☆
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.96hrs
OK
Registered nurses for medical care
Total Nursing
4.96hrs
OK
All nurses + aides combined
Staff Turnover
24%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
15.4%
CA
11.6%
Fresno
8.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
19.4%
CA
10.7%
Fresno
12.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
12.1%
CA
7.0%
Fresno
5.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.5%
CA
13.7%
Fresno
16.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Fresno
98.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
15.3%
CA
10.5%
Fresno
12.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
CA
94.2%
Fresno
94.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
79.7%
CA
93.2%
Fresno
93.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Mixed vs Avgs
Here
1.1%
US
1.6%
CA
1.5%
Fresno
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
1penalties
Near state avg (15.4)
6 complaint-triggered
$12,000 in fines

Manning Gardens has a concerning pattern with 63 deficiencies across multiple surveys, including complaints filed by families that triggered inspections. The facility shows recurring problems with fire safety systems, infection control, and care planning that persist across multiple years despite reported corrections. While all deficiencies show correction dates, the repeated violations in critical safety areas like fire alarms, emergency power, and infection prevention suggest ongoing operational challenges that families should carefully consider.

Mar 27, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Feb 25, 2026Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Feb 13, 2026Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Dec 19, 2025Routine
18
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0911Minimal · PatternCorrected

Environmental Deficiencies

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

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Apr 16, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 6, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Feb 6, 2025

$12,000

Ownership & Operations

Who Operates This Facility

Owner / Operator

Manning Gardens Care Center, INC

Organization Type

for profit

Ownership & Management

Owners

Kinnersley, Ronald

Owner

100%

Key personnel

Kinnersley, RonaldOfficer / DirectorKinnersley, RonaldManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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