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Nursing HomeMedicaid Top Rated

Oakwood Gardens Care Center

Strong Medicare quality ratings; families often praise excellent physical and occupational therapy. Still worth an in-person visit.

3510 East Shields, Mclane · Fresno, CA 93726103 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 128 Google reviews

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

This facility is an excellent choice for short-term rehabilitation, as the therapy teams are frequently praised for helping patients regain mobility. However, if your loved one requires long-term intensive nursing, you must verify current staffing levels and medication protocols, as multiple families have reported serious lapses in care and responsiveness.

Google Reviews

Google Reviews

128 reviews on Google
Families considering Oakwood Gardens can expect high-quality rehabilitation services and a physically clean, bright environment. While many reviewers praise the attentive therapy and nursing teams, there are significant, serious allegations regarding neglect, medication delays, and hygiene issues that warrant close investigation.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean7.0Activities5.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Excellent physical and occupational therapy
  • Clean and well-maintained facility
  • Kind and attentive nursing and CNA staff
  • Welcoming and professional admissions process

Concerns

  • Allegations of patient neglect and hygiene issues (mentioned by 3 reviewers)
  • Inconsistent responsiveness to call buttons (mentioned by 2 reviewers)
  • Staffing shortages and understaffing (mentioned by 2 reviewers)
  • Medication management delays (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(6)'18(1)'21(2)'23(15)'25(54)'26(12)

Distribution · 131 analyzed

5
95
4
6
3
4
2
5
1
21
28 reviews posted between Feb 28, 2025Mar 1, 2025 · 27 were 5-star

How They Respond to Reviews

17%response rate
Defensive

The owner frequently uses a defensive tone when addressing negative reviews, often denying the validity of the claims, questioning the reviewer's accuracy, or citing HIPAA/patient satisfaction to counter allegations. While positive reviews receive personalized and warm responses, negative reviews are often met with rebuttals or attempts to shift the blame.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those services are integrated into a resident's daily routine?
  • 2How do you ensure that call buttons are answered promptly, especially during busy shift changes or overnight hours?
  • 3Could you walk us through your specific protocols for medication management to ensure everything is administered accurately and on schedule?
  • 4What steps is the facility taking to maintain consistent staffing levels to ensure every resident receives attentive care?
  • 5How does the nursing team handle unexpected medical emergencies or changes in a resident's condition after regular business hours?
  • 6We noticed the admissions process is very professional; once a loved one is settled in, how do you keep families updated on their daily activities and well-being?

Personalized based on this facility's data


Key Review Excerpts

The absolute best facility we have to do and would highly recommend this place to anyone. Lastly like to give a huge shout out to Ashley and Jazmine and Amelia who were simply the best ever

Rehab patient's family · 2026★★★★★

The facility is clean and bustling with energy and activity. There are minor cosmetic issues, but I could overlook them because the staff was great and plentiful!

Long-term rehab resident's family · 2025★★★★

The nurses left a catheter in her for 16 days, which left my grandma with severe Sepsis that went to her brain and nearly killed her

Long-term resident's family · 2024☆☆☆☆
Source: 128 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
38%
Registered nurses for medical care
Total Nursing
3.99hrs
97%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

13

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
19.5%
CA
13.7%
Fresno
16.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.5%
CA
11.7%
Fresno
8.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
12.1%
CA
7.0%
Fresno
4.7%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.3%
CA
10.5%
Fresno
12.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
14.4%
CA
10.4%
Fresno
10.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.4%
Mixed vs Avgs
Here
17.4%
US
19.4%
CA
10.7%
Fresno
12.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
81.8%
CA
94.2%
Fresno
94.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.1%
Mixed vs Avgs
Here
85.1%
US
79.8%
CA
93.2%
Fresno
93.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Fresno
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (15.4)
7 complaint-triggered

Families have filed reports triggering 7 complaint-based deficiencies, including recent issues with medication management, infection control, and resident safety that some remain uncorrected. The facility shows recurring problems across fire safety systems, medication management, and nutrition services, with many issues repeating across multiple surveys from 2020 to 2025, suggesting ongoing compliance challenges.

Jan 9, 2026Complaint
2
0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

Apr 22, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 2, 2025Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 17, 2025Complaint
1
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jan 30, 2025Routine
15
0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0007Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

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

0023Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0024Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0026Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0018Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

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.

Jul 8, 2024Complaint
1
0620Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakwood Gardens Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

280 facilities nationwide

Chain avg rating: 2.9/5 · Rank 45 of 260

Ownership & Management

Owners

Hudson River Opco LLC

Owner · Organization

100%

Bay Bridge Capital Partners, LLC

Owner (parent company) · Organization

100%

Key personnel

Grossman, StephenContracted Managing EmployeeHobbs, BrettW-2 Managing EmployeeApt, FrederickOfficer / DirectorJergensen, JoshuaOfficer / DirectorMitchell, JohnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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