Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

OAKWOOD GARDENS CARE CENTER

FRESNO, CA · 103 certified beds · Last Life Safety survey January 30, 2025

CMS Certification Number 055204 · first certified January 1967

Ownership

Operated by PACS GROUP · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CA

29 citations — more than 82% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 13 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (February 2026 to July 2026). Most CA facilities have been surveyed by July 2027. This facility’s last Life Safety survey was January 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 29 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 29 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	29
Median facility in CA	19
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 5, 2020	3
February 17, 2023	13
January 30, 2025	13

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-01-30
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-01-30
K-0347	Properly provide smoke detection systems in areas open to corridors.	2	2025-01-30
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	2	2023-02-17
K-0920	Ensure proper usage of power strips and extension cords.	2	2025-01-30
K-0919	Meet requirements for the use of electrical equipment.	2	2025-01-30
E-0026	Establish roles under a Waiver declared by secretary.	1	2025-01-30
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	1	2023-02-17

What the citations cover

Citations by CMS category

Smoke Deficiencies 12
Gas, Vacuum, and Electrical Systems Deficiencies 7
Emergency Preparedness Deficiencies 6
Miscellaneous Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	12
Gas, Vacuum, and Electrical Systems Deficiencies	7
Emergency Preparedness Deficiencies	6
Miscellaneous Deficiencies	2
Construction Deficiencies	1
Egress Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 30, 2025 — 13 citations

Citations issued on January 30, 2025
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (February 12, 2025)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (February 12, 2025)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (February 12, 2025)
E-0024	Establish policies and procedures for volunteers.	Deficient, Provider has date of correction (February 12, 2025)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (February 12, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (February 12, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 12, 2025)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (February 12, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 12, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 12, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 1, 2025)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (February 5, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 4, 2025)

February 17, 2023 — 13 citations

Citations issued on February 17, 2023
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 20, 2023)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (March 20, 2023)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 20, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 20, 2023)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (March 20, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 20, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 20, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 20, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (March 20, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 20, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 20, 2023)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 20, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 20, 2023)

March 5, 2020 — 3 citations

Citations issued on March 5, 2020
Tag	What the surveyor checks	Status
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 31, 2020)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (August 31, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 31, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.