Nursing homeActive
The Terraces At San Joaquin Gardens Village
5551 N. Fresno St, Fresno, CA 93710559430820254 certified beds · 47 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2022
Deficiencies
31
● 0● 30● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-04-23
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 3
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-04-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-21 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2024-09-03 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-12 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2022-05-10 | Standard | 071 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-30Record 055846-20250423-F658
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F658
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F761
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F790
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F803
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 055846-20250321-F921
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-20Record 055846-20240903-F657
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-20Record 055846-20240903-F806
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-13Record 055846-20240530-F658
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F550
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F655
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F755
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F759
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 055846-20240212-F842
F692Provide enough food/fluids to maintain a resident's health.Scope/severity IHarm
Care planning
Widespread; actual harm that is not immediate jeopardy.Corrected 2022-06-09Record 055846-20220510-F692
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F658
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F676
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F697
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F812
F888Ensure staff are vaccinated for COVID-19Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-09Record 055846-20220510-F888
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.02
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day5.13
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.45
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover30%
Facility
California
National
California 37% · National 46%
Registered nurse turnover17%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.8% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.7% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.0% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.4% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Humangood Fresno Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Humangood Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Case, Alexis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chahal, Parmveer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cochrane, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Coleman, Esmeralda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ghassemi, Bethany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Griffith, Alan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Grossman, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Humangood Fresno Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Humangood Norcal Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lopez, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcdonald, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ogus, Daniel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vangelisto, Gwen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baker Tilly Advisory Group LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baker Tilly Us LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baker, Judith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Battison, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brown, Herman Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Brown, Herman Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Case, Alexis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chahal, Parmveer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cochrane, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Coleman, Esmeralda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dowell, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ghassemi, Bethany Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Griffith, Alan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Grossman, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hansen Hunter LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holmes, Michelle Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Humangood Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Humangood Fresno Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Humangood Norcal Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kelley, Albert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcdonald, Andrew Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ogus, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| U.S. Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| U.S. Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Vangelisto, Gwen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Washington Federal Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Humangood — 17 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Fresno.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| North Point Healthcare & Wellness Centre LP Fresno | 0.3 mi | 2025-03-27 | 0110 |
| Keystone Post-Acute Fresno | 2.4 mi | 2026-05-08 | 0361 |
| Covenant Post Acute Fresno | 2.7 mi | 2026-04-08 | 0150 |
| Oakwood Gardens Care Center Fresno | 2.7 mi | 2026-01-09 | 180 |
| Community Subacute and Transitional Care Center Fresno | 2.8 mi | 2026-02-06 | 0130 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |