California State Capitol building in Sacramento.
Fresno County

Manning Gardens Care Center, Inc Complaints, Violations and Inspection Records

Reviewed by Thomas Wallin, Young & Wallin

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into Manning Gardens Care Center, Inc in Fresno, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 1 citation in the state's two most serious classes, class A and class AA.

CMS overall rating 5 of 5 Health inspections 4 of 5
Nursing hours per resident per day 4.61 Compared with the California average below
California state citations 5 $26,500 in penalties
Federal fines $12,000 1 federal fine
CMS overall rating
CMS overall rating: 5 out of 5 stars.
Nursing hours per resident per day, against the California average
This facility reports 4.61 nursing hours per resident per day, above the California average of 4.52.
California state citations by year
California state citations by year, between 2002 and 2017: 5 citations on record, including 1 class A and 4 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 4 of 5.
  • California state citations: 5 on record, including 1 class A and 4 class B, with $26,500 in assessed penalties.
  • Staffing: 4.61 nursing hours per resident per day; registered nurse turnover 28.6%.
  • Most recent standard inspection: 10 deficiencies cited on December 19, 2025. The most recent inspection since then was on March 27, 2026: 1 deficiency cited in the complaint inspection.
  • Federal enforcement: 1 federal fine totaling $12,000 in the reported period.
  • Ownership: Manning Gardens Care Center Inc, for-profit.
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for Manning Gardens Care Center, Inc in Fresno, California.
Illustration. Not a photograph of Manning Gardens Care Center, Inc.

Manning Gardens Care Center, Inc ratings and staffing

Manning Gardens Care Center, Inc is located at 2113 E. Manning Avenue in Fresno, Fresno County. It is a for-profit facility operated by Manning Gardens Care Center Inc, with 59 certified beds and an average of 53.4 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For Manning Gardens Care Center, Inc, those scores are: health inspections 4 of 5, staffing 5 of 5, quality measures 3 of 5.

Staffing. Manning Gardens Care Center, Inc reports 4.61 total nursing hours per resident per day, of which 0.81 are registered nurse hours. Over the reporting year, 26.7% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 5 of 5 Fresno County average 3.07 of 5 across 30 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 4.61 Fresno County average 4.26. California average 4.52
Federal fines $12,000 Fresno County average $11,987 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

March 27, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

February 25, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for 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.

  • F0584Honor 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. (scope and severity D)

February 13, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity E)

December 19, 2025, standard inspection

10 deficiencies cited. Surveyors cited the facility for 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, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and provide and implement an infection prevention and control program.

  • F0761Ensure 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 and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0880Provide and implement an infection prevention and control program. (scope and severity E)
  • F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (scope and severity D)
  • F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
  • F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity B)
  • F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

April 16, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

  • F0880Provide and implement an infection prevention and control program. (scope and severity E)

February 6, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)

November 8, 2024, standard inspection

10 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, provide and implement an infection prevention and control program, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity G)
  • F0880Provide and implement an infection prevention and control program. (scope and severity F)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (scope and severity E)
  • F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
  • F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity B)
  • F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

May 28, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.

  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

October 20, 2023, standard inspection

14 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, implement 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, and 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.

  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
  • F0758Implement 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 and severity E)
  • F0761Ensure 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 and severity E)
  • F0583Keep residents' personal and medical records private and confidential. (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
  • F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
  • F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
  • F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
  • F0814Dispose of garbage and refuse properly. (scope and severity D)
  • F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity D)
  • F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (scope and severity D)
  • F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity B)
  • F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

Penalties. Over the reported period, Manning Gardens Care Center, Inc received 1 federal fine totaling $12,000. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 5 citations against Manning Gardens Care Center, Inc between June 13, 2002 and July 26, 2017: 1 class A and 4 class B, with $26,500 in assessed penalties.

  • July 26, 2017, class B, Problem Transfer. $2,000 penalty.
  • July 26, 2017, class B, Problem Transfer. $2,000 penalty.
  • July 26, 2017, class A, Problem Transfer. $20,000 penalty.
  • September 3, 2014, class B, Patient Care. $2,000 penalty.
  • June 13, 2002, class B, Patient Rights. $500 penalty. Appealed.

Across Fresno County's 31 certified facilities, the average is about 5.6 state citations per facility. Manning Gardens Care Center, Inc's 5 is close to that average.

A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in Fresno

Families comparing options in Fresno often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the Fresno County nursing home directory.

Other nursing homes in Fresno County

These are other nursing homes in Fresno County, listed by how close each home's ZIP code is to the ZIP code for Manning Gardens Care Center, Inc. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for Manning Gardens Care Center, Inc in Fresno, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Manning Gardens Care Center, Inc, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Fresno County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Fresno County's ombudsman program can be reached at (559) 224-9177. This is often the fastest first step when the issue is care quality rather than an emergency.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Manning Gardens Care Center, Inc is a reason to ask what the facility's own records show:

Nursing home abuse claims in Fresno County

If a loved one was harmed at Manning Gardens Care Center, Inc, these pages explain how Fresno County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the Fresno County nursing home directory.

Are There Lawsuits Against Manning Gardens Care Center, Inc?

This page reports federal and state inspection, complaint and enforcement records for Manning Gardens Care Center, Inc. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Fresno County are searchable through the Fresno County Superior Court's online case records. If your family member was injured at Manning Gardens Care Center, Inc, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Family touring a California nursing home and asking staff questions. Illustration on the page for Manning Gardens Care Center, Inc in Fresno, California.
Family touring a California nursing home and asking staff questions

Frequently asked questions

Is Manning Gardens Care Center, Inc a good nursing home?
CMS gives Manning Gardens Care Center, Inc an overall rating of 5 of 5 stars, with a health inspection rating of 4 of 5 based on in-person state surveys. California has issued 5 state citations against the facility, including 1 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at Manning Gardens Care Center, Inc?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Fresno County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has Manning Gardens Care Center, Inc been fined or cited for serious violations?
Public records show 1 federal fine totaling $12,000 and 5 California state citations with $26,500 in state penalties, including 1 class A citation.
How many state citations does Manning Gardens Care Center, Inc have?
The California Department of Public Health has issued 5 citations against Manning Gardens Care Center, Inc in Fresno between June 13, 2002 and July 26, 2017: 1 class A and 4 class B, with $26,500 in assessed penalties.
How do I report a problem at Manning Gardens Care Center, Inc?
File a complaint with CDPH through its Cal Health Find system, or contact the Fresno County Long-Term Care Ombudsman at (559) 224-9177. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at Manning Gardens Care Center, Inc, talk to our Fresno County nursing home abuse lawyers. We handle cases in Fresno and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

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Sources

  • Centers for Medicare & Medicaid Services, Care Compare: Manning Gardens Care Center, Inc provider record, CCN 055423. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: Manning Gardens Care Center, Inc state license record, FACID 040000036, license 40000119.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Manning Gardens Care Center, Inc in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Manning Gardens Care Center, Inc, and neither the facility nor any government agency endorses this page.

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