Skilled nursing facility · CMS certification number 055204

OAKWOOD GARDENS CARE CENTER

FRESNO, California · Medicare and Medicaid · 103 certified beds in Care Compare

Download OAKWOOD GARDENS CARE CENTER’s record (CSV, each figure with its worksheet, line and column)

OAKWOOD GARDENS CARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
Net patient revenue rose from $14.7M in fiscal year 2023 to $16.5M in fiscal year 2024.
Its result from service to patients: −$163K (2022), $1.4M (2023), $2.1M (2024).
Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
Its net patient revenue of $16.5M ranks 376th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
3 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

OAKWOOD GARDENS CARE CENTER: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-10	2024 · report 1436198	2023 · report 1394584	2022 · report 1366055	2021 · report 1369686	2020 · report 1301455	2019 · report 1275961	2018 · report 1239985	2017 · report 1200623	2016 · report 1169766	2015 · report 1141548	2014 · report 1107870	2013 · report 1071947	2012 · report 1060002	2011 · report 1021137
Period began	January 1, 2024	January 1, 2023	January 1, 2022	January 1, 2021	January 1, 2020	January 1, 2019	January 1, 2018	January 1, 2017	January 1, 2016	January 1, 2015	January 1, 2014	January 1, 2013	January 1, 2012	June 7, 2011
Period ended	December 31, 2024	December 31, 2023	December 31, 2022	December 31, 2021	December 31, 2020	December 31, 2019	December 31, 2018	December 31, 2017	December 31, 2016	December 31, 2015	December 31, 2014	December 31, 2013	December 31, 2012	December 31, 2011
Days, where not a full year	—	—	—	—	—	—	—	—	—	—	—	—	—	207
Processed by CMS	August 28, 2025	September 12, 2024	October 11, 2023	December 6, 2023	September 30, 2021	December 14, 2020	August 8, 2019	July 19, 2018	July 18, 2017	August 17, 2016	August 13, 2015	July 23, 2014	May 16, 2014	November 30, 2012
Total patient revenue	$29,340,865	$20,103,739	$13,205,789	$11,554,409	$10,672,519	$12,825,711	$13,116,859	$13,738,786	$13,021,741	$11,855,972	$11,943,870	$10,222,091	$10,041,257	$5,376,279
Contractual allowances and discounts	$12,822,510	$5,381,873	$1,761,088	$1,810,023	$1,953,902	$3,126,191	$2,759,009	$2,040,281	$1,349,195	$609,747	$962,674	$1,032,576	$1,641,377	$992,808
Net patient revenue	$16,518,355	$14,721,866	$11,444,701	$9,744,386	$8,718,617	$9,699,520	$10,357,850	$11,698,505	$11,672,546	$11,246,225	$10,981,196	$9,189,515	$8,399,880	$4,383,471
Total operating expenses	$14,461,424	$13,314,236	$11,607,825	$9,429,428	$9,379,177	$9,980,896	$9,849,160	$10,762,231	$10,205,077	$9,969,385	$9,579,745	$8,862,097	$8,463,662	$4,440,256
Net income from service to patients	$2,056,931	$1,407,630	−$163,124	$314,958	−$660,560	−$281,376	$508,690	$936,274	$1,467,469	$1,276,840	$1,401,451	$327,418	−$63,782	−$56,785
Total other income	$12,910	$14,460	$209,825	$225,039	$551,364	$2,142	$1,729	$1,241	$2,871	$627	$1,657	$1,744	$3,802	$3,527
Net income after other income	$2,069,841	$1,422,090	$46,701	$539,997	−$109,196	−$279,234	$510,419	$937,515	$1,470,340	$1,277,467	$1,403,108	$329,162	−$59,980	−$53,258
Net income	$2,069,841	$1,422,090	$47,536	$528,747	−$109,196	−$279,234	$510,419	$937,515	$1,470,340	$1,277,467	$1,402,664	$329,121	−$59,995	−$53,258
Total facility beds, all components	103	103	103	104	104	104	104	104	104	104	104	104	104	104
Bed days available, all components	37,698	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	6,644	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	2,630	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer patient days	25,415	—	—	—	—	—	—	—	—	—	—	—	—	—
Total patient days, all components	34,689	33,181	30,487	27,005	28,712	33,646	34,276	34,684	35,399	34,967	35,651	34,451	34,278	18,553
Medicare discharges	137	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid discharges	16	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer discharges	363	—	—	—	—	—	—	—	—	—	—	—	—	—
Total discharges, all components	516	466	329	462	201	297	368	596	509	383	376	359	316	164
Average length of stay, Medicare, in days	48.5	35.66	45.27	33.18	37.25	33.85	32.87	32.97	30.42	34.31	40.21	32.63	34.46	35.5
Average length of stay, Medicaid, in days	164.38	1,726.5	3,430	301.27	532.68	811.96	514.2	119.01	257.2	388.53	299	232.8	254.13	174.83
Average length of stay, all patients, in days	67.23	71.2	92.67	58.45	142.85	113.29	93.14	58.19	69.55	91.3	94.82	95.96	108.47	113.13

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1997 to 2010
Form CMS-2540-96	2010 · report 409160	2009 · report 381935	2008 · report 354285	2007 · report 315058	2006 · report 306518	2005 · report 266607	2004 · report 247389	2003 · report 225981	2002 · report 210625	2001 · report 185356	2000 · report 73708	1999 · report 4474	1998 · report 4473	1997 · report 4472
Period began	January 1, 2010	January 1, 2009	January 1, 2008	January 1, 2007	January 1, 2006	April 1, 2005	January 1, 2004	January 1, 2003	January 1, 2002	January 1, 2001	January 1, 2000	January 1, 1999	January 1, 1998	January 1, 1997
Period ended	December 31, 2010	December 31, 2009	December 31, 2008	December 31, 2007	December 31, 2006	December 31, 2005	December 31, 2004	December 31, 2003	December 31, 2002	December 31, 2001	December 31, 2000	December 31, 1999	December 31, 1998	December 31, 1997
Days, where not a full year	—	—	—	—	—	274	—	—	—	—	—	—	—	—
Report status	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	as submitted	as submitted	as submitted	as submitted
Processed by CMS	June 30, 2011	July 16, 2010	August 10, 2009	June 17, 2008	April 23, 2008	November 16, 2006	April 14, 2006	June 28, 2005	March 10, 2005	June 29, 2004	June 12, 2001	August 3, 2000	January 6, 2000	July 31, 1998
Net patient revenue	$7,836,820	$7,194,722	$6,530,693	$6,337,069	$7,001,274	$4,437,497	$5,616,128	$5,257,390	$5,250,095	$5,113,269	$4,567,420	$4,409,767	$4,799,285	$4,195,638
Total operating expenses	$7,089,137	$6,860,111	$6,127,730	$6,388,246	$6,307,063	$4,087,786	$5,713,333	$5,213,759	$5,113,270	$4,841,807	$4,292,334	$3,974,319	$4,401,374	$4,479,620
Net income from service to patients	$747,683	$334,611	$402,963	−$51,177	$694,211	$349,711	−$97,205	$43,631	$136,825	$271,462	$275,086	$435,448	$397,911	−$283,982
Total other income	$147,140	$147,909	$22,039	$9,250	$84,914	$58,757	$6,629	$9,070	$11,781	$10,855	$2,204	$13,672	$7,065	$676,219
Total other expenses	—	—	—	$5,279	—	$50	—	—	—	—	—	—	—	—
Net income	$894,823	$482,520	$425,002	−$47,206	$779,125	$408,418	−$90,576	$52,701	$148,606	$282,317	$277,290	$449,120	$404,976	$392,237
Total facility beds, all components	104	104	112	112	112	99	99	99	99	112	112	112	112	112
Total patient days, all components	30,819	31,310	30,563	30,434	32,263	25,125	34,302	34,979	35,908	35,464	34,788	36,017	36,879	37,523
Total discharges, all components	519	562	281	335	249	191	206	156	154	220	230	194	145	150
Average length of stay, Medicare, in days	41.6	36.78	39.38	41.15	40.05	45.73	44.86	50.69	61.57	32.08	43.92	55.04	87.12	80.39
Average length of stay, Medicaid, in days	85.94	129.88	175.24	208.38	394.29	309.29	—	—	—	—	—	—	—	—
Average length of stay, all patients, in days	59.38	55.71	108.77	90.85	129.57	131.54	166.51	224.22	233.17	161.2	151.25	185.65	254.34	250.15

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.

OAKWOOD GARDENS CARE CENTER: nurse staffing hours by quarter →

Who owns OAKWOOD GARDENS CARE CENTER, as filed with CMS

Care Compare

5% OR GREATER DIRECT OWNERSHIP INTEREST: HUDSON RIVER OPCO LLC (organization), 100%%, since 11/05/2021
5% OR GREATER INDIRECT OWNERSHIP INTEREST: BAY BRIDGE CAPITAL PARTNERS, LLC (organization), 100%%, since 11/05/2021
CONTRACTED MANAGING EMPLOYEE: GROSSMAN, STEPHEN (individual), NOT APPLICABLE, since 06/01/2002
CORPORATE OFFICER: APT, FREDERICK (individual), NOT APPLICABLE, since 01/01/2024; JERGENSEN, JOSHUA (individual), NOT APPLICABLE, since 01/01/2024; MITCHELL, JOHN (individual), NOT APPLICABLE, since 01/01/2024
W-2 MANAGING EMPLOYEE: HOBBS, BRETT (individual), NOT APPLICABLE, since 12/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of LILY HOLDINGS, LLC (enrollment ID O20110603000559).

5% OR GREATER DIRECT OWNERSHIP INTEREST: HUDSON RIVER OPCO LLC (organization), 100.00%, since 11/05/2021
5% OR GREATER INDIRECT OWNERSHIP INTEREST: BAY BRIDGE CAPITAL PARTNERS, LLC (organization), 100.00%, since 11/05/2021; JASON H MURRAY (individual), 41.80%, since 04/15/2024; MARK D HANCOCK (individual), 41.80%, since 04/15/2024; PACS GROUP, INC. (organization), 100.00%, since 06/30/2023; PACS HOLDINGS, LLC (organization), 100.00%, since 06/30/2023; PROVIDENCE GROUP INC (organization), 100.00%, since 11/05/2021
CONTRACTED MANAGING EMPLOYEE: STEPHEN M GROSSMAN (individual), since 06/01/2002
CORPORATE OFFICER: FREDERICK G APT (individual), since 01/01/2024; JOHN T MITCHELL (individual), since 01/01/2024; JOSHUA O JERGENSEN (individual), since 01/01/2024
W-2 MANAGING EMPLOYEE: BRETT HOBBS (individual), since 12/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company: No, Real estate investment trust: No, Holding company: Yes: HUDSON RIVER OPCO LLC; BAY BRIDGE CAPITAL PARTNERS, LLC; PACS GROUP, INC.; PACS HOLDINGS, LLC; PROVIDENCE GROUP INC.

Private equity company, real estate investment trust and holding company: Paused by CMS: JASON H MURRAY; MARK D HANCOCK; STEPHEN M GROSSMAN; FREDERICK G APT; JOHN T MITCHELL; JOSHUA O JERGENSEN; BRETT HOBBS.

Changes in ownership

June 3, 2024, enrollment ownership file; no longer listed: MARK D HANCOCK (OFFICER); HUNTER MCLANE (OPERATIONAL/MANAGERIAL CONTROL); HUNTER MCLANE (W-2 MANAGING EMPLOYEE); JASON H MURRAY (OFFICER); first listed: JOSHUA O JERGENSEN (OFFICER), associated since January 1, 2024; STEPHEN M GROSSMAN (CONTRACTED MANAGING EMPLOYEE), associated since June 1, 2002; BRETT HOBBS (W-2 MANAGING EMPLOYEE), associated since December 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
February 1, 2024, enrollment ownership file; first listed: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 30, 2023; PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 30, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
November 30, 2022, enrollment ownership file; no longer listed: ERIC TOLMAN (OPERATIONAL/MANAGERIAL CONTROL); ERIC TOLMAN (W-2 MANAGING EMPLOYEE); HUDSON RIVER OPCO LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: HUNTER MCLANE (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2022; HUNTER MCLANE (W-2 MANAGING EMPLOYEE), associated since August 1, 2022; HUDSON RIVER OPCO LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since November 5, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Recent changes on this record

October 1, 2026: ownership_type: For profit - Corporation → For profit - Limited Liability company. NH_ProviderInfo_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0919, scope and severity D. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0810, scope and severity D. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0760, scope and severity D. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0761, scope and severity E. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0759, scope and severity E. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0658, scope and severity E. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0605, scope and severity E. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0814, scope and severity F. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0812, scope and severity F. NH_HealthCitations_Oct2026.csv
July 2, 2026: A deficiency was cited under tag F 0804, scope and severity F. NH_HealthCitations_Oct2026.csv
July 2, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Oct2026.csv

Inspections of OAKWOOD GARDENS CARE CENTER

Cycle 1: health July 2, 2026 (15 deficiencies), fire safety July 2, 2026 (11)
Cycle 2: health January 30, 2025 (6 deficiencies), fire safety January 30, 2025 (13)
Cycle 3: health February 17, 2023 (13 deficiencies), fire safety February 17, 2023 (13)
Cycle 3: health March 5, 2020 (8 deficiencies), fire safety March 5, 2020 (3)

Deficiencies cited at OAKWOOD GARDENS CARE CENTER

41 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 7 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0605, freedom from abuse, neglect, and exploitation: July 2, 2026 (E, corrected September 8, 2026).
F 0658, resident assessment and care planning: July 2, 2026 (E, corrected September 8, 2026); April 2, 2025 (D, from a complaint, corrected April 3, 2025).
F 0755, pharmacy service: July 2, 2026 (D, corrected September 8, 2026).
F 0759, pharmacy service: July 2, 2026 (E, corrected September 8, 2026); January 30, 2025 (D, corrected February 24, 2025); February 17, 2023 (E, corrected March 18, 2023).
F 0760, pharmacy service: July 2, 2026 (D, corrected September 8, 2026).
F 0761, pharmacy service: July 2, 2026 (E, corrected September 8, 2026); February 17, 2023 (F, corrected March 18, 2023).
F 0804, nutrition and dietary: July 2, 2026 (F, corrected September 8, 2026).
F 0810, nutrition and dietary: July 2, 2026 (D, corrected September 8, 2026).
F 0812, nutrition and dietary: July 2, 2026 (F, corrected September 8, 2026); February 17, 2023 (F, corrected March 18, 2023); March 5, 2020 (E, corrected November 24, 2020).
F 0814, nutrition and dietary: July 2, 2026 (F, corrected September 8, 2026).
F 0842, resident assessment and care planning: July 2, 2026 (D, corrected September 8, 2026).
F 0880, infection control: July 2, 2026 (E, corrected September 8, 2026); April 2, 2025 (D, from a complaint, corrected April 3, 2025).
F 0919, environmental: July 2, 2026 (D, corrected September 8, 2026); March 5, 2020 (D, corrected November 24, 2020).
F 0573, resident rights: January 9, 2026 (D, from a complaint, corrected January 28, 2026).
F 0689, quality of life and care: January 9, 2026 (D, from a complaint, corrected January 28, 2026).
F 0684, quality of life and care: April 22, 2025 (D, from a complaint, corrected May 29, 2025).
F 0609, freedom from abuse, neglect, and exploitation: March 17, 2025 (E, from a complaint, corrected April 3, 2025).
F 0911, environmental: January 30, 2025 (B, corrected February 24, 2025); February 17, 2023 (D, corrected March 18, 2023); March 5, 2020 (B, corrected November 24, 2020).
F 0620, resident rights: July 8, 2024 (D, from a complaint, corrected September 5, 2024).
F 0552, resident rights: February 17, 2023 (E, corrected March 18, 2023).
F 0641, resident assessment and care planning: February 17, 2023 (E, corrected March 18, 2023).
F 0656, resident assessment and care planning: February 17, 2023 (E, corrected March 18, 2023).
F 0676, quality of life and care: February 17, 2023 (D, corrected March 18, 2023).
F 0692, quality of life and care: February 17, 2023 (D, corrected March 18, 2023).
F 0757, pharmacy service: February 17, 2023 (D, corrected March 18, 2023).
F 0801, nutrition and dietary: February 17, 2023 (E, corrected March 18, 2023).
F 0836, administration: February 17, 2023 (D, corrected March 18, 2023).
F 0558, resident rights: March 5, 2020 (D, corrected November 24, 2020).
F 0655, resident assessment and care planning: March 5, 2020 (D, corrected November 24, 2020).
F 0698, quality of life and care: March 5, 2020 (D, corrected November 24, 2020).
F 0813, nutrition and dietary: March 5, 2020 (E, corrected November 24, 2020).

OAKWOOD GARDENS CARE CENTER in Care Compare

Ownership Type: For profit - Limited Liability company
Legal Business Name: LILY HOLDINGS, LLC
Date First Approved to Provide Medicare and Medicaid Services: 1967-01-01
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: Fresno
Telephone Number: 5592224807
Chain Name: PACS GROUP
Chain ID: 690
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Average Number of Residents per Day: 94.2
Overall Rating: 4
Health Inspection Rating: 3
QM Rating: 5
Long-Stay QM Rating: 5
Short-Stay QM Rating: 4

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for OAKWOOD GARDENS CARE CENTER: no penalty in Care Compare.

Other nursing facilities in FRESNO

Report a figure on OAKWOOD GARDENS CARE CENTER’s record that differs from its CMS file, quoting 055204.