Evergreen Care Center
5265 East Huntington Avenue · Fresno, CA · 93727 · 5592518244
49 certified beds For profit - Limited Liability company Chain: Ajc Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.95 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (34 in the current record)
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Potential for harm · D March 5, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 25, 2026 · Resident Rights
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Potential for harm · D July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 28, 2025 · Quality of Life and Care
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Potential for harm · E June 17, 2025 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected July 11, 2025 · Administration
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Actual harm · G March 11, 2025 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · D March 11, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D March 11, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · F March 11, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 3, 2025 · Nursing and Physician Services
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Potential for harm · E February 26, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D November 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 13, 2024 · Resident Rights
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Potential for harm · D May 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 13, 2024 · Pharmacy Service
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Potential for harm · D May 17, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 13, 2024 · Nutrition and Dietary
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Potential for harm · F May 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2024 · Nutrition and Dietary
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Potential for harm · E May 17, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 17, 2024
Provide and implement an infection prevention and control program.
Corrected June 13, 2024 · Infection Control
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No harm found · B May 17, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 13, 2024 · Environmental
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Potential for harm · D January 16, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2023 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected December 20, 2023 · Quality of Life and Care
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Potential for harm · D October 11, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 11, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2023 · found via complaint
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.
Corrected September 1, 2023 · Resident Rights
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Actual harm · G May 23, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 7, 2019 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555920 · certified since November 12, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.