Garden City Healthcare Center
1310 West Granger · Modesto, CA · 95350 · 2095244817
104 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $35,153 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 3 · $35,153 |
Inspection citations (59 in the current record)
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Potential for harm · D February 12, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 6, 2026 · Resident Rights
-
Potential for harm · E February 12, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · E February 12, 2026
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
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 March 6, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 6, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Ensure each resident receives an accurate assessment.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 6, 2026 · Quality of Life and Care
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Potential for harm · E February 12, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · E February 12, 2026
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.
Corrected March 6, 2026 · Pharmacy Service
-
Potential for harm · E February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
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Potential for harm · D December 10, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 17, 2025 · Resident Rights
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Potential for harm · D December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 17, 2025 · Quality of Life and Care
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Actual harm · G November 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 26, 2025 · Quality of Life and Care
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Actual harm · G July 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 14, 2025 · Resident Rights
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Potential for harm · D February 13, 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 March 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D January 6, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 7, 2025 · Quality of Life and Care
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Immediate jeopardy · J October 24, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 24, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 12, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 12, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 24, 2024
Respond appropriately to all alleged violations.
Corrected November 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 24, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 12, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 24, 2025 | Fine | $11,190 |
| July 15, 2025 | Fine | $9,110 |
| October 24, 2024 | Fine | $14,853 |
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 055185 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.