ElderGrade
D

41/100

Below average

Garden City Healthcare Center

1310 West Granger, Modesto, CA 95350

CMS 2/5 stars #17 of 17 in Stanislaus County (209) 524-4817
Certified beds
104
Occupancy
96%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $35,153 in federal fines

    CMS has fined this facility across 3 penalty action(s).

  • Nursing staff turnover of 63%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -10 for 60 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.97 total nurse hours per resident per day (national median 3.77)
  • 0.59 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 63% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $35,153 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.98 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.59 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.64 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 62.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 60 citations

Last standard health inspection: February 12, 2026 (6 months ago).

D May 12, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

E Feb 12, 2026 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

E Feb 12, 2026 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Feb 12, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

E Feb 12, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Feb 12, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0552

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0554

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CHAN, ALEXANDER Individual CONTRACTED MANAGING EMPLOYEE
MORADKHANI, LAWRENCE Individual W-2 MANAGING EMPLOYEE
APT, FREDERICK Individual CORPORATE OFFICER
HANCOCK, MARK Individual CORPORATE OFFICER
JERGENSEN, JOSHUA Individual CORPORATE OFFICER
MITCHELL, JOHN Individual CORPORATE OFFICER
MORADKHANI, LAWRENCE Individual OPERATIONAL/MANAGERIAL CONTROL
HUDSON RIVER OPCO LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
BAY BRIDGE CAPITAL PARTNERS, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Garden City Healthcare Center

What is the ElderGrade for Garden City Healthcare Center? +

Garden City Healthcare Center holds an ElderGrade of D (41 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Garden City Healthcare Center? +

Residents receive an average of 3.98 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Garden City Healthcare Center been cited for harming residents? +

Yes. 3 of the 60 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Garden City Healthcare Center accept Medicaid? +

Yes, Garden City Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.