Cycle 1
Health 2025-03-20 · Fire 2025-03-20
7 health deficiencies
Top issue: Resident Rights (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Visalia, CA
Kaweah Health Skilled Nursing Center
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1633 South Court Street, Visalia, CA
(559) 624-6037
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
42
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-10-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.77
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.44
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.40
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
7.62
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
4.21
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
7.10
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.50
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
2.95
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,826
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9955
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 15.55% · Performance 21.69% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
5.49
Baseline 3.54% · Performance 6.19% · Measure score 5.49 · Achievement 5.49 · Improvement 0
Total nurse turnover
10
Baseline 25.00% · Performance 22.22% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.51
Baseline 3.52 hours · Performance 3.51 hours · Measure score 1.51 · Achievement 1.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.07% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 263 · Observed rate 7.22% · Lower 95% interval 7.69% |
| Discharge to community | 72.96% |
50.57%
22.4 pts better
|
Better than the National Rate · Eligible stays 253 · Observed rate 80.63% · Lower 95% interval 68.96% |
| Medicare spending per beneficiary | 0.52 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 98% |
95.27%
2.7 pts better
|
Numerator 147 · Denominator 150 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 150 |
| Discharge self-care score | 71.88% |
53.69%
18.2 pts better
|
Numerator 92 · Denominator 128 |
| Discharge mobility score | 68.75% |
50.94%
17.8 pts better
|
Numerator 88 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 0.67% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 150 · Adjusted rate 1.11% |
| Healthcare-associated infections requiring hospitalization | 6.19% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 132 · Observed rate 3.03% · Lower 95% interval 3.53% |
| Staff COVID-19 vaccination coverage | 8.38% |
8.2%
0.2 pts better
|
Numerator 30 · Denominator 358 |
| Staff flu vaccination coverage | 72.94% |
42%
30.9 pts better
|
Numerator 62 · Denominator 85 |
| Discharge function score | 64.06% |
56.45%
7.6 pts better
|
Numerator 82 · Denominator 128 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 132 · Denominator 132 |
| Resident COVID-19 vaccinations up to date | 5.33% |
25.2%
19.9 pts worse
|
Numerator 4 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
98.5%
0.6 pts better
|
93.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
1.6%
1 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 3.6% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 25.9% |
4.1%
21.8 pts worse
|
5.4%
20.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 28.6% · Q3 37.0% · Q4 33.3% · 4Q avg 25.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 52.7% |
13.7%
39 pts worse
|
19.6%
33.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.3% · Q2 50.0% · Q3 51.9% · Q4 55.6% · 4Q avg 52.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.5% |
14.2%
4.3 pts worse
|
16.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 20.0% · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 14.0% |
0.4%
13.6 pts worse
|
0.1%
13.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 10.7% · Q3 17.9% · Q4 14.3% · 4Q avg 14.0% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% |
1.0%
1.5 pts worse
|
1.0%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 2.2% · Q4 3.1% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.5% |
10.9%
4.6 pts worse
|
19.8%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 7.1% · 4Q avg 15.5% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
4.7%
3 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 7.3% · Q3 6.8% · Q4 6.9% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
94.0%
0.2 pts better
|
81.7%
12.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 93.9% · Q3 93.5% · Q4 94.8% · 4Q avg 94.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
11.2%
1.8 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 8.3% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.1% |
93.2%
1.9 pts better
|
79.7%
15.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% |
23.2%
4.7 pts better
|
23.9%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 15.8% · Expected 20.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-21 · Fire 2024-03-21
10 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-06-09 · Fire 2022-06-09
6 health deficiencies
Top issue: Resident Rights (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2025-03-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-03
F · Potential for more than minimal harm
2024-03-21
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-04-19
F · Potential for more than minimal harm
2024-03-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-04-19
E · Potential for more than minimal harm
2022-06-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-27
D · Potential for more than minimal harm
2022-06-09
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-06-27
D · Potential for more than minimal harm
2022-06-09
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-27
D · Potential for more than minimal harm
2022-06-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-27
D · Potential for more than minimal harm
2022-06-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-27
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-03
F559 · Resident Rights Deficiencies
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-12-04
D · Potential for more than minimal harm
2025-07-09
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-03-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-14
D · Potential for more than minimal harm
2025-03-20
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-14
D · Potential for more than minimal harm
2025-03-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-14
D · Potential for more than minimal harm
2025-03-20
F761 · Pharmacy Service Deficiencies
Health
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 2025-04-14
D · Potential for more than minimal harm
2025-03-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-14
F · Potential for more than minimal harm
2024-03-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F578 · Resident Rights Deficiencies
Health
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 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F693 · Quality of Life and Care Deficiencies
Health
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 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F761 · Pharmacy Service Deficiencies
Health
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 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-04-19
D · Potential for more than minimal harm
2024-03-21
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-19
G · Actual harm
2023-07-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-10
E · Potential for more than minimal harm
2022-06-09
F563 · Resident Rights Deficiencies
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2022-07-11
E · Potential for more than minimal harm
2022-06-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-07-11
E · Potential for more than minimal harm
2022-06-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-11
E · Potential for more than minimal harm
2022-06-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-11
D · Potential for more than minimal harm
2022-06-09
F578 · Resident Rights Deficiencies
Health
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 2022-07-11
Penalties and ownership
What sits behind the stars
Ownership
Kaweah Delta Health Care District
5% Or Greater Direct Ownership Interest · Organization
Batth, Jagdev
Operational/Managerial Control · Individual
Batth, Jagdev
Corporate Officer · Individual
Batth, Jagdev
W-2 Managing Employee · Individual
Cripps, Benjamin
Operational/Managerial Control · Individual
Cripps, Benjamin
Corporate Officer · Individual
Cripps, Benjamin
W-2 Managing Employee · Individual
Famy, Anna
Operational/Managerial Control · Individual
Famy, Anna
W-2 Managing Employee · Individual
Francis, David
Operational/Managerial Control · Individual
Herbst, Gary
Operational/Managerial Control · Individual
Herbst, Gary
Corporate Officer · Individual
Herbst, Gary
W-2 Managing Employee · Individual
Inpatient Specialists Of California Pc
Operational/Managerial Control · Organization
Kaweah Delta Health Care District
Operational/Managerial Control · Organization
Mirviss, Lynn
Operational/Managerial Control · Individual
Niederreiter, Mary
Operational/Managerial Control · Individual
Niederreiter, Mary
W-2 Managing Employee · Individual
Noeski, Keri
Operational/Managerial Control · Individual
Noeski, Keri
Corporate Officer · Individual
Noeski, Keri
W-2 Managing Employee · Individual
Olmos, Anthony
Operational/Managerial Control · Individual
Rodriguez, Ambar
Operational/Managerial Control · Individual
Tupper, Malinda
Operational/Managerial Control · Individual
Tupper, Malinda
Corporate Officer · Individual
Tupper, Malinda
W-2 Managing Employee · Individual
Yeatts, Dale
Operational/Managerial Control · Individual
Yeatts, Dale
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Delta Healthcare & Wellness Center, LP
Visalia, CA
5-star overall rating with 4-star inspections with 13 recent health deficiencies
#2
Visalia Post Acute
Visalia, CA
3-star overall rating with 2-star inspections with 24 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
#3
Sequoia Vista
Visalia, CA
1-star overall rating with 1-star inspections with $12,735 in total fines with 32 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out