Federal inspection record · CMS data as of October 1, 2026
Sierra Valley Rehab Center
301 West Putnam, Porterville, CA · (559) 784-7375
- Certified beds
- 139
- Residents per day
- 127
- Ownership
- For-Profit
- Chain
- Pacs Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1974
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Sierra Valley Rehab Center carries 92 inspection points. That is fewer than 46% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
60 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Everything else, by area of care
Resident Assessment and Care Planning13D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care11E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Nutrition and Dietary7F
- D
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.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental6E
- E
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
- D
Have policies on smoking.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nursing and Physician Services5E
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Post nurse staffing information every day.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration2E
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Resident Rights2D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
2025-02-27
14 health deficiencies · 4 fire-safety deficiencies
Top issue: Environmental (3 deficiencies)
2024-02-01
34 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (8 deficiencies)
2022-03-10
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
4 h 3 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 38% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,190 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-25 | Fine | $8,190 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 1.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 2.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.7 pts better | 2.9% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 3.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medicationAbout the same | 13.7% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts better | 5.9% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better | 5.3% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts better | 4.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.2% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts better | 4.8% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 0.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.8 pts worse | 13.9% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 3.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 93.3% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts better | 17.7% | 22.6% | 23.4% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Apt, Frederick | Operational/Managerial Control · Individual | 0% | 258 facilities |
| Dotson, Sandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jergensen, Joshua | Operational/Managerial Control · Individual | 0% | 262 facilities |
| Mitchell, John | Operational/Managerial Control · Individual | 0% | 276 facilities |
| Providence Administrative Consulting Services Inc | Adp Of The SNF · Organization | 0% | 71 facilities |
| Rasmussen, Mason | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rasmussen, Mason | Adp Of The SNF · Individual | 0% | 2 facilities |
| Truist Bank | 5% Or Greater Security Interest · Organization | 0% | 77 facilities |
| Wadhwani, Suneel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wadhwani, Suneel | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness6D
- D
Establish policies and procedures for volunteers.
- D
Conduct testing and exercise requirements.
- C
Provide emergency officials' contact information.
- C
Provide a means of sharing information on occupancy/needs.
- D
Establish policies and procedures for volunteers.
- D
Conduct risk assessment and an All-Hazards approach.
Smoke5E
- E
Properly provide smoke detection systems in areas open to corridors.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Sierra View Medical Center
Porterville, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 8 min
- Fines
- $0
-
Sequoia Transitional Care
Porterville, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $41,759
-
River Walk Care Center
Porterville, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 6 min
- Fines
- $164,778