Visalia, CA

Visalia Post Acute

3-star overall rating with 2-star inspections with 24 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle

1925 E. Houston Ave, Visalia, CA

(559) 732-1020

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

176

Certified beds

Average residents

161

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1985-08-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

264 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.40

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.65

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.23

CMS adjusted RN staffing hours

Adjusted total hours

3.91

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,453

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.70

Composite VBP score used to determine payment impact.

Payment multiplier

1.0037

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.80

Baseline 19.21% · Performance 18.75% · Measure score 5.80 · Achievement 5.80 · Improvement 1.62

Healthcare-associated infections

5.51

Baseline 9.48% · Performance 6.78% · Measure score 5.51 · Achievement 3.52 · Improvement 5.51

Total nurse turnover

5.82

Baseline 42.59% · Performance 39.87% · Measure score 5.82 · Achievement 5.82 · Improvement 1.03

Adjusted total nurse staffing

2.75

Baseline 2.96 hours · Performance 3.86 hours · Measure score 2.75 · Achievement 2.75 · Improvement 2.68

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 8.48%
10.72%
2.2 pts better
No Different than the National Rate · Eligible stays 160 · Observed rate 6.25% · Lower 95% interval 5.83%
Discharge to community 48.11%
50.57%
2.5 pts worse
No Different than the National Rate · Eligible stays 138 · Observed rate 39.13% · Lower 95% interval 39.61%
Medicare spending per beneficiary 1.24
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 152 · Denominator 152
Falls with major injury 0.66%
0.77%
0.1 pts better
Numerator 1 · Denominator 152
Discharge self-care score 59.57%
53.69%
5.9 pts better
Numerator 56 · Denominator 94
Discharge mobility score 47.87%
50.94%
3.1 pts worse
Numerator 45 · Denominator 94
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 152 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.78%
7.12%
0.3 pts better
No Different than the National Rate · Eligible stays 120 · Observed rate 6.67% · Lower 95% interval 3.96%
Staff COVID-19 vaccination coverage 11.34%
8.2%
3.1 pts better
Numerator 28 · Denominator 247
Staff flu vaccination coverage 64.78%
42%
22.8 pts better
Numerator 195 · Denominator 301
Discharge function score 69.15%
56.45%
12.7 pts better
Numerator 65 · Denominator 94
Transfer of health information to provider 98.46%
95.95%
2.5 pts better
Numerator 64 · Denominator 65
Transfer of health information to patient 85.71%
96.28%
10.6 pts worse
Numerator 24 · Denominator 28
Resident COVID-19 vaccinations up to date 38.1%
25.2%
12.9 pts better
Numerator 32 · Denominator 84

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.3
0.2 pts better
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.4 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
1.6
0.5 pts worse
1.8
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 7.1%
1.6%
5.5 pts worse
3.3%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.0% · Q3 9.2% · Q4 7.4% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.3%
6.8%
4.5 pts better
11.4%
9.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.4% · Q3 0.0% · Q4 2.8% · 4Q avg 2.3%
Percentage of long-stay residents who lose too much weight 5.8%
4.1%
1.7 pts worse
5.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.1% · Q3 5.9% · Q4 3.8% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 20.0%
13.7%
6.3 pts worse
19.6%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 18.7% · Q3 19.9% · Q4 21.0% · 4Q avg 20.0%
Percentage of long-stay residents who received an antipsychotic medication 8.7%
14.2%
5.5 pts better
16.7%
8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 11.1% · Q3 6.6% · Q4 9.2% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 11.9%
11.0%
0.9 pts worse
16.3%
4.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 18.3% · Q3 7.9% · Q4 5.7% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.8%
10.7%
1.9 pts better
14.9%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 13.5% · Q3 6.5% · Q4 4.6% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.0%
1 pts better
1.0%
1 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 a urinary tract infection 0.2%
1.2%
1 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.2%
10.9%
2.3 pts worse
19.8%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 13.5% · Q3 12.0% · Q4 16.5% · 4Q avg 13.2%
Percentage of long-stay residents with pressure ulcers 1.2%
4.7%
3.5 pts better
5.1%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.8% · Q3 0.7% · Q4 0.7% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
94.0%
5.3 pts better
81.7%
17.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.0% · Q3 99.2% · Q4 99.0% · 4Q avg 99.3%
Percentage of short-stay residents who had an outpatient emergency department visit 10.7%
11.2%
0.5 pts better
12.0%
1.3 pts better
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 12.6% · Expected 13.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.5%
0.1 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.1% · Q3 1.4% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.1%
93.2%
4.9 pts better
79.7%
18.4 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.1%
23.2%
3.1 pts better
23.9%
3.8 pts better
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 23.4% · Expected 27.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-03 · Fire 2025-02-03

25 health deficiencies

Top issue: Resident Rights (7 deficiencies)

16 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2023-12-07 · Fire 2023-12-07

20 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

12 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2021-12-09 · Fire 2021-12-09

30 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

18 fire-safety deficiencies

Top issue: Smoke (8 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-13

F · Potential for more than minimal harm 2025-02-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-02-13

F · Potential for more than minimal harm 2025-02-03

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-02-18

F · Potential for more than minimal harm 2025-02-03

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-03-13

F · Potential for more than minimal harm 2025-02-03

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-13

F · Potential for more than minimal harm 2025-02-03

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-02-21

F · Potential for more than minimal harm 2025-02-03

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-02-03

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-02-18

E · Potential for more than minimal harm 2025-02-03

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-02-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-02-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-13

E · Potential for more than minimal harm 2025-02-03

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-03

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-02-13

C · Minimal harm 2025-02-03

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2025-02-13

C · Minimal harm 2025-02-03

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-02-13

C · Minimal harm 2025-02-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-13

F · Potential for more than minimal harm 2023-12-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-09

F · Potential for more than minimal harm 2023-12-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-01-09

C · Minimal harm 2023-12-07

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-01-09

E · Potential for more than minimal harm 2021-12-09

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-12-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-12-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-12-09

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-12-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-12-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-12-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-09-03

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-09-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-09-03

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-05-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-05-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-03-20

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-02-10

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2025-03-03

F · Potential for more than minimal harm 2025-02-03

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 2025-02-27

F · Potential for more than minimal harm 2025-02-03

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 2025-02-27

F · Potential for more than minimal harm 2025-02-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-02-03

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-02-03

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-02-03

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F584 · Resident Rights Deficiencies

Health

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 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-02-03

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-02-27

D · Potential for more than minimal harm 2024-10-02

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-11-02

D · Potential for more than minimal harm 2024-08-15

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2024-09-10

D · Potential for more than minimal harm 2024-06-28

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-07-09

D · Potential for more than minimal harm 2024-05-16

F584 · Resident Rights Deficiencies

Health

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 2024-05-17

D · Potential for more than minimal harm 2024-05-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-05-16

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-05-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-05-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-05-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-04-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-23

D · Potential for more than minimal harm 2024-02-05

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 2024-02-23

D · Potential for more than minimal harm 2024-01-16

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-30

E · Potential for more than minimal harm 2023-12-07

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 2024-01-04

E · Potential for more than minimal harm 2023-12-07

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-07

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 2024-01-04

D · Potential for more than minimal harm 2023-12-07

F727 · Nursing and Physician Services Deficiencies

Health

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 2024-01-04

D · Potential for more than minimal harm 2023-12-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-07

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-07

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-10-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-20

D · Potential for more than minimal harm 2023-10-04

F584 · Resident Rights Deficiencies

Health

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 2023-10-23

D · Potential for more than minimal harm 2023-10-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-10-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-06-26

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-05-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-04-25

F · Potential for more than minimal harm 2021-12-09

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-01-10

F · Potential for more than minimal harm 2021-12-09

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 2022-01-10

F · Potential for more than minimal harm 2021-12-09

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 2022-01-10

F · Potential for more than minimal harm 2021-12-09

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

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 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2022-01-10

E · Potential for more than minimal harm 2021-12-09

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 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2022-01-10

D · Potential for more than minimal harm 2021-12-09

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 2022-01-10

Penalties and ownership

What sits behind the stars

Ownership

Hudson River Opco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 26 facilities 2021-11-05
Apt, Frederick

Corporate Officer · Individual

0% 252 facilities 2024-01-01
Bay Bridge Capital Partners, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 28 facilities 2021-11-05
Hancock, Mark

5% Or Greater Indirect Ownership Interest · Individual

0% 253 facilities 2024-04-15
Hasnain, Abbas

Contracted Managing Employee · Individual

0% 3 facilities 2022-03-01
Hubbard, Anita

W-2 Managing Employee · Individual

0% 1 facilities 2024-02-12
Jergensen, Joshua

Corporate Officer · Individual

0% 237 facilities 2024-01-01
Mitchell, John

Corporate Officer · Individual

0% 254 facilities 2024-01-01
Murray, Jason

5% Or Greater Indirect Ownership Interest · Individual

0% 250 facilities 2024-04-15
Pacs Group, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 239 facilities 2023-06-30
Pacs Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 238 facilities 2023-06-30
Providence Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 79 facilities 2021-11-05

Nearby options

Other facilities in reach

#2

Kaweah Health Skilled Nursing Center

Visalia, CA

5-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#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

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$12,735

Jump out

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