19 health deficiencies
Top issue: Resident Rights (7 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Visalia, CA
3-star overall rating with 2-star inspections with 19 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
4525 W. Tulare Ave., Visalia, CA
(559) 733-0901
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
132
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
1985-10-02
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.30
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.65
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.09
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.79
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
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.23
CMS adjusted RN staffing hours
Adjusted total hours
3.13
CMS adjusted total nurse staffing hours
Case-mix index
1.79
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
49%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
12,166
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 16.79% · Performance 21.98% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.81
Baseline 6.91% · Performance 7.59% · Measure score 0.81 · Achievement 0.81 · Improvement 0
Total nurse turnover
4.63
Baseline 40.00% · Performance 44.75% · Measure score 4.63 · Achievement 4.63 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.47 hours · Performance 3.21 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.34% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 350 · Observed rate 8% · Lower 95% interval 6.9% |
| Discharge to community | 59.65% |
50.57%
9.1 pts better
|
Better than the National Rate · Eligible stays 361 · Observed rate 54.57% · Lower 95% interval 54.12% |
| Medicare spending per beneficiary | 1.43 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 256 · Denominator 256 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 256 |
| Discharge self-care score | 32.84% |
53.69%
20.8 pts worse
|
Numerator 22 · Denominator 67 |
| Discharge mobility score | 28.36% |
50.94%
22.6 pts worse
|
Numerator 19 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 256 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.59% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 290 · Observed rate 7.24% · Lower 95% interval 5.46% |
| Staff COVID-19 vaccination coverage | 11.31% |
8.2%
3.1 pts better
|
Numerator 25 · Denominator 221 |
| Staff flu vaccination coverage | 32.99% |
42%
9 pts worse
|
Numerator 96 · Denominator 291 |
| Discharge function score | 34.33% |
56.45%
22.1 pts worse
|
Numerator 23 · Denominator 67 |
| Transfer of health information to provider | 98.8% |
95.95%
2.8 pts better
|
Numerator 82 · Denominator 83 |
| Transfer of health information to patient | 99.24% |
96.28%
3 pts better
|
Numerator 131 · Denominator 132 |
| Resident COVID-19 vaccinations up to date | 1.56% |
25.2%
23.6 pts worse
|
Numerator 2 · Denominator 128 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.3
0.7 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.2 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.6
0.2 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · 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 | 2.4% |
1.6%
0.8 pts worse
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.0% · Q3 3.1% · Q4 1.1% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.8% |
6.8%
4 pts worse
|
11.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 15.4% · Q3 9.3% · Q4 3.6% · 4Q avg 10.8% |
| Percentage of long-stay residents who lose too much weight | 0.6% |
4.1%
3.5 pts better
|
5.4%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.2% |
13.7%
1.5 pts better
|
19.6%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 14.0% · Q3 14.8% · Q4 12.5% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
14.2%
3.8 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.0% · Q3 10.3% · Q4 14.3% · 4Q avg 10.4% · 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 | 14.0% |
11.0%
3 pts worse
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 12.0% · Q3 17.1% · Q4 12.6% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.6% |
10.7%
2.1 pts better
|
14.9%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.3% · Q3 16.1% · Q4 10.7% · 4Q avg 8.6% · 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 | 0.0% |
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 | 5.3% |
10.9%
5.6 pts better
|
19.8%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 7.4% · Q3 5.7% · Q4 1.1% · 4Q avg 5.3% |
| Percentage of long-stay residents with pressure ulcers | 1.4% |
4.7%
3.3 pts better
|
5.1%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 1.5% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.0%
5.8 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.5% · Q3 99.6% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
11.2%
1.9 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.5% · Expected 10.7% · 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 | 93.8% |
93.2%
0.6 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
23.2%
3.5 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 19.1% · Expected 23.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (7 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-03-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-03-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-01
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-05-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-11
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-12-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-12-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-12-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-17
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-12-17
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 2019-12-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-12-17
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-03
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-03
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 2025-08-12
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-07-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-20
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-06-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-30
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 2025-03-24
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-03-24
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-24
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 2025-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-24
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 2025-03-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-03
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-06-28
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 2024-05-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-24
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 2023-12-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-16
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-16
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-08-11
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-06-23
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 2023-05-22
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-22
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-22
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 2023-05-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-22
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-22
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-22
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-05-22
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-05-22
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-22
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-22
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 2023-05-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-03-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-11-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-11-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-11-19
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-11-19
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2019-11-19
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-19
Penalties and ownership
Payment Denial · denial start 2025-08-02 · 32 days
32 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
Visalia, CA
3-star overall rating with 2-star inspections with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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
Visalia, CA
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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