Sequoia Transitional Care

350 North Villa Street · Porterville, CA · 93257 · 5597846644

99 certified beds For profit - Limited Liability company Chain: Pacs Group

Why this verdict

  • Federal penalties on record: $60,297 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

$60,297 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.09 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 82
Staffing 20% 59
Federal penalties 15% 34
Trend 10% 80
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.073.48 min · 4.1 strong
RN hours / resident-day0.090.55–0.75
Weekend hours / resident-day3.83≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)2 · $60,297

Inspection citations (40 in the current record)

  • Potential for harm · D April 2, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 28, 2026 · Quality of Life and Care

  • Actual harm · G January 15, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · D January 15, 2026

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

    Corrected February 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2026

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · F January 15, 2026

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

    Corrected February 9, 2026 · Pharmacy Service

  • Potential for harm · D January 15, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 9, 2026 · Nutrition and Dietary

  • Potential for harm · E January 15, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 9, 2026 · Infection Control

  • Potential for harm · D December 31, 2025 · found via complaint

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

    Corrected January 28, 2026 · Resident Assessment and Care Planning

  • Actual harm · G April 17, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 29, 2025 · Quality of Life and Care

  • Potential for harm · D April 17, 2025 · found via complaint

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

    Corrected June 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2025

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

    Corrected January 29, 2025 · Resident Rights

  • Potential for harm · D January 9, 2025

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

    Corrected January 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2025

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

    Corrected January 29, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

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

    Corrected January 29, 2025 · Quality of Life and Care

  • Potential for harm · D January 9, 2025

    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 January 29, 2025 · Quality of Life and Care

  • Potential for harm · F January 9, 2025

    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 January 29, 2025 · Nursing and Physician Services

  • Potential for harm · D January 9, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected January 29, 2025 · Pharmacy Service

  • Potential for harm · D January 9, 2025

    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 January 29, 2025 · Pharmacy Service

  • Potential for harm · D January 9, 2025

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected January 29, 2025 · Nutrition and Dietary

  • Potential for harm · D January 9, 2025

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

    Corrected January 29, 2025 · Administration

  • Potential for harm · D November 8, 2024 · found via complaint

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

    Corrected December 12, 2024 · Resident Rights

  • Potential for harm · D October 14, 2024 · found via complaint

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

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · D August 7, 2024 · found via complaint

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

    Corrected August 7, 2024 · Quality of Life and Care

  • Potential for harm · F June 12, 2024 · found via complaint

    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 August 6, 2024 · Nursing and Physician Services

  • Potential for harm · E October 12, 2023

    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 October 27, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 31, 2025Fine$18,538
April 17, 2025Fine$41,759
April 17, 2025Payment Denial18 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055551 · certified since February 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.