Visalia Post Acute

1925 E. Houston Ave · Visalia, CA · 93292 · 5597321020

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

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

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

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 100
Staffing 20% 54
Federal penalties 15% 100
Trend 10% 73
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.623.48 min · 4.1 strong
RN hours / resident-day0.170.55–0.75
Weekend hours / resident-day3.40≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (66 in the current record)

  • Potential for harm · F March 6, 2026

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 23, 2026 · Resident Rights

  • Potential for harm · E March 6, 2026

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

    Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 6, 2026

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · D March 6, 2026

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

    Corrected March 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2026

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

    Corrected March 15, 2026 · Quality of Life and Care

  • Potential for harm · D March 6, 2026

    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 March 9, 2026 · Pharmacy Service

  • Potential for harm · D March 6, 2026

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

    Corrected March 13, 2026 · Nutrition and Dietary

  • Potential for harm · F March 6, 2026

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected March 9, 2026 · Administration

  • Potential for harm · F March 6, 2026

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 9, 2026 · Administration

  • Potential for harm · F March 6, 2026

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

    Corrected March 17, 2026 · Administration

  • Potential for harm · E March 6, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 5, 2026 · Infection Control

  • Potential for harm · D March 6, 2026

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

    Corrected March 9, 2026 · Environmental

  • Potential for harm · D March 6, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 16, 2026 · Environmental

  • No harm found · B March 6, 2026

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

    Corrected March 6, 2026 · Environmental

  • Potential for harm · D January 12, 2026 · found via complaint

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

    Corrected January 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D September 3, 2025 · 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 September 30, 2025 · Resident Rights

  • Potential for harm · D September 3, 2025 · found via complaint

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

    Corrected September 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 3, 2025 · found via complaint

    Provide appropriate foot care.

    Corrected September 30, 2025 · Quality of Life and Care

  • Potential for harm · D May 29, 2025 · 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 May 30, 2025 · Resident Rights

  • Potential for harm · D May 16, 2025 · found via complaint

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

    Corrected May 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2025 · found via complaint

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

    Corrected May 1, 2025 · Resident Rights

  • Potential for harm · D February 10, 2025 · found via complaint

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

    Corrected March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F February 3, 2025

    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 February 27, 2025 · Resident Rights

  • Potential for harm · D February 3, 2025

    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 February 27, 2025 · Resident Rights

  • Potential for harm · E February 3, 2025

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

    Corrected February 27, 2025 · Resident Rights

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055604 · certified since August 9, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.