Nursing homes › California › Westgate Gardens Care Center
4525 W. Tulare Ave., Visalia, CA 93277 · 5597330901 · 140 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 4.13 (California median: 4.24). RN hours: 0.32. Weekend total: 3.90. Nursing staff turnover: 45%.
All-time on record: 54 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-06-22 |
| 2026-04-09 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-04-24 |
| 2026-02-17 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D | complaint | corrected 2026-02-24 |
| 2025-12-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-12-29 |
| 2025-08-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-09-03 |
| 2025-08-05 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2025-09-03 |
| 2025-07-01 | 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. | D | complaint | corrected 2025-08-12 |
| 2025-06-11 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-07-30 |
| 2025-06-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-07-30 |
| 2025-06-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-07-20 |
| 2025-05-15 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-06-13 |
| 2025-04-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-09 |
| 2025-03-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2025-03-30 |
| 2025-02-24 | 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. | E | Health | corrected 2025-03-24 |
| 2025-02-24 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Health | corrected 2025-03-24 |
| 2025-02-24 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Health | corrected 2025-03-24 |
| 2025-02-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-24 |
| 2025-02-24 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-03-24 |
| 2025-02-24 | 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. | D | Health | corrected 2025-03-24 |
| 2025-02-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-03-24 |
| 2025-02-24 | 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. | D | Health | corrected 2025-03-24 |
| 2025-02-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-03-24 |
| 2025-01-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-04 |
| 2025-01-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-01-03 |
| 2024-09-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-10-03 |
| 2024-05-16 | 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. | D | complaint | corrected 2024-06-28 |
| 2024-05-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-05-03 |
| 2024-04-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-04-24 |
| 2023-11-29 | 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. | D | complaint | corrected 2023-12-14 |
| 2023-08-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2023-08-31 |
| 2023-08-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2023-08-16 |
| 2023-08-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2023-08-16 |
| 2023-07-31 | 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. | D | complaint | corrected 2023-08-11 |
| 2023-04-20 | 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. | E | Health | corrected 2023-05-22 |
| 2023-04-20 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | corrected 2023-05-22 |
| 2023-04-20 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-05-22 |
| 2023-04-20 | 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. | E | Health | corrected 2023-05-22 |
| 2023-04-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-05-22 |
| 2023-04-20 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-05-22 |
| 2023-04-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-05-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-15 | Fine | $10,317 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| WALKER, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/14/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555208. Corrections: data@carerecords.org.