California › Tulare County › Porterville
Gateway Post Acute
661 West Poplar, Porterville, CA 93257
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Gateway Post Acute, in Porterville, California, is certified for 62 beds under for-profit, limited liability company ownership and belongs to the Pacs Group chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 55 health deficiencies across the three most recent survey cycles (16, 24, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 88.7 per 100 beds, more than the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.9 hours per resident per day (0.2 RN), close to the California median of 4.2; nursing staff turnover is 54.7%.
Compared with county, state and nation
| Measure | This facility | Tulare Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 55 | 54 | 44 | 28.7 |
| Citations per 100 beds | 88.7 | 54.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 54.7% | 41.8% | 36.4% | 45.8% |
| Fines listed | $8,018 | $8,018 | $0 | — |
County and state figures are medians across facilities (16 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 17 Oct 2024.
Severity mix: G ×1 D ×43 E ×7 F ×3 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 8 Jul 2026 |
| 4 Jun 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 8 Jul 2026 |
| 14 May 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0726 | 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. | E | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 May 2026 |
| 14 May 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 26 May 2026 |
| 14 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 May 2026 |
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 1 Jun 2026 |
| 14 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Jun 2026 |
| 4 Jun 2025 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 9 Jul 2025 |
| 17 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0584 | 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 | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0727 | 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. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Nov 2024 |
| 17 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Nov 2024 |
| 9 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 15 Oct 2024 |
| 10 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 19 Jan 2024 |
| 12 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Dec 2023 |
| 16 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Aug 2023 |
| 4 Nov 2022 | F0578 | 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 | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0687 | Provide appropriate foot care. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0726 | 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. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Dec 2022 |
| 4 Nov 2022 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 9 Dec 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Sep 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 54.7%, RNs 60.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.6% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Valley Careidence Opco, Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Providence Group of California LLC | 5% or greater direct ownership interest | 100% | 03/24/2014 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | 100% | 06/30/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Tulare County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Delta Healthcare & Wellness Center, LP | Visalia | 44 | 5 | 4 | 2 | 29 | 65.9 | — | 14 Aug 2025 |
| Kaweah Health Skilled Nursing Center | Visalia | 70 | 5 | 4 | 3 | 24 | 34.3 | — | 29 Jan 2026 |
| Sierra View Medical Center | Porterville | 35 | 5 | 4 | 3 | 19 | 54.3 | — | 17 Dec 2025 |
| Dinuba Healthcare | Dinuba | 97 | 4 | 4 | 3 | 26 | 26.8 | — | 9 Feb 2026 |
| Lindsay Gardens Nursing & Rehabilitation | Lindsay | 99 | 4 | 3 | 3 | 31 | 31.3 | — | 19 May 2026 |
| Sequoia Transitional Care | Porterville | 99 | 4 | 3 | 3 | 42 | 42.4 | $42K | 3 Jun 2026 |
| Sierra Valley Rehab Center | Porterville | 139 | 4 | 3 | 3 | 62 | 44.6 | $8K | 23 Jul 2025 |
| Grand Oaks Care | Tulare | 99 | 3 | 3 | 2 | 55 | 55.6 | — | 12 Mar 2026 |
All 16 facilities in Tulare County
Questions and answers
How many deficiencies has Gateway Post Acute been cited for?
55 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Gateway Post Acute been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Gateway Post Acute compare?
Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Gateway Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Providence Group of California LLC and Providence Group Nh, LLC. Individual owners and managers are not listed on this site.
When was Gateway Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.