California › Tulare County › Visalia
Linwood Meadows Care Center
4444 West Meadow, Visalia, CA 93277
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.
Certified for 98 beds, Linwood Meadows Care Center serves Visalia in Tulare County, California and has taken Medicare and Medicaid residents since 1980.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 54 health deficiencies across the three most recent survey cycles (17, 22, 15 by cycle, most recent first), none at the actual-harm level. That is 55.1 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 36.4%.
Compared with county, state and nation
| Measure | This facility | Tulare Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 54 | 54 | 44 | 28.7 |
| Citations per 100 beds | 55.1 | 54.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 36.4% | 41.8% | 36.4% | 45.8% |
| Fines listed | $0 | $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: 22 May 2025, 26 Oct 2023.
Severity mix: D ×27 E ×22 F ×5
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 |
|---|---|---|---|---|---|
| 5 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Oct 2025 |
| 23 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 24 May 2025 |
| 22 May 2025 | 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 | 13 Jun 2025 |
| 22 May 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | 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. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 13 Jun 2025 |
| 10 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Feb 2025 |
| 13 Dec 2024 | F0837 | 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 investigation | 18 Dec 2024 |
| 13 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Dec 2024 |
| 1 Nov 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 23 Dec 2024 |
| 20 Aug 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 | 30 Aug 2024 |
| 26 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | 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. | E | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0585 | 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. | E | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | E | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0761 | 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 | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 16 Nov 2023 |
| 26 Oct 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 16 Nov 2023 |
| 23 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0761 | 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 | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | 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 | 14 Sep 2021 |
| 23 Jul 2021 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 14 Sep 2021 |
| 23 Jul 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Sep 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 36.4%, RNs —; 0 administrators 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 | 10.2% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 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: Snowdrop Holdings, Llc. Chain: Pacs Group (274 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 Linwood Meadows Care Center been cited for?
54 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Linwood Meadows Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Linwood Meadows Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Linwood Meadows Care Center?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Linwood Meadows Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 Aug 2025; the most recent standard health survey was 22 May 2025.
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.