California › Tulare County › Porterville
Sequoia Transitional Care
350 North Villa Street, 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.
Certified for 99 beds, Sequoia Transitional Care serves Porterville in Tulare County, California and has taken Medicare and Medicaid residents since 1978.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (11, 15, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 42.4 per 100 beds, about the same as the state median of 51.1.
CMS lists 2 penalties in the period covered: fines totalling $42K and 1 payment denial.
Reported nurse staffing is 4.1 hours per resident per day (0.1 RN), close to the California median of 4.2; nursing staff turnover is 38.0%.
Compared with county, state and nation
| Measure | This facility | Tulare Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 54 | 44 | 28.7 |
| Citations per 100 beds | 42.4 | 54.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 38.0% | 41.8% | 36.4% | 45.8% |
| Fines listed | $41,759 | $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: 15 Jan 2026, 9 Jan 2025.
Severity mix: G ×2 D ×31 E ×5 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 |
|---|---|---|---|---|---|
| 3 Jun 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 26 Jun 2026 |
| 3 Jun 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 | Complaint investigation | 26 Jun 2026 |
| 3 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Jun 2026 |
| 2 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Apr 2026 |
| 15 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 9 Feb 2026 |
| 15 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard survey | 9 Feb 2026 |
| 15 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Feb 2026 |
| 15 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Feb 2026 |
| 15 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Feb 2026 |
| 15 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 9 Feb 2026 |
| 31 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Jan 2026 |
| 17 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint investigation | 29 May 2025 |
| 17 Apr 2025 | 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 | 24 Jun 2025 |
| 9 Jan 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. | F | Standard survey | 29 Jan 2025 |
| 9 Jan 2025 | 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 | 29 Jan 2025 |
| 9 Jan 2025 | 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 | 29 Jan 2025 |
| 9 Jan 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 29 Jan 2025 |
| 9 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Jan 2025 |
| 9 Jan 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Jan 2025 |
| 9 Jan 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Jan 2025 |
| 9 Jan 2025 | 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 | 29 Jan 2025 |
| 9 Jan 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 29 Jan 2025 |
| 9 Jan 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 29 Jan 2025 |
| 8 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 12 Dec 2024 |
| 14 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 | Complaint investigation | 25 Oct 2024 |
| 7 Aug 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 7 Aug 2024 |
| 12 Jun 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. | F | Complaint investigation | 6 Aug 2024 |
| 12 Oct 2023 | 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 | 27 Oct 2023 |
| 12 Oct 2023 | 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 | 27 Oct 2023 |
| 12 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | 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 | 27 Oct 2023 |
| 12 Oct 2023 | 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 | 27 Oct 2023 |
| 12 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Oct 2023 |
| 12 Oct 2023 | 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 | 27 Oct 2023 |
| 22 Sep 2023 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 13 Oct 2023 |
| 5 Sep 2023 | 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 | 29 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Apr 2025 | Payment denial | — | 18 days |
| 17 Apr 2025 | Fine | $41,759 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 38.0%, RNs —; 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 | 8.6% | 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 | 4.1% | 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 | 14.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.2% | 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: Sun Villaidence 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% | 05/01/2014 |
| 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 |
| 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 |
| Linwood Meadows Care Center | Visalia | 98 | 3 | 2 | 3 | 54 | 55.1 | — | 5 Aug 2025 |
All 16 facilities in Tulare County
Questions and answers
How many deficiencies has Sequoia Transitional Care been cited for?
42 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Sequoia Transitional Care been fined?
Yes. CMS lists fines totalling $42K in the period covered, plus 1 payment denial.
How does staffing at Sequoia Transitional Care compare?
Reported total nurse staffing is 4.1 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Sequoia Transitional Care?
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 Sequoia Transitional Care last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 15 Jan 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.