California › Tulare County › Visalia
Sequoia Vista
3710 West Tulare Avenue, Visalia, CA 93277
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
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 Vista serves Visalia in Tulare County, California and has taken Medicare and Medicaid residents since 1974.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 90 health deficiencies across the three most recent survey cycles (29, 30, 31 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 90.9 per 100 beds, more than the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $46K and 2 payment denials.
Reported nurse staffing is 4.9 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 51.6%.
90health deficiencies, 3 survey cycles2 at actual harm or worse
$46Kfines listed by CMS4 penalties in period
4.9nurse hours per resident per daystate median 4.2
89%occupancy (residents ÷ beds)89 residents a day
Compared with county, state and nation
| Measure | This facility | Tulare Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 90 | 54 | 44 | 28.7 |
| Citations per 100 beds | 90.9 | 54.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.9 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 51.6% | 41.8% | 36.4% | 45.8% |
| Fines listed | $46,078 | $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: 4 Jun 2026, 5 Dec 2024.
Severity mix: G ×2 D ×62 E ×22 F ×4
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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | 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 | 13 Jul 2026 |
| 4 Jun 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 13 Jul 2026 |
| 4 Jun 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 | 13 Jul 2026 |
| 4 Jun 2026 | 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 | 13 Jul 2026 |
| 4 Jun 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 13 Jul 2026 |
| 4 Jun 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 | 13 Jul 2026 |
| 4 Jun 2026 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jul 2026 |
| 4 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 | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | 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 Jul 2026 |
| 4 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 Jul 2026 |
| 4 Jun 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 13 Jul 2026 |
| 21 Apr 2026 | F0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | E | Complaint investigation | 28 Apr 2026 |
| 13 Apr 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 | 28 Apr 2026 |
| 13 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Apr 2026 |
| 1 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 12 May 2026 |
| 9 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Apr 2026 |
| 9 Mar 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Complaint investigation | 2 Apr 2026 |
| 2 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Apr 2026 |
| 18 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Jan 2026 |
| 1 Dec 2025 | 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. | D | Complaint investigation | 23 Jan 2026 |
| 14 Nov 2025 | 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 | 5 Jan 2026 |
| 26 Aug 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 24 Sep 2025 |
| 18 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Sep 2025 |
| 6 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 24 Sep 2025 |
| 15 Jul 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 8 Sep 2025 |
| 15 Jul 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 23 Aug 2025 |
| 24 Jun 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 28 Aug 2025 |
| 24 Jun 2025 | 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. | D | Complaint investigation | 28 Aug 2025 |
| 24 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Aug 2025 |
| 16 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 May 2025 |
| 27 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Feb 2025 |
| 5 Dec 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 | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 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 | 26 Dec 2024 |
| 5 Dec 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | 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 | 26 Dec 2024 |
| 5 Dec 2024 | 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 | 26 Dec 2024 |
| 5 Dec 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 26 Dec 2024 |
| 5 Dec 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 26 Dec 2024 |
| 18 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 17 Dec 2024 |
| 18 Nov 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint investigation | 17 Dec 2024 |
| 20 Aug 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 | 20 Sep 2024 |
| 29 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 Aug 2024 |
| 17 Jul 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Complaint investigation | 17 Aug 2024 |
| 30 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Jul 2024 |
| 4 Mar 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 21 Mar 2024 |
| 21 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Mar 2024 |
| 22 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 | 20 Feb 2024 |
| 28 Dec 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 28 Jan 2024 |
| 28 Dec 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 28 Jan 2024 |
| 9 Nov 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 | 9 Dec 2023 |
| 9 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 9 Dec 2023 |
| 9 Nov 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. | E | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | 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 | 9 Dec 2023 |
| 9 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | 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 | 9 Dec 2023 |
| 9 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 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 | 9 Dec 2023 |
| 9 Nov 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 | 9 Dec 2023 |
| 18 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Nov 2023 |
| 11 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Oct 2023 |
| 22 Sep 2023 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 10 Oct 2023 |
| 1 Aug 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 | 10 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Mar 2026 | Payment denial | — | 25 days |
| 2 Mar 2026 | Fine | $37,800 | |
| 14 Nov 2025 | Fine | $8,278 | |
| 30 May 2024 | Payment denial | — | 21 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 51.6%, RNs 80.0%; 2 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 | 12.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.5% | 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: Kaweah Manor, Inc..
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 Sequoia Vista been cited for?
90 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 Vista been fined?
Yes. CMS lists fines totalling $46K in the period covered, plus 2 payment denials.
How does staffing at Sequoia Vista compare?
Reported total nurse staffing is 4.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Sequoia Vista?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Sequoia Vista last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 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.