California › Tulare County › Porterville
Sierra Valley Rehab Center
301 West Putnam, 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 139 beds, Sierra Valley Rehab Center serves Porterville in Tulare County, California and has taken Medicare and Medicaid residents since 1974.
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 62 health deficiencies across the three most recent survey cycles (14, 34, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 44.6 per 100 beds, about the same as the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 4.1 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 33.3%.
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 | 62 | 54 | 44 | 28.7 |
| Citations per 100 beds | 44.6 | 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 | 0.3 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 33.3% | 41.8% | 36.4% | 45.8% |
| Fines listed | $8,190 | $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: 27 Feb 2025, 1 Feb 2024.
Severity mix: G ×1 D ×48 E ×9 F ×1 B ×3
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 |
|---|---|---|---|---|---|
| 23 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Sep 2025 |
| 27 Feb 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | E | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 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 | 25 Mar 2025 |
| 27 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | 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 | 25 Mar 2025 |
| 27 Feb 2025 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0926 | Have policies on smoking. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | 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 | 25 Mar 2025 |
| 3 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Mar 2025 |
| 3 Feb 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 10 Mar 2025 |
| 30 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 20 Jan 2025 |
| 30 Dec 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 Jan 2025 |
| 30 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Jan 2025 |
| 30 Dec 2024 | 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 | Complaint investigation | 20 Jan 2025 |
| 30 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 20 Jan 2025 |
| 4 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 22 Nov 2024 |
| 25 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 26 Oct 2024 |
| 24 Jul 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 | 15 Aug 2024 |
| 24 Jul 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 15 Aug 2024 |
| 1 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | 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 Mar 2024 |
| 1 Feb 2024 | 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. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | 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. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 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 | 1 Mar 2024 |
| 1 Feb 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 | 1 Mar 2024 |
| 1 Feb 2024 | 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 | 1 Mar 2024 |
| 1 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | 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 | 1 Mar 2024 |
| 1 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 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 | 1 Mar 2024 |
| 1 Feb 2024 | 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 | 1 Mar 2024 |
| 1 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 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 | 1 Mar 2024 |
| 1 Feb 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 | 1 Mar 2024 |
| 1 Feb 2024 | 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 Mar 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | 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 | 1 Mar 2024 |
| 19 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 | 4 Oct 2023 |
| 13 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 11 Oct 2023 |
| 10 Mar 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Apr 2022 |
| 10 Mar 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. | E | Standard survey | 6 Apr 2022 |
| 10 Mar 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Apr 2022 |
| 10 Mar 2022 | 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 | 6 Apr 2022 |
| 10 Mar 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Apr 2022 |
| 10 Mar 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 6 Apr 2022 |
| 10 Mar 2022 | F0732 | Post nurse staffing information every day. | D | Standard survey | 6 Apr 2022 |
| 10 Mar 2022 | 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 | 6 Apr 2022 |
| 10 Mar 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Apr 2022 |
| 10 Mar 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 | 6 Apr 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Oct 2024 | Fine | $8,190 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 33.3%, RNs 45.5%; 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 | 5.4% | 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 | 0.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.2% | 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: Sierra Nevada Snf Llc. Chain: Pacs Group (274 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Truist Bank | 5% or greater security interest | NOT APPLICABLE | 12/07/2023 |
| Providence Administrative Consulting Services Inc | Adp of the snf | NOT APPLICABLE | 06/15/2023 |
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 |
| 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 Sierra Valley Rehab Center been cited for?
62 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 Sierra Valley Rehab Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Sierra Valley Rehab Center 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 Sierra Valley Rehab 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 Sierra Valley Rehab Center last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jul 2025; the most recent standard health survey was 27 Feb 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.