California › Tulare County › Visalia
Westgate Gardens Care Center
4525 W. Tulare Ave., 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.
Westgate Gardens Care Center, in Visalia, California, is certified for 140 beds under for-profit, corporation ownership and belongs to the Pacs Group chain.
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 53 health deficiencies across the three most recent survey cycles (15, 25, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.9 per 100 beds, fewer than the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $10K.
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 45.3%.
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 | 53 | 54 | 44 | 28.7 |
| Citations per 100 beds | 37.9 | 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 | 45.3% | 41.8% | 36.4% | 45.8% |
| Fines listed | $10,317 | $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: 24 Feb 2025, 20 Apr 2023.
Severity mix: G ×1 D ×42 E ×9 F ×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 |
|---|---|---|---|---|---|
| 28 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Jun 2026 |
| 9 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 24 Apr 2026 |
| 17 Feb 2026 | F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D | Complaint investigation | 24 Feb 2026 |
| 22 Dec 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 | 29 Dec 2025 |
| 5 Aug 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 | 3 Sep 2025 |
| 5 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 3 Sep 2025 |
| 1 Jul 2025 | 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 | 12 Aug 2025 |
| 11 Jun 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 30 Jul 2025 |
| 11 Jun 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 | 30 Jul 2025 |
| 4 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Jul 2025 |
| 15 May 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 | 13 Jun 2025 |
| 7 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 Apr 2025 |
| 28 Mar 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 | Complaint investigation | 30 Mar 2025 |
| 24 Feb 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 | 24 Mar 2025 |
| 24 Feb 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 24 Mar 2025 |
| 24 Feb 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 24 Mar 2025 |
| 24 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 Mar 2025 |
| 24 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 24 Mar 2025 |
| 24 Feb 2025 | 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 | 24 Mar 2025 |
| 24 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 | 24 Mar 2025 |
| 24 Feb 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 | 24 Mar 2025 |
| 24 Feb 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 | 24 Mar 2025 |
| 29 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Mar 2025 |
| 2 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 | Complaint investigation | 3 Jan 2025 |
| 6 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 3 Oct 2024 |
| 16 May 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 28 Jun 2024 |
| 2 May 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 | Complaint investigation | 3 May 2024 |
| 23 Apr 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 | 24 Apr 2024 |
| 29 Nov 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. | D | Complaint investigation | 14 Dec 2023 |
| 21 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 31 Aug 2023 |
| 15 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 16 Aug 2023 |
| 15 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 16 Aug 2023 |
| 20 Apr 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 | 22 May 2023 |
| 20 Apr 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 22 May 2023 |
| 20 Apr 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. | E | Standard survey | 22 May 2023 |
| 20 Apr 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 | 22 May 2023 |
| 20 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 May 2023 |
| 20 Apr 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 | 22 May 2023 |
| 20 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 22 May 2023 |
| 20 Apr 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 | 22 May 2023 |
| 20 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 May 2023 |
| 20 Apr 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 22 May 2023 |
| 20 Apr 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 | 22 May 2023 |
| 24 Oct 2019 | 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 | 19 Nov 2019 |
| 24 Oct 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Nov 2019 |
| 24 Oct 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Nov 2019 |
| 24 Oct 2019 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 19 Nov 2019 |
| 24 Oct 2019 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 19 Nov 2019 |
| 24 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Nov 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 May 2025 | Fine | $10,317 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 45.3%, RNs 0.0%; 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 | 12.2% | 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 | 1.9% | 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 | 0.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.3% | 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, corporation. Legal business name: Thyme 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 Westgate Gardens Care Center been cited for?
53 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 Westgate Gardens Care Center been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Westgate Gardens Care 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 Westgate Gardens Care Center?
It is part of the Pacs Group chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Westgate Gardens Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 24 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.