Senior Care Records.

Westgate Gardens Care Center

4525 W. TULARE AVE., Visalia, CA, 93277

Nursing home140 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 16 deficiencies against Westgate Gardens Care Center in Visalia, California at its most recent standard inspection on 2025-02-24, 7 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $10,317. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
140certified beds
16deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $10,317
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.53
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm

D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · F0583 · 2026-04-09 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Environmental Deficiencies · F0917 · 2026-02-17 · from a complaint · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-12-22 · from a complaint · No actual harm, potential for more than minimal harm

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · F0580 · 2025-08-05 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies · F0698 · 2025-08-05 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Administration Deficiencies · F0837 · 2025-07-01 · from a complaint · No actual harm, potential for more than minimal harm

D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-06-11 · from a complaint · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-06-11 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-06-04 · from a complaint · Actual harm to a resident

G

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Resident Rights Deficiencies · F0627 · 2025-05-15 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2025-04-07 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · F0623 · 2025-03-28 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0578 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

E

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Administration Deficiencies · F0847 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

E

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies · F0868 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

D

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0584 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-02-24 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.13147
Nursing staff turnoverShare of nursing staff who left in a year45.3%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$10,317
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Westgate Gardens Care Center

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
GROSSMAN, STEPHENIndividualNOT APPLICABLEsince 01/01/2010
WALKER, JONATHANIndividualNOT APPLICABLEsince 08/14/2023
APT, FREDERICKIndividualNOT APPLICABLEsince 01/01/2024
HANCOCK, MARKIndividualNOT APPLICABLEsince 01/01/2024
JERGENSEN, JOSHUAIndividualNOT APPLICABLEsince 01/01/2024
MITCHELL, JOHNIndividualNOT APPLICABLEsince 01/01/2024
WALKER, JONATHANIndividualNOT APPLICABLEsince 08/14/2023

Part of the PACS GROUP group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Sequoia Vista

Visalia · 0.5 mi · 99 beds

Citations0Substantiated0
Contact

Ask Westgate Gardens Care Center a question

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555208.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction