Gateway Post Acute
661 West Poplar · Porterville, CA · 93257 · 5597848371
62 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.74 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $8,018 |
Inspection citations (51 in the current record)
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Potential for harm · D June 4, 2025 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected July 9, 2025 · Administration
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Actual harm · G October 17, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
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.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · D October 17, 2024
Ensure each resident receives an accurate assessment.
Corrected November 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2024
Provide activities to meet all resident's needs.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 17, 2024
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.
Corrected November 5, 2024 · Nursing and Physician Services
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Potential for harm · D October 17, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 5, 2024 · Pharmacy Service
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Potential for harm · D October 17, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 5, 2024 · Pharmacy Service
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Potential for harm · D October 17, 2024
Ensure that residents are free from significant medication errors.
Corrected November 5, 2024 · Pharmacy Service
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Potential for harm · D October 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 5, 2024 · Nutrition and Dietary
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Potential for harm · F October 17, 2024
Provide and implement an infection prevention and control program.
Corrected November 5, 2024 · Infection Control
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Potential for harm · F October 17, 2024
Implement a program that monitors antibiotic use.
Corrected November 5, 2024 · Infection Control
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Potential for harm · D September 9, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D January 10, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 19, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 9, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056423 · certified since December 21, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.