Linwood Meadows Care Center
4444 West Meadow · Visalia, CA · 93277 · 5596271241
98 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).
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
0.22 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: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.71 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (54 in the current record)
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Potential for harm · D August 5, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · E May 22, 2025
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.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 22, 2025
Provide activities to meet all resident's needs.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · E May 22, 2025
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 June 13, 2025 · Nursing and Physician Services
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Potential for harm · E May 22, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 13, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · E May 22, 2025
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · E May 22, 2025
Implement a program that monitors antibiotic use.
Corrected June 13, 2025 · Infection Control
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Potential for harm · E May 22, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 13, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected June 13, 2025 · Environmental
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Potential for harm · E May 22, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 13, 2025 · Environmental
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Potential for harm · E May 22, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 13, 2025 · Nursing and Physician Services
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Potential for harm · D January 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 6, 2025 · Quality of Life and Care
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Potential for harm · D December 13, 2024 · found via complaint
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.
Corrected December 18, 2024 · Administration
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Potential for harm · D December 13, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 18, 2024 · Infection Control
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Potential for harm · D November 1, 2024 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected December 23, 2024 · Resident Rights
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Potential for harm · D August 20, 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 August 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected November 16, 2023 · Resident Rights
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Potential for harm · E October 26, 2023
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 16, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 555125 · certified since April 16, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.