Sequoia Vista

3710 West Tulare Avenue · Visalia, CA · 93277 · 5597322244

99 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $46,078 in fines in the last 24 months.

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.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 23
Serious harm & abuse 20% 88
Staffing 20% 71
Federal penalties 15% 18
Trend 10% 48
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.423.48 min · 4.1 strong
RN hours / resident-day0.330.55–0.75
Weekend hours / resident-day4.12≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)2 · $46,078

Inspection citations (88 in the current record)

  • Potential for harm · E April 21, 2026 · found via complaint

    Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

    Corrected April 28, 2026 · Quality of Life and Care

  • Potential for harm · D April 13, 2026 · found via complaint

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

    Corrected April 28, 2026 · Resident Rights

  • Potential for harm · D April 13, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 28, 2026 · Resident Assessment and Care Planning

  • Actual harm · G April 1, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected May 12, 2026 · Pharmacy Service

  • Potential for harm · D March 9, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 9, 2026 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected April 2, 2026 · Nursing and Physician Services

  • Potential for harm · D March 2, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G December 18, 2025 · found via complaint

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

    Corrected January 23, 2026 · Quality of Life and Care

  • Potential for harm · D December 1, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 23, 2026 · Resident Rights

  • Potential for harm · D November 14, 2025 · found via complaint

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

    Corrected January 5, 2026 · Resident Rights

  • Potential for harm · D August 26, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected September 24, 2025 · Resident Rights

  • Potential for harm · D August 18, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 6, 2025 · found via complaint

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

    Corrected September 24, 2025 · Resident Rights

  • Potential for harm · D July 15, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected September 8, 2025 · Resident Rights

  • Potential for harm · D July 15, 2025 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected August 23, 2025 · Resident Rights

  • Potential for harm · D June 24, 2025 · found via complaint

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected August 28, 2025 · Resident Rights

  • Potential for harm · D June 24, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected August 28, 2025 · Resident Rights

  • Potential for harm · D June 24, 2025 · found via complaint

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

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · D April 16, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 26, 2025 · Quality of Life and Care

  • Potential for harm · D December 5, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 26, 2024 · Resident Rights

  • Potential for harm · D December 5, 2024

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected December 26, 2024 · Resident Rights

  • Potential for harm · D December 5, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 26, 2024 · Resident Rights

  • Potential for harm · D December 5, 2024

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

    Corrected December 26, 2024 · Resident Rights

  • Potential for harm · D December 5, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected December 26, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 2, 2026Fine$37,800
March 2, 2026Payment Denial25 days
November 14, 2025Fine$8,278
May 30, 2024Payment Denial21 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055916 · certified since January 17, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.