Starfile / California

WESTGATE GARDENS CARE CENTER

4525 W. TULARE AVE., VISALIA, CA 93277 · CCN 555208

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

1

Payment denials

1

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (55)1 actual harm

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-22 · Health · corrected 2025-12-29

   Potential for more than minimal harm

2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-05 · Health · corrected 2025-09-03

   Potential for more than minimal harm

3. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-08-05 · Health · corrected 2025-09-03

   Potential for more than minimal harm

4. DF0837Establish 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.2025-07-01 · Health · corrected 2025-08-12

   Potential for more than minimal harm

5. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-06-11 · Health · corrected 2025-07-30

   Potential for more than minimal harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-11 · Health · corrected 2025-07-30

   Potential for more than minimal harm

7. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-04 · Health · corrected 2025-07-20

   Actual harm

8. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-05-15 · Health · corrected 2025-06-13

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-07 · Health · corrected 2025-04-09

   Potential for more than minimal harm

10. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-28 · Health · corrected 2025-03-30

    Potential for more than minimal harm

11. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

12. DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

13. EF0578Honor 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.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

14. DF0584Honor 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.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

16. DF0761Ensure 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.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

17. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

18. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

19. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-02-24 · Health · corrected 2025-03-24

    Potential for more than minimal harm

20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-29 · Health · corrected 2025-03-04

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-02 · Health · corrected 2025-01-03

    Potential for more than minimal harm

22. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-06 · Health · corrected 2024-10-03

    Potential for more than minimal harm

23. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-05-16 · Health · corrected 2024-06-28

    Potential for more than minimal harm

24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-02 · Health · corrected 2024-05-03

    Potential for more than minimal harm

25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-23 · Health · corrected 2024-04-24

    Potential for more than minimal harm

26. DF0584Honor 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.2023-11-29 · Health · corrected 2023-12-14

    Potential for more than minimal harm

27. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-08-21 · Health · corrected 2023-08-31

    Potential for more than minimal harm

28. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-08-15 · Health · corrected 2023-08-16

    Potential for more than minimal harm

29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-15 · Health · corrected 2023-08-16

    Potential for more than minimal harm

30. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-07-31 · Health · corrected 2023-08-11

    Potential for more than minimal harm

31. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-06-16 · Health · corrected 2023-06-23

    Potential for more than minimal harm

32. EF0578Honor 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.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

33. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

34. DF0641Ensure each resident receives an accurate assessment.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

35. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

36. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

37. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

38. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

39. DF0692Provide enough food/fluids to maintain a resident's health.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

40. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

41. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

42. EF0759Ensure medication error rates are not 5 percent or greater.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

43. EF0761Ensure 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.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

44. DF0803Ensure 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.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

45. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

46. EF0880Provide and implement an infection prevention and control program.2023-04-20 · Health · corrected 2023-05-22

    Potential for more than minimal harm

47. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-17 · Health · corrected 2023-05-01

    Potential for more than minimal harm

48. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-02 · Health · corrected 2023-03-17

    Potential for more than minimal harm

49. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-01 · Health · corrected 2023-03-16

    Potential for more than minimal harm

50. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-10-24 · Health · corrected 2019-11-19

    Potential for more than minimal harm

51. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-24 · Health · corrected 2019-11-19

    Potential for more than minimal harm

52. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-10-24 · Health · corrected 2019-11-19

    Potential for more than minimal harm

53. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-10-24 · Health · corrected 2019-11-19

    Potential for more than minimal harm

54. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2019-10-24 · Health · corrected 2019-11-19

    Potential for more than minimal harm

55. DF0880Provide and implement an infection prevention and control program.2019-10-24 · Health · corrected 2019-11-19

    Potential for more than minimal harm

Ownership

Other facilities in VISALIA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.