The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
SEQUOIA TRANSITIONAL CARE
PORTERVILLE, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
4 of 5 overall
SEQUOIA TRANSITIONAL CARE in Porterville has an overall rating of 4 out of 5 stars, with solid quality measures (5/5) but middling health inspection and staffing ratings (3/5 each). It reported 4.07 nurse hours per resident per day, just below the federal benchmark of 4.1, and had $70,279 in fines in the last 24 months along with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.0723 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $70,279recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0723.
Staffing detail
- Registered nurses
- 0.09
- Licensed practical nurses
- 1.15
- Nurse aides
- 2.83
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.8%Worsening
Residents with a fall causing major injury
3.2%Worsening
Residents with pressure ulcers (bedsores)
1.2%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.4%Steady
Residents who were physically restrained
0.3%Improving
Residents needing more help with daily activities
9.1%Worsening
Residents whose ability to walk got worse
13.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.7%Worsening
Residents with depressive symptoms
3.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
99%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $28,520 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $41,759 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $70,279 in total fines · 1 payment denial.
- $28,520
Federal fine
Dec 31, 2025
- 18 days
Medicare/Medicaid payment denial
Apr 17, 2025
- $41,759
Federal fine
Apr 17, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 90.7 residents on an average day (92% of 99 beds)
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.