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
Data as of July 1, 2026
4 of 5 overall
SEQUOIA TRANSITIONAL CARE in Porterville has a 4-star overall rating, with 5 stars for quality measures but only 3 stars for health inspections and staffing. It has $41,759 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing is 4.10 hours per resident per day, equal to the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.1023 hrs/resident/day
Quality measures
Last inspection: April 2, 2026Penalties, last 24 months: $41,759recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1023.
Staffing detail
- Registered nurses
- 0.10
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.87
- Weekend nursing
- 3.74
Hours per resident per day.
Total staff turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.5%21.1%Worsening
Residents with a fall causing major injury
1.2%5.1%Worsening
Residents with pressure ulcers (bedsores)
1.9%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%1.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.4%6.2%Improving
Residents whose ability to walk got worse
14.4%8.4%Improving
Long-stay residents on antianxiety or sleep medication
10.7%5.6%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.7%17.4%Improving
Residents with depressive symptoms
2.7%1.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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 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
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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 $18,538 was recorded.
- 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: 1 fine · $41,759 in total fines · 1 payment denial.
- 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 · 281 homes · 2.8 stars avg
- Occupancy
- 91.1 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.