The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SEQUOIA VISTA
VISALIA, CA · Medicare-certified · 99 beds
Needs attention
For-profit
1 of 5 overall
SEQUOIA VISTA (Visalia, CA) is rated 1 out of 5 stars overall, with 1-star health inspection and staffing ratings but 4-star quality measures. It has a recent federal penalty, $8,278 in fines over the last 24 months, and reported nurse staffing of 4.42 hours per resident per day, slightly above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.4241 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4241.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.25
- Nurse aides
- 2.84
- Weekend nursing
- 4.12
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.2%Steady
Residents with a fall causing major injury
0.3%Improving
Residents with pressure ulcers (bedsores)
1.1%Worsening
Residents with a urinary tract infection
0.7%Steady
Residents who lost too much weight
3.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.4%Improving
Residents whose ability to walk got worse
16.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18.4%Improving
Short-stay residents newly given an antipsychotic
0.7%Improving
Residents with a long-term catheter
1.6%Worsening
Residents with new or worsening incontinence
16.5%Steady
Residents with depressive symptoms
7.1%Worsening
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
99.7%Improving
Short-stay residents given the seasonal flu vaccine
98.2%Steady
Short-stay residents given the pneumonia vaccine
96.2%Worsening
What the inspectors found
The home failed to properly watch nurse aides' work and provide regular training. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — 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 December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure each resident got a nourishing, balanced diet that met daily nutrition and special dietary needs. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 800 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines · 1 payment denial.
- $8,278
Federal fine
Nov 14, 2025
- 21 days
Medicare/Medicaid payment denial
May 30, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 92.4 residents on an average day (93% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 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.