The nursing home failed to ensure residents were free from significant medication errors. Cited April 2026 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Sequoia Vista Care
Registered name: SEQUOIA VISTA
VISALIA, CA · Medicare-certified · 99 beds
Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall
Sequoia Vista Care in Visalia, CA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and 2-star staffing rating. It has had $46,078 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 4.91 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.9076 hrs/resident/day
Quality measures
Last inspection: April 21, 2026Penalties, last 24 months: $46,078recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9076.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.36
- Nurse aides
- 3.17
- Weekend nursing
- 4.42
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 80%
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
4.5%8%Worsening
Residents with a fall causing major injury
0%1.3%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
2.8%0%Improving
Residents who lost too much weight
0%11.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
31.7%1.5%Improving
Residents whose ability to walk got worse
20.5%0%Improving
Long-stay residents on antianxiety or sleep medication
22.4%18.1%Improving
Short-stay residents newly given an antipsychotic
1.4%0%Improving
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
24.6%7.8%Improving
Residents with depressive symptoms
9.4%5.4%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
—98.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.2%—
Short-stay residents given the pneumonia vaccine
97.6%94.5%Worsening
What the inspectors found
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
The home failed to properly watch nurse aides' work and provide regular training. Cited December 2024 — widespread issue, potential for harm.
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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
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
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- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $37,800 was recorded.
- 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: 2 fines · $46,078 in total fines · 2 payment denials.
- 25 days
Medicare/Medicaid payment denial
Mar 2, 2026
- $37,800
Federal fine
Mar 2, 2026
- $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
- 88.5 residents on an average day (89% 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.