The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WESTGATE GARDENS CARE CENTER
VISALIA, CA · Medicare-certified · 140 beds
Needs attention
For-profitChain member
3 of 5 overall
WESTGATE GARDENS CARE CENTER has an overall 3-star rating. Its health inspection and staffing ratings are both 2 stars, despite a 5-star quality measures rating; reported nurse staffing is 4.14 hours per resident per day, just above the 4.1 federal benchmark, and it had $10,317 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.1413 hrs/resident/day
Quality measures
Last inspection: February 17, 2026Penalties, last 24 months: $10,317recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1413.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 1.14
- Nurse aides
- 2.71
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 0%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.7%Worsening
Residents with a fall causing major injury
2.3%Improving
Residents with pressure ulcers (bedsores)
1.4%Worsening
Residents with a urinary tract infection
0.8%Worsening
Residents who lost too much weight
0.9%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.6%Worsening
Residents whose ability to walk got worse
13.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.3%Improving
Short-stay residents newly given an antipsychotic
0.2%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
4.1%Improving
Residents with depressive symptoms
10.3%Improving
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
93.8%Steady
Short-stay residents given the pneumonia vaccine
99.8%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 847 — 42 CFR §483.70 — S/S: E
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: E
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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,317 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $10,317 in total fines.
- $10,317
Federal fine
May 15, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 132.9 residents on an average day (95% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.