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
Data as of July 1, 2026
3 of 5 overall
Westgate Gardens Care Center in Visalia has an overall 3-star rating, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. It has had $10,317 in fines in the last 24 months and a recent federal penalty; reported nurse staffing is 4.13 hours per resident per day, just above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.1315 hrs/resident/day
Quality measures
Last inspection: May 28, 2026Penalties, last 24 months: $10,317recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1315.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.16
- Nurse aides
- 2.65
- Weekend nursing
- 3.90
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 0%
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
9.1%17.1%Worsening
Residents with a fall causing major injury
3.1%3.1%No change
Residents with pressure ulcers (bedsores)
1.5%1.2%No change
Residents with a urinary tract infection
0%4.2%Worsening
Residents who lost too much weight
1.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%8.9%Improving
Residents whose ability to walk got worse
17.1%15.9%Improving
Long-stay residents on antianxiety or sleep medication
14.8%13.8%Improving
Short-stay residents newly given an antipsychotic
0%0.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
5.7%5.2%No change
Residents with depressive symptoms
9.3%4.5%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
—93.8%—
Short-stay residents given the pneumonia vaccine
99.6%100%No change
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.
View the original federal record
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.
View the original federal record
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
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- 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 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 · 281 homes · 2.8 stars avg
- Occupancy
- 134.4 residents on an average day (96% 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.