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 September 1, 2026
4 of 5 overall
WESTGATE GARDENS CARE CENTER (VISALIA, CA) has an overall rating of 4 out of 5 stars, with strong quality measures but middling health inspection and staffing ratings. It has a recent federal penalty with $10,317 in fines in the last 24 months, and reported nurse staffing is slightly above the federal benchmark (4.13 vs. 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
4.1315 hrs/resident/day
Quality measures
Last inspection: July 27, 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 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
The home failed to properly label and securely store medications and biologicals. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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
- 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 · 275 homes · 2.9 stars avg
- Occupancy
- 134.4 residents on an average day (96% of 140 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.