VISALIA POST ACUTE

Tulare · CA · For profit - Limited Liability company · PACS GROUP chain · 176 certified beds · CCN 055604 · SPRUCE HOLDINGS, LLC


VISALIA POST ACUTE operates 176 certified beds in VISALIA, California. Its Medicare and Medicaid certification dates to 1985-08-09. It averages 159.8 residents a day.

What harm was found in the violations cited at VISALIA POST ACUTE?

CMS lists 72 health-inspection deficiencies for VISALIA POST ACUTE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-30.

Survey dateTagDeficiencySeverity
2026-06-30F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2026-06-26F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2026-06-09F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2026-05-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-05-21F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2026-05-04F0558, F0761Reasonably accommodate the needs and preferences of each resident. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2026-03-06F0585, F0850, F0865, F0867Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Hire a qualified full-time social worker in a facility with more than 120 beds. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2026-03-06F0609, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide and implement an infection prevention and control program.E
2026-03-06F0627, F0658, F0697, F0761, F0812, F0919, F0921Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2026-03-06F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2026-01-12F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-09-03F0580, F0658, F0687Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate foot care.D
2025-05-29F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-05-16F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-03-20F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2025-02-10F0660Plan the resident's discharge to meet the resident's goals and needs.D
2025-02-03F0578, F0812, F0880, F0943Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.F
2025-02-03F0623, F0847Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E
2025-02-03F0584, F0625, F0641, F0655, F0658, F0676, F0684, F0698, F0791, F0800, F0806, F0912Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide or obtain dental services for each resident. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D
2024-10-02F0919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-08-15F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.D
2024-06-28F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D
2024-05-16F0584, F0609, F0687Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate foot care.D
2024-05-08F0580, F0686, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-04-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-02-05F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-01-16F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2023-12-07F0578, F0726Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2023-12-07F0656, F0658, F0677, F0727, F0880, F0912, F0919Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Provide and implement an infection prevention and control program. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-10-20F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2023-10-04F0584, F0656, F0658Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality.D

Why was VISALIA POST ACUTE fined?

DateTypeAmount
2026-05-21Fine$13,870

Has VISALIA POST ACUTE had payment denied by Medicare?

Payment denial startLength in days
2026-06-303

How is VISALIA POST ACUTE staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.764814.51570
Total nursing staff turnover (%)41.836.7
Average number of residents per day159.887.9

Who owns VISALIA POST ACUTE, and what chain is it in?

VISALIA POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name SPRUCE HOLDINGS, LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHUDSON RIVER OPCO LLCsince 11/05/2021
5% OR GREATER INDIRECT OWNERSHIP INTERESTBAY BRIDGE CAPITAL PARTNERS, LLCsince 11/05/2021
CONTRACTED MANAGING EMPLOYEEHASNAIN, ABBASsince 03/01/2022
W-2 MANAGING EMPLOYEEHUBBARD, ANITAsince 02/12/2024
CORPORATE OFFICERAPT, FREDERICK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at VISALIA POST ACUTE?