WESTGATE GARDENS CARE CENTER
WESTGATE GARDENS CARE CENTER is a 140-bed nursing home in VISALIA, California. CMS has certified it for Medicare and Medicaid since 1985-10-02. It averages 134.4 residents a day.
What harm was found in the violations cited at WESTGATE GARDENS CARE CENTER?
CMS lists 53 health-inspection deficiencies for WESTGATE GARDENS CARE CENTER since 2019-10-24, 32 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 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2026-04-09 | F0583 | Keep residents' personal and medical records private and confidential. | D |
| 2026-02-17 | F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D |
| 2025-12-22 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-08-05 | F0580, F0698 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2025-07-01 | F0837 | Establish 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 |
| 2025-06-11 | F0607, F0656 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-06-04 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-05-15 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-04-07 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-03-28 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2025-02-24 | F0578, F0847, F0868 | Honor 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E |
| 2025-02-24 | F0550, F0558, F0584, F0656, F0761, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor 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 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-01-29 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-01-02 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-09-06 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-05-16 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| 2024-05-02 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-04-23 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-11-29 | F0584 | Honor 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. | D |
| 2023-08-21 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2023-08-15 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-08-15 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2023-04-20 | F0578, F0645, F0759, F0761, F0812, F0880 | Honor 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program. | E |
| 2023-04-20 | F0580, F0641, F0644, F0676, F0690, F0692, F0695, F0757, F0803 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D |
| 2019-10-24 | F0580, F0658, F0677, F0806, F0810, F0880 | Immediately 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 care and assistance to perform activities of daily living for any resident who is unable. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program. | D |
Why was WESTGATE GARDENS CARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2025-05-15 | Fine | $10,317 |
How is WESTGATE GARDENS CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.13147 | 4.51570 |
| Total nursing staff turnover (%) | 45.3 | 36.7 |
| Average number of residents per day | 134.4 | 87.9 |
Who owns WESTGATE GARDENS CARE CENTER, and what chain is it in?
WESTGATE GARDENS CARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name THYME HOLDINGS, LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | GROSSMAN, STEPHEN | since 01/01/2010 |
| W-2 MANAGING EMPLOYEE | WALKER, JONATHAN | since 08/14/2023 |
| CORPORATE OFFICER | APT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | WALKER, JONATHAN | since 08/14/2023 |
Were you or a family member harmed at WESTGATE GARDENS CARE CENTER?