CareSentinel

Federal Nursing-Home Survey Record

WESTGATE GARDENS CARE CENTER

CCN 555208 · 4525 W. TULARE AVE., VISALIA, CA, 93277

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does WESTGATE GARDENS CARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WESTGATE GARDENS CARE CENTER (CCN 555208), in VISALIA, CA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 18 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $10,317 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Civil money penalties on file

$10,317

CMS has $10,317 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-17
CURRENT CYCLE
F917S/S D

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.

2025-12-22
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-08-05
CURRENT CYCLE
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2025-08-05
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-07-01
CURRENT CYCLE
F837S/S D

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.

2025-06-11
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-06-11
CURRENT CYCLE
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2025-06-04
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-05-15
CURRENT CYCLE
F627S/S D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

2025-02-24
CURRENT CYCLE
F847S/S E

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

2025-02-24
CURRENT CYCLE
F868S/S E

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2025-02-24
CURRENT CYCLE
F578S/S E

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.

2025-02-24
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-02-24
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-02-24
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-02-24
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-02-24
CURRENT CYCLE
F584S/S D

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.

2025-02-24
CURRENT CYCLE
F761S/S D

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.

35 citations from earlier inspection cycles — historical, not current (expand)
2025-04-07
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-03-28
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2025-01-29
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-01-02
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-09-06
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-05-16
HISTORICAL
F622S/S D

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.

2024-05-02
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-04-23
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-11-29
HISTORICAL
F584S/S D

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.

2023-08-21
HISTORICAL
F921S/S D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2023-08-15
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-08-15
HISTORICAL
F804S/S D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2023-07-31
HISTORICAL
F622S/S D

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.

2023-06-16
HISTORICAL
F573S/S D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

2023-04-20
HISTORICAL
F645S/S E

PASARR screening for Mental disorders or Intellectual Disabilities

2023-04-20
HISTORICAL
F761S/S E

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.

2023-04-20
HISTORICAL
F578S/S E

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.

2023-04-20
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-04-20
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-04-20
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2023-04-20
HISTORICAL
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2023-04-20
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-04-20
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-04-20
HISTORICAL
F676S/S D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2023-04-20
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-04-20
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2023-04-20
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2023-04-20
HISTORICAL
F803S/S D

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.

2023-04-20
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2019-10-24
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2019-10-24
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2019-10-24
HISTORICAL
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2019-10-24
HISTORICAL
F810S/S D

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

2019-10-24
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2019-10-24
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at WESTGATE GARDENS CARE CENTER?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

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