Skilled Nursing

VISALIA POST ACUTE

1925 E. HOUSTON AVE, VISALIA, CA 93292

176beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.4h

Hrs/resident · weekday

Expected: 4.0h

3.8h

Hrs/resident · weekend

vs 3.4h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
43%
LPNs
CNAs
45%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

65 standard deficiencies in the last 3 years

View all
0921Severity DMar 6, 2026

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

0919Severity DMar 6, 2026

Make sure that a working call system is available in each resident's bathroom and bathing area.

0912Severity BMar 6, 2026

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0880Severity EMar 6, 2026

Provide and implement an infection prevention and control program.

0867Severity FMar 6, 2026

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0865Severity FMar 6, 2026

Have a plan that describes the process for conducting QAPI and QAA activities.

0850Severity FMar 6, 2026

Hire a qualified full-time social worker in a facility with more than 120 beds.

0812Severity DMar 6, 2026

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

0761Severity DMar 6, 2026

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.

0697Severity DMar 6, 2026

Provide safe, appropriate pain management for a resident who requires such services.

0658Severity DMar 6, 2026

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

0627Severity DMar 6, 2026

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

0609Severity EMar 6, 2026

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

0585Severity FMar 6, 2026

Honor 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.

0658Severity DJan 12, 2026

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

0687Severity DSep 3, 2025

Provide appropriate foot care.

0658Severity DSep 3, 2025

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

0580Severity DSep 3, 2025

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

0580Severity DMay 29, 2025

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

0658Severity DMay 16, 2025

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

0626Severity DMar 20, 2025

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0660Severity DFeb 10, 2025

Plan the resident's discharge to meet the resident's goals and needs.

0943Severity FFeb 3, 2025

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0912Severity DFeb 3, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0880Severity FFeb 3, 2025

Provide and implement an infection prevention and control program.

0847Severity EFeb 3, 2025

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

0812Severity FFeb 3, 2025

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

0806Severity DFeb 3, 2025

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

0800Severity DFeb 3, 2025

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0791Severity DFeb 3, 2025

Provide or obtain dental services for each resident.

0698Severity DFeb 3, 2025

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

0684Severity DFeb 3, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0676Severity DFeb 3, 2025

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

0658Severity DFeb 3, 2025

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

0655Severity DFeb 3, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0641Severity DFeb 3, 2025

Ensure each resident receives an accurate assessment.

0625Severity DFeb 3, 2025

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.

0623Severity EFeb 3, 2025

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

0584Severity DFeb 3, 2025

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.

0578Severity FFeb 3, 2025

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.

0919Severity DOct 2, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0837Severity DAug 15, 2024

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.

0745Severity DJun 28, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0687Severity DMay 16, 2024

Provide appropriate foot care.

0609Severity DMay 16, 2024

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

0584Severity DMay 16, 2024

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.

0842Severity DMay 8, 2024

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

0686Severity DMay 8, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0580Severity DMay 8, 2024

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

0689Severity DApr 3, 2024

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

0921Severity DFeb 5, 2024

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

0580Severity DJan 16, 2024

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

0919Severity DDec 7, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

0912Severity DDec 7, 2023

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0880Severity DDec 7, 2023

Provide and implement an infection prevention and control program.

0727Severity DDec 7, 2023

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.

0726Severity EDec 7, 2023

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.

0677Severity DDec 7, 2023

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

0658Severity DDec 7, 2023

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

0656Severity DDec 7, 2023

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

0578Severity EDec 7, 2023

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.

0580Severity DOct 20, 2023

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

0658Severity DOct 4, 2023

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

0656Severity DOct 4, 2023

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

0584Severity DOct 4, 2023

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.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

SPRUCE HOLDINGS, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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