Visalia Post Acute
A nursing home in Visalia, California 93292
1925 E. Houston Ave, Visalia, California 93292. (559) 732-1020.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 24 health citations at the latest inspection cycle California average: 15.7
- 3.86 nurse hours per resident per day California average: 4.54
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
24 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Mar 6, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on May 21, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
70 citations in 18 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 70 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 29 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 10, 2026: complaint inspection1 citation
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Implement a program that monitors antibiotic use.
Jul 29, 2026: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 30, 2026: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 26, 2026: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 9, 2026: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
May 21, 2026: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure services provided by the nursing facility meet professional standards of quality.
May 4, 2026: complaint inspection2 citations
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Reasonably accommodate the needs and preferences of each resident.
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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.
Mar 6, 2026: standard inspection14 citations
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide safe, appropriate pain management for a resident who requires such services.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Hire a qualified full-time social worker in a facility with more than 120 beds.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide and implement an infection prevention and control program.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jan 12, 2026: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Sep 3, 2025: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate foot care.
May 29, 2025: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
May 16, 2025: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Mar 20, 2025: complaint inspection1 citation
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Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Feb 10, 2025: complaint inspection1 citation
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Plan the resident’s discharge to meet the resident’s goals and needs.
Feb 3, 2025: standard inspection18 citations
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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.
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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.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Ensure each resident receives an accurate assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide or obtain dental services for each resident.
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Provide and implement an infection prevention and control program.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Oct 2, 2024: complaint inspection1 citation
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Aug 15, 2024: complaint inspection1 citation
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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.
Jun 28, 2024: complaint inspection1 citation
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
May 16, 2024: complaint inspection3 citations
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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.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide appropriate foot care.
May 8, 2024: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 3, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 5, 2024: complaint inspection1 citation
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 16, 2024: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Dec 7, 2023: standard inspection9 citations
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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.
-
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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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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.
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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.
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Provide and implement an infection prevention and control program.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 9, 1985.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 176 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $9,016 in all.
- 1 Medicare payment denial in the last three years.
- 29 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 21, 2026 | Medicare payment denial | Not given |
| May 21, 2026 | Fine | $9,016 |
Who does the caring?
3.86 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.86 | 4.54 |
| Of which registered nurses | 0.21 | 0.68 |
| At weekends | 3.73 | 4.10 |
| Nursing staff turnover | 39.9% | 36.6% |
| Registered nurse turnover | 37.5% | 37.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Hudson River Opco LLC owns 100% directly since Nov 5, 2021.
- 7 owners or officers are people: Jason H Murray (owns 5% or more through other companies, 41.8%); Mark D Hancock (owns 5% or more through other companies, 41.8%); John T Mitchell (corporate officer); Abbas S Hasnain (managing employee (under contract)); Frederick G Apt (corporate officer); Joshua O Jergensen (corporate officer); Anita Hubbard (managing employee (on the payroll)).
- Part of PACS Group (277 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Providence Group Inc. | Owns 5% or more through other companies | 100% | Nov 5, 2021 |
| Hudson River Opco LLC | Owns 5% or more directly | 100% | Nov 5, 2021 |
| Pacs Holdings, LLC | Owns 5% or more through other companies | 100% | Jun 30, 2023 |
| Pacs Group, Inc. | Owns 5% or more through other companies | 100% | Jun 30, 2023 |
| Bay Bridge Capital Partners, LLC | Owns 5% or more through other companies | 100% | Nov 5, 2021 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 19.3 miles, this one had the 2nd most health citations at the latest inspection cycle (24; the middle value was 15).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Visalia Post Acute This nursing home | 24 | |
| Delta Healthcare & Wellness Center, LP | 1.2 | 10 |
| Kaweah Health Skilled Nursing Center | 2.1 | 8 |
| Sequoia Vista | 3.7 | 28 |
| Linwood Meadows Care Center | 4.1 | 16 |
| Westgate Gardens Care Center | 4.2 | 14 |
| Tulare Healthcare & Wellness Center, LP | 9.1 | 21 |
| Orchards at Tulare | 9.1 | 23 |
| Grand Oaks Care | 9.2 | 7 |
| Lindsay Gardens Nursing & Rehabilitation | 12.7 | 17 |
| Dinuba Healthcare | 14.7 | 10 |
| Palm Village Retirement Comm. | 19.3 | 13 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.