Sequoia Vista
A nursing home in Visalia, California 93277
3710 West Tulare Avenue, Visalia, California 93277. (559) 732-2244.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 28 health citations at the latest inspection cycle California average: 15.7
- 5.16 nurse hours per resident per day California average: 4.54
- 2 fines 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?
28 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Jun 4, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Apr 1, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
69 citations in 20 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 88 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. 33 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 20, 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.
Aug 13, 2026: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 4, 2026: standard inspection16 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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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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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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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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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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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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 therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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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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Implement a program that monitors antibiotic use.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Apr 21, 2026: complaint inspection1 citation
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Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Apr 13, 2026: complaint inspection2 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.
Apr 1, 2026: complaint inspection1 citation
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Ensure that residents are free from significant medication errors.
Mar 9, 2026: complaint inspection2 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Observe each nurse aide’s job performance and give regular training.
Mar 2, 2026: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 18, 2025: 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.
Dec 1, 2025: complaint inspection1 citation
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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.
Nov 14, 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.
Aug 26, 2025: complaint inspection1 citation
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
Aug 18, 2025: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 6, 2025: complaint inspection1 citation
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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.
Jul 15, 2025: complaint inspection2 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Jun 24, 2025: complaint inspection3 citations
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Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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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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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 16, 2025: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Jan 27, 2025: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 5, 2024: standard inspection20 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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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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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure services provided by the nursing facility meet professional standards of quality.
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Assist a resident in gaining access to vision and hearing services.
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Provide enough food/fluids to maintain a resident’s health.
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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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Observe each nurse aide’s job performance and give regular training.
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Ensure medication error rates are not 5 percent or greater.
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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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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 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.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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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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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Provide and implement an infection prevention and control program.
Nov 18, 2024: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Aug 20, 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.
Jul 29, 2024: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 17, 2024: complaint inspection1 citation
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Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
May 30, 2024: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Mar 4, 2024: complaint inspection1 citation
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Protect each resident from the wrongful use of the resident’s belongings or money.
Feb 21, 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.
Jan 22, 2024: 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.
Dec 28, 2023: complaint inspection2 citations
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nov 9, 2023: standard inspection19 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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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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Assure that each resident’s assessment is updated at least once every 3 months.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate foot care.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough food/fluids to maintain a resident’s health.
-
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.
-
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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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.
-
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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 17, 1974.
- 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.
- 99 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $35,683 in all.
- 2 Medicare payment denials in the last three years.
- 33 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 2, 2026 | Medicare payment denial | Not given |
| Mar 2, 2026 | Fine | $27,405 |
| Nov 14, 2025 | Fine | $8,278 |
| May 30, 2024 | Medicare payment denial | Not given |
Who does the caring?
5.16 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 | 5.16 | 4.54 |
| Of which registered nurses | 0.45 | 0.68 |
| At weekends | 4.41 | 4.10 |
| Nursing staff turnover | 48.9% | 36.6% |
| Registered nurse turnover | 81.8% | 37.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- 10 owners or officers are people: Cary Hanson (runs it (operational or managerial control)); Kensett Moyle (owns 5% or more directly); Kensett Moyle (corporate officer); Kensett Moyle (corporate director); James Higbee (runs it (operational or managerial control)); Barbra Mcclung (owns 5% or more directly); Kensett Moyle (corporate officer); Kensett Moyle (runs it (operational or managerial control)); Shubhangi Fazalbhoy (runs it (operational or managerial control)); Lindsey Moyle (runs it (operational or managerial control)).
- 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.
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 17.3 miles, this one had the 1st most health citations at the latest inspection cycle (28; the middle value was 16.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Sequoia Vista This nursing home | 28 | |
| Westgate Gardens Care Center | 0.6 | 14 |
| Linwood Meadows Care Center | 0.6 | 16 |
| Kaweah Health Skilled Nursing Center | 2.2 | 8 |
| Delta Healthcare & Wellness Center, LP | 2.4 | 10 |
| Visalia Post Acute | 3.7 | 24 |
| Tulare Healthcare & Wellness Center, LP | 6.8 | 21 |
| Orchards at Tulare | 6.8 | 23 |
| Grand Oaks Care | 6.9 | 7 |
| Lindsay Gardens Nursing & Rehabilitation | 14.4 | 17 |
| Dinuba Healthcare | 14.9 | 10 |
| Brighton Post Acute | 17.3 | 17 |
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.