Inspection citations
23’23
29’24
13’25
25’26
90 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 20, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Aug 13, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jun 4, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Jun 4, 2026 | E · potential | 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. | Routine |
| Jun 4, 2026 | E · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Routine |
| Jun 4, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jun 4, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jun 4, 2026 | E · potential | 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. | Routine |
| Jun 4, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 4, 2026 | E · potential | 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. | Routine |
| Jun 4, 2026 | E · potential | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Routine |
| Jun 4, 2026 | D · potential | 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. | Routine |
| Jun 4, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 4, 2026 | E · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Jun 4, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 4, 2026 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Jun 4, 2026 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Jun 4, 2026 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Apr 21, 2026 | E · potential | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Complaint |
| Apr 13, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Apr 13, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Apr 1, 2026 | G · harm | Ensure that residents are free from significant medication errors. | Complaint |
| Mar 9, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 9, 2026 | D · potential | Observe each nurse aide's job performance and give regular training. | Complaint |
| Mar 2, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 18, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 1, 2025 | D · potential | 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. | Complaint |
| Nov 14, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Aug 26, 2025 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Aug 18, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Aug 6, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Jul 15, 2025 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Jul 15, 2025 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Complaint |
| Jun 24, 2025 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Jun 24, 2025 | D · potential | 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. | Complaint |
| Jun 24, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 16, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jan 27, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Dec 5, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Dec 5, 2024 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Routine |
| Dec 5, 2024 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Dec 5, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Dec 5, 2024 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Dec 5, 2024 | E · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Dec 5, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Dec 5, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Dec 5, 2024 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Dec 5, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Dec 5, 2024 | F · potential | 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. | Routine |
| Dec 5, 2024 | F · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Dec 5, 2024 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Dec 5, 2024 | D · potential | 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. | Routine |
| Dec 5, 2024 | F · potential | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Routine |
| Dec 5, 2024 | D · potential | 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. | Routine |
| Dec 5, 2024 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Dec 5, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 5, 2024 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Dec 5, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 18, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Nov 18, 2024 | D · potential | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Complaint |
| Aug 20, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jul 29, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jul 17, 2024 | D · potential | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Complaint |
| May 30, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 4, 2024 | D · potential | Protect each resident from the wrongful use of the resident's belongings or money. | Complaint |
| Feb 21, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 22, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 28, 2023 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Complaint |
| Dec 28, 2023 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Complaint |
| Nov 9, 2023 | E · potential | 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. | Routine |
| Nov 9, 2023 | E · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Nov 9, 2023 | D · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Routine |
| Nov 9, 2023 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Nov 9, 2023 | E · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Nov 9, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 9, 2023 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Nov 9, 2023 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Nov 9, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Nov 9, 2023 | D · potential | Provide appropriate foot care. | Routine |
| Nov 9, 2023 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Nov 9, 2023 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Nov 9, 2023 | E · potential | 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. | Routine |
| Nov 9, 2023 | D · potential | 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. | Routine |
| Nov 9, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 9, 2023 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Nov 9, 2023 | D · potential | 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. | Routine |
| Nov 9, 2023 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 9, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 18, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Oct 11, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Sequoia Vista
3710 West Tulare Avenue, Visalia, CA 93277 · (559) 732-2244
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055916
- Certified beds
- 99
- Legal owner
- Kaweah Manor, INC.
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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- Kaweah Health Skilled Nursing Center4 of 5 stars overall