Sequoia Vista
3710 West Tulare Avenue, Visalia, CA 93277
Sequoia Vista, a 99-bed for profit - limited liability company nursing facility in Visalia, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,069 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5597322244
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #1,069 of 1,154
- In-state rank among rated CA homes
- 4.91
- Well above average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 2 serious
The verdict
Sequoia Vista, a 99-bed for profit - limited liability company nursing facility in Visalia, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,069 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #1,069 of 1,154
- In-state rank among rated CA homes
- 4.91
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 1,165 CA nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 055916
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 99
- Residents
- 89
- In Hospital
- No
- County
- Tulare
- Last Inspection
- Jun 4, 2026
Staffing Data
How the 4.91 total nursing hours per resident-day are staffed:
- RN Hours
- 0.38 (nat'l avg: 0.69)
- LPN Hours
- 1.36
- CNA Hours
- 3.17
- Total Nursing Hours
- 4.91 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 51.6%
- RN Turnover
- 80.0%
What the CMS Record Reveals About Sequoia Vista
According to CMS Nursing Home Compare, Sequoia Vista ranks #1,069 of 1,154 rated nursing homes in CA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Sequoia Vista operates 99 certified beds in Visalia, CA with approximately 89 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 4★).
The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $46K against this provider. Per resident day, this facility reports 4.91 total nursing hours (national average 3.86) and 0.38 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Sequoia Vista falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.6% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Jul 13, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jul 13, 2026
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Jul 13, 2026
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jul 13, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 13, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jul 13, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 13, 2026
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Category: Administration Deficiencies
Corrected: Jul 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 13, 2026
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 13, 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.
Category: Pharmacy Service Deficiencies
Corrected: Jul 13, 2026
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 13, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 13, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 13, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Jul 13, 2026
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 28, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 28, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Apr 28, 2026
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: May 12, 2026
Observe each nurse aide's job performance and give regular training.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 2, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 2, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 1, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 23, 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.
Category: Resident Rights Deficiencies
Corrected: Jan 23, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2026
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category: Resident Rights Deficiencies
Corrected: Sep 24, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 19, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Category: Resident Rights Deficiencies
Corrected: Sep 24, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Aug 23, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category: Resident Rights Deficiencies
Corrected: Sep 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 28, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Aug 28, 2025
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Category: Resident Rights Deficiencies
Corrected: Aug 28, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 26, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 26, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 26, 2024
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 26, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 26, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 26, 2024
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 26, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 26, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 26, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Dec 26, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 26, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.5% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 7.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 18.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 15.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 95.2% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 98.2% | No |
Penalty History 2 penalties totaling $46K
| Date | Type | Amount |
|---|---|---|
| Mar 2, 2026 | Fine | $38K |
| Mar 2, 2026 | Payment Denial | - |
| Nov 14, 2025 | Fine | $8K |
| May 30, 2024 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Sequoia Vista, both outside CA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside CA (99 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside CA (3.99 here).
Nearby Nursing Homes in CA
1,164 other nursing homes are on record in CA; 6 are shown here.
A Grace Sub Acute & Skilled Care
San Jose, CA
Acc Care Center
Sacramento, CA
Advanced Health Care of Sacramento
Sacramento, CA
Advanced Rehab Center of Tustin
Santa Ana, CA
Adventist Health Delano
Delano, CA
Adventist Health Sonora - D/P SNF
Sonora, CA
Understanding Nursing Home Data
What the CMS records show for Sequoia Vista
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The CA registry aggregates state averages and the highest-rated homes in this cohort. View CA registry
- Peer homes near 99 beds show how CMS stars vary at a similar scale in CA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Sequoia Vista?
Where does Sequoia Vista rank among nursing homes in CA?
What are the staffing levels at Sequoia Vista?
How many beds does Sequoia Vista have?
Does Sequoia Vista have any deficiencies on record?
Has Sequoia Vista received any fines or penalties?
Who owns Sequoia Vista?
When was Sequoia Vista last inspected?
What quality measures are tracked for Sequoia Vista?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
