Visalia Post Acute
Nursing home in Visalia, CA
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 1925 E. Houston Ave, Visalia, CA 93292
- Phone
- (559) 732-1020
- Listed under
- For-profit
- Medicare CCN
- 055604
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 176
- Average residents per day
- 160
- Ownership
- For-profit, limited Liability company
- Legal business name
- Spruce Holdings, LLC
- Chain
- Pacs Group (274 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Aug 9, 1985
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Mar 6, 2026. CMS lists 72 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 4, 2023 to Jun 30, 2026): 31 from complaint inspections, 1 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 30, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Jun 26, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Jun 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| May 21, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| May 21, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| May 4, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| May 4, 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… | D |
| Mar 6, 2026 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| Mar 6, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Mar 6, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Mar 6, 2026 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| Mar 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… | D |
Fines and payment denials
CMS records 1 fine totalling $13,870 and 1 denial of Medicare payment for new admissions in the last three years.
| May 21, 2026 | Fine: $13,870 |
| May 21, 2026 | Payment denial for 3 days from Jun 30, 2026 |
Staffing
- Total nurse staffing per resident per day
- 3.76 hours
- Registered nurse (RN) time per resident per day
- 0.20 hours
- Nurse aide time per resident per day
- 2.42 hours
- Total nurse staffing on weekends
- 3.60 hours
- Nursing staff turnover (yearly)
- 42%
- RN turnover (yearly)
- 50%
- Administrators who left in the past year
- 1
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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