Nursing HomeInspections

Westgate Gardens Care Center

Nursing home in Visalia, CA

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
4525 W. Tulare Ave., Visalia, CA 93277
Phone
(559) 733-0901
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
555208
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
140
Average residents per day
134
Ownership
For-profit, corporation
Legal business name
Thyme Holdings, LLC
Chain
Pacs Group (277 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 2, 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

CMS certification number 555208. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 24, 2025. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 24, 2019 to Jul 27, 2026): 21 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 27, 2026Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed…
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
May 28, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 9, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 17, 2026Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's…
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 22, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 5, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 5, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2025Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed…
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 4, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
May 15, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 51. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,317 in the last three years.

May 15, 2025Fine: $10,317

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.07 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
2.61 hours
Total nurse staffing on weekends
3.80 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
22%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Visalia

Delta Healthcare & Wellness Center, LP514 North Bridge Street · Visalia, CA 93291 · (559) 732-8614 · For-profit29 health citations in 3 inspection cycles · last standard inspection May 15, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Kaweah Health Skilled Nursing Center1633 South Court Street · Visalia, CA 93277 · (559) 624-6037 · Government-owned24 health citations in 3 inspection cycles · last standard inspection Jan 29, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)
Linwood Meadows Care Center4444 West Meadow · Visalia, CA 93277 · (559) 627-1241 · For-profit54 health citations in 3 inspection cycles · last standard inspection May 22, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)
Sequoia Vista3710 West Tulare Avenue · Visalia, CA 93277 · (559) 732-2244 · For-profit90 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · $35,683 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)
Visalia Post Acute1925 E. Houston Ave · Visalia, CA 93292 · (559) 732-1020 · For-profit74 health citations in 3 inspection cycles · last standard inspection Mar 6, 2026 · $9,016 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Visalia →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error