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Medicare-certifiedSkilled Nursing

Visalia Post Acute

Visalia, CaliforniaMedicare inspection record
(559) 732-1020

About Visalia Post Acute

Visalia Post Acute brings comprehensive skilled nursing and rehabilitation care to Visalia, California, where experienced staff support recovery with personalized treatment plans. Families trust us for short-term rehabilitation and long-term skilled nursing care that prioritizes healing and independence.

Community at a glance

Capacity

176 residents

Location

Visalia, CA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1925 E. HOUSTON AVE, Visalia, California 93292

(559) 732-1020

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on March 6, 2026, state inspectors cited 26 health deficiencies (the California average is 15.5).

Nurses and nurse aides spend 3 hours 46 minutes with each resident a day, below the California average of 4 hours 31 minutes.

Medicare fined Visalia Post Acute once in the last three years, $13,870 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 46 minutesBelow the California average
Registered nurse time per resident, per day12 minutesBelow the California average
Nursing staff who left in the past year42%Above the California average

1 administrator has left the home in the past year.

Inspections

69 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 29, 2026 · Complaint investigation · 1 citation

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 20, 2026

June 30, 2026 · Complaint investigation · 1 citation

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 3, 2026
June 26, 2026 · Complaint investigation · 1 citation+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 3, 2026
June 9, 2026 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 3, 2026
May 21, 2026 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 17, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 15, 2026
May 4, 2026 · Complaint investigation · 2 citations+
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 12, 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 15, 2026
March 6, 2026 · Standard inspection · 14 citations+
  • Hire a qualified full-time social worker in a facility with more than 120 beds.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Mar 9, 2026
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Mar 9, 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.

    Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Mar 23, 2026
  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Mar 17, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 5, 2026
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 19, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 13, 2026
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 20, 2026
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 15, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 7, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Mar 9, 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 9, 2026
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Mar 16, 2026
  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Minimal harm or risk, a pattern (level B)EnvironmentalCorrected Mar 6, 2026
January 12, 2026 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 20, 2026
September 3, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 30, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 30, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 30, 2025
May 29, 2025 · Complaint investigation · 1 citation+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 30, 2025
May 16, 2025 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 20, 2025
March 20, 2025 · Complaint investigation · 1 citation+
  • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 1, 2025
February 10, 2025 · Complaint investigation · 1 citation+
  • Plan the resident's discharge to meet the resident's goals and needs.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 3, 2025
February 3, 2025 · Standard inspection · 18 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Feb 27, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, widespread (level F)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 27, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Feb 27, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Feb 27, 2025
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 27, 2025
  • Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Feb 27, 2025
  • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 27, 2025
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2025
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2025
  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 27, 2025
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 27, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 27, 2025
  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalWaived by the state
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 27, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 27, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 27, 2025
October 2, 2024 · Complaint investigation · 1 citation+
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Nov 2, 2024
August 15, 2024 · Complaint investigation · 1 citation+
  • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Sep 10, 2024
June 28, 2024 · Complaint investigation · 1 citation+
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 9, 2024
May 16, 2024 · Complaint investigation · 3 citations+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 17, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 17, 2024
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 17, 2024
May 8, 2024 · Complaint investigation · 3 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 27, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 27, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 27, 2024
April 3, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 23, 2024
February 5, 2024 · Complaint investigation · 1 citation+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Feb 23, 2024
January 16, 2024 · Complaint investigation · 1 citation+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 30, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

1 fine totaling $13,870 and 1 Medicare payment denial in the last three years.

  • May 21, 2026Fine: $13,870
  • May 21, 2026Payment denial, 3 days

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Spruce Holdings, LLC
Medicare-certified beds
176
Average residents per day
160
Accepts
Medicare and Medicaid
First certified
August 9, 1985
Part of a chain
Pacs Group, 275 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
055604

Location

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1925 E. HOUSTON AVEVisalia, CA 93292

12 other communities within 10 miles

Senior living near Visalia

Questions about Visalia Post Acute

How did Visalia Post Acute do on its last inspection?+

State inspectors visited on March 6, 2026 and cited 26 health deficiencies, 12 of them from complaint investigations. The California average is 15.5.

How much nursing care does each resident get at Visalia Post Acute?+

Nurses and aides spend 3 hours 46 minutes with each resident per day, including 12 minutes from registered nurses. 42% of nursing staff left over the past year.

Has Visalia Post Acute been fined by Medicare?+

Yes. Medicare fined Visalia Post Acute once in the last three years, totaling $13,870.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Visalia Skilled Nursing in California Skilled Nursing guide Information last updated October 2026