All states › California › Porterville › Sequoia Transitional Care
350 North Villa Street Porterville, CA 93257 · Tulare County
All 5 nursing homes in Porterville, CA (5 take Medicaid)
CMS certification number 055551 · See this home on Medicare Care Compare
Is Sequoia Transitional Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sequoia Transitional Care as of October 2026.
CMS rates it 4 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.04 hours per resident per day at Sequoia Transitional Care, below the California median of 4.27 (US median: 3.72). About 0.20 of those hours are from registered nurses. On weekends it falls to 3.78 hours, 6% below its all-week average. 37.5% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Sequoia Transitional Care: Medicare and Medicaid
Sequoia Transitional Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 15, 2026 and found 5 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 40 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 40 citations at Sequoia Transitional Care across 11 inspection dates, 11 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on January 15, 2026. The most common areas cited were quality of life and care (9) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level G, January 15, 2026).
June 3, 2026 · 3 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
April 2, 2026 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
January 15, 2026 · 6 citations, includes actual harm
GProvide safe, appropriate pain management for a resident who requires such services.
FProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
December 31, 2025 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
April 17, 2025 · 2 citations, includes actual harm · includes complaint inspection
GProvide care and assistance to perform activities of daily living for any resident who is unable.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
January 9, 2025 · 10 citations
FHave 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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
November 8, 2024 · 1 citation · includes complaint inspection
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
October 14, 2024 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
August 7, 2024 · 1 citation · includes complaint inspection
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
June 12, 2024 · 1 citation · includes complaint inspection
FHave 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.
October 12, 2023 · 13 citations
EHonor 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.
EHave 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Sequoia Transitional Care
- Inspectors cited the home at the actual-harm level on January 15, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $41,759 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 17, 2025 | Fine | $41,759 |
| Apr 17, 2025 | Payment Denial | 18 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 3/5 | 5/5 |
| August 2026 | 4/5 | 3/5 | 3/5 | 5/5 |
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Location
Hospitals near Sequoia Transitional Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.3 mi
Sierra View District Hospital PortervilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 9m for patients treated and sent home
- 3.4 mi
-
20.1 mi
Adventist Health Tulare TulareEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 18m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Other PACS Group nursing homes in California
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- San Francisco Post Acute · San Francisco · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 277 PACS Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.