All states › California › Visalia › Sequoia Vista
3710 West Tulare Avenue Visalia, CA 93277 · Tulare County
All 6 nursing homes in Visalia, CA (6 take Medicaid)
CMS certification number 055916 · See this home on Medicare Care Compare
Is Sequoia Vista 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 Vista as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 5.16 hours per resident per day at Sequoia Vista, above the California median of 4.27 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 4.41 hours, 14% below its all-week average. 48.9% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Sequoia Vista: Medicare and Medicaid
Sequoia Vista 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 June 4, 2026 and found 16 deficiencies, plus 12 from complaint inspections in the same period. In total, inspectors issued 90 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 90 citations at Sequoia Vista across 31 inspection dates, 35 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on April 1, 2026. The most common areas cited were resident rights (21) and resident assessment and care planning (17). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, April 1, 2026). 6 citations were under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
August 13, 2026 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
June 4, 2026 · 16 citations
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure 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.
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DImplement a program that monitors antibiotic use.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
April 21, 2026 · 1 citation · includes complaint inspection
EProvide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
April 13, 2026 · 2 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
April 1, 2026 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
March 9, 2026 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DObserve each nurse aide's job performance and give regular training.
March 2, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
December 18, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 1, 2025 · 1 citation · includes complaint inspection
DHonor 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.
November 14, 2025 · 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 26, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
August 18, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
August 6, 2025 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
July 15, 2025 · 2 citations · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
June 24, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DHonor 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 16, 2025 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
January 27, 2025 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 5, 2024 · 20 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.
FObserve each nurse aide's job performance and give regular training.
FProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure services provided by the nursing facility meet professional standards of quality.
DAssist a resident in gaining access to vision and hearing services.
DProvide enough food/fluids to maintain a resident's health.
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 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.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
November 18, 2024 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
August 20, 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.
July 29, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
July 17, 2024 · 1 citation · includes complaint inspection
DDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
May 30, 2024 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
March 4, 2024 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
February 21, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 22, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 28, 2023 · 2 citations · includes complaint inspection
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
November 9, 2023 · 19 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.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
EEnsure each resident receives an accurate assessment.
EPASARR screening for Mental disorders or Intellectual Disabilities
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EProvide 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.
DAssure that each resident’s assessment is updated at least once every 3 months.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate foot care.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 18, 2023 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
October 11, 2023 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Questions to ask on a tour of Sequoia Vista
- Inspectors cited the home at the actual-harm level on April 1, 2026 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 4, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 48.9% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- 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
4 penalties in the last three years, including $35,683 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 2, 2026 | Fine | $27,405 |
| Mar 2, 2026 | Payment Denial | 14 days of payments denied |
| Nov 14, 2025 | Fine | $8,278 |
| May 30, 2024 | Payment Denial | 21 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Sequoia Vista
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.0 mi
Kaweah Delta Medical Center VisaliaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 14m for patients treated and sent home
-
6.9 mi
Adventist Health Tulare TulareEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 18m for patients treated and sent home
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18.4 mi
Hanford Community Medical Center HanfordEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 0m 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.
Nearby nursing homes
More nursing homes near Sequoia Vista › All nursing homes in Visalia ›
Compare Sequoia Vista with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Delta Healthcare & Wellness Center · Visalia · 5 stars · 2.4 mi
- Westgate Gardens Care Center · Visalia · 4 stars · 0.6 mi
- Kaweah Health Skilled Nursing Center · Visalia · 4 stars · 2.2 mi
- Linwood Meadows Care Center · Visalia · 3 stars · 0.6 mi
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.