Nursing homeFAID #13493
Westgate Gardens Care Center
★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare
Photo via Google · Westgate Gardens Care Center
Public record summary
What we can show you for free.
Bed capacity
140
CMS facility ID
555208
Care type
Nursing home
County
Tulare
Facility name
Westgate Gardens Care Center
Street address
4525 W. TULARE AVE.
City / state / ZIP
Visalia, CA 93277
Phone
(559) 733-0901
About this facility — Westgate Gardens Care Center
Westgate Gardens Care Center is a Medicare/Medicaid-certified skilled nursing facility in Visalia, California. It is licensed for 140 beds — above the median for skilled nursing facilities in California (98 beds).
It is one of 32 senior care facilities in Visalia and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Westgate Gardens Care Center 76 times across 26 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $10,317 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Pacs Group
Ownership type
For profit - Corporation
Registered owners & officers
Apt, Frederick
Officer — since 2024
Grossman, Stephen
Managing employee — since 2010
Hancock, Mark
Officer — since 2024
Jergensen, Joshua
Officer — since 2024
Mitchell, John
Officer — since 2024
Walker, Jonathan
Managing employee · Operational control — since 2023
Regulatory standing
Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-10-02
CMS overall rating
3 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$10,317 total
Last standard inspection
2025-02-24
Nurse staffing
4.1 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$666 per day (≈ $20,250/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
11% Medicaid · 26% Medicare · 63% private/other
Occupancy
94% (fiscal year 2023)
Vs. state median
30% above the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
140
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-28Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-22
2026-04-09Health inspectionComplaint-triggered1 citation
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2026-04-24
24 earlier / fire-safety inspections (74 citations)
2026-02-17Health inspectionComplaint-triggered1 citation
F-0917
D · No harm foundFrom a complaint
Make 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 needs; or 5) adequate closet space.
Corrected 2026-02-24
2025-12-22Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-29
2025-08-05Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-09-03
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-03
2025-07-01Health inspectionComplaint-triggered1 citation
F-0837
D · No harm foundFrom a complaint
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.
Corrected 2025-08-12
2025-06-11Health inspectionComplaint-triggered2 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-07-30
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-30
2025-06-04Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-20
2025-05-15Health inspectionComplaint-triggered1 citation
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-06-13
2025-04-07Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-09
2025-03-28Health inspectionComplaint-triggered1 citation
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-30
2025-02-24Health inspection9 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-24
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-24
F-0578
E · No harm found
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.
Corrected 2025-03-24
F-0584
D · No harm found
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.
Corrected 2025-03-24
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-24
F-0761
D · No harm found
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.
Corrected 2025-03-24
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-24
F-0847
E · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-03-24
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-24
2025-01-29Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-04
2025-01-02Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-03
2024-09-06Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-03
2024-05-16Health inspectionComplaint-triggered1 citation
F-0622
D · No harm foundFrom a complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-06-28
2024-05-02Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-03
2024-04-23Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-24
2023-11-29Health inspectionComplaint-triggered1 citation
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2023-12-14
2023-08-21Health inspectionComplaint-triggered1 citation
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-31
2023-08-15Health inspectionComplaint-triggered2 citations
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-16
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-16
2023-04-20Health inspection15 citations
F-0578
E · No harm found
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.
Corrected 2023-05-22
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-22
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-05-22
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-05-22
F-0645
E · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-22
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-05-22
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-05-22
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-22
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-05-22
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-05-22
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-22
F-0761
E · No harm found
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.
Corrected 2023-05-22
F-0803
D · No harm foundFood safety
Ensure 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.
Corrected 2023-05-22
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-05-22
2019-10-24Health inspection6 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-11-19
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-11-19
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-11-19
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-11-19
F-0810
D · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2019-11-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-11-19
2025-02-24Fire-safety inspection8 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-04
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-01
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-10
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-03-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-10
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-05
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-03-01
2023-04-20Fire-safety inspection7 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-05-11
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-11
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-11
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-05-11
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-05-11
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-11
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-11
2019-10-24Fire-safety inspection8 citations
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2019-12-17
E-0041
E · No harm found
Implement emergency and standby power systems.
Corrected 2019-12-17
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-12-17
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-12-17
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-17
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-12-17
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2019-12-17
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-17
Federal penalties
2025-05-15Fine$10,317
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555208.
Visitor reviews
What people say on Google.
4.4★★★★★121 ratings on Google
★★★★★Vickie Huerta · 2025-11-13 · via Google“My dad was placed here. We met extremely nice, loving , caring employees. Their names were Samantha Cortez & Rosa. They went above and beyond to care for my dad. They genuinely loved him. My family will forever remember this. 5 Star all the way. 🌟🌟🌟🌟🌟We even invited them to his 80th birthday. We became family. ❤️😍 They truly were God sent.”
★★★★★Jonathan Gritzner · 2026-02-03 · via Google“All of the personnel were terrific. Very courteous and attentive. We especially would like to recognize one of the CNA's Natalie. She was absolutely wonderful. My mother loved her. Natalie was so very nice to her and was easily able to get my mother to take a shower and to smile. Also Rickie the PT person was great with her enthusiasm and humor. Thank you all for your service.”
★Maricela Martinez · 2026-01-19 · via Google“My mom was sent here after a fall which she fractured her wrist and knee. She was not fed the first night and the next day. Some of the CNA's took care of her well, but there was a few CNA's that were rude, unprofessional, they belittled my mom. These CNA's need to have more patience, be more companionate or they need to find a different type of employment. The food was always cold, never had a re…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
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Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered