Quick answers
- Where is Gateway Post Acute?
- 661 West Poplar, Porterville, CA 93257, in Tulare County, California.
- What is the phone number of Gateway Post Acute?
- (559) 784-8371, as listed by Medicare (CMS).
- What is the Medicare star rating of Gateway Post Acute?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Gateway Post Acute been fined?
- Medicare lists 1 fine totaling $8,018.
- What did inspectors find at Gateway Post Acute?
- In its last three inspection cycles (November 4, 2022 to June 4, 2026), Medicare lists 54 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 4, 2022 to June 4, 2026), Gateway Post Acute had 54 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,018 in total (1 fine, the latest on September 9, 2024). Nurse staffing is 3.86 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 14, 2026 — 16 health citations
Inspections in this cycle: May 14, 2026 (standard health inspection); June 4, 2026 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0801 Level F
“Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”
F0726 Level E
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0806 Level E
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0813 Level E
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0912 Level E
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0635 Level D
“Provide doctor's orders for the resident's immediate care at the time the resident was admitted.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0800 Level D
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Previous cycle: October 17, 2024 — 23 health citations
Inspections in this cycle: October 17, 2024 (standard health inspection); June 4, 2025 (complaint investigation).
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 22 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0776 Level D
“Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0584 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0700 Level D
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
F0727 Level D
“Have 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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Earlier cycle: November 4, 2022 — 15 health citations
Inspections in this cycle: November 4, 2022 (standard health inspection); December 12, 2023 (complaint investigation); January 10, 2024 (complaint investigation); September 9, 2024 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0578 Level E
“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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0678 Level D
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0687 Level D
“Provide appropriate foot care.”
F0726 Level D
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0730 Level D
“Observe each nurse aide's job performance and give regular training.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (28)
K0293 Level F
“Have properly located and lighted "Exit" signs.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0500 Level D
“Meet other general requirements that are deficient.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
E0004 Level C
“Develop and maintain an Emergency Preparedness Program (EP).”
K0161 Level D
“Use approved construction type or materials.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
E0041 Level E
“Implement emergency and standby power systems.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0347 Level E
“Properly provide smoke detection systems in areas open to corridors.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
E0004 Level D
“Develop and maintain an Emergency Preparedness Program (EP).”
E0022 Level D
“Establish policies and procedures for sheltering.”
E0026 Level D
“Establish roles under a Waiver declared by secretary.”
E0037 Level D
“Establish staff and initial training requirements.”
E0039 Level D
“Conduct testing and exercise requirements.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0921 Level D
“Ensure that testing and maintenance of electrical equipment is performed.”
Fines and payment denials
Total fines over about the last three years: $8,018 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| September 9, 2024 | Fine | $8,018 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.24 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.14 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.49 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.86 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.60 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.17 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 52.2% | 36.6% | 45.3% |
| Administrators who left in the last year | 2.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 277 nursing homes: Pacs Group.
Legal business name: Valley Careidence Opco, LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Providence Group of California LLC | Direct owner | 100% | March 24, 2014 |
| Providence Group NH, LLC | Indirect owner | 100% | June 30, 2023 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 62 |
| Average residents per day | 57.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Valley Careidence Opco, LLC |
| First approved by Medicare/Medicaid | 1973-12-21 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 661 West Poplar, Porterville, CA 93257 |
| County | Tulare County |
| State | California |
| Phone | (559) 784‑8371 |
| CMS Certification Number | 056423 |
| Name in Medicare records | GATEWAY POST ACUTE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Sierra View Medical Center1.2 mi · Porterville, CA · 4 of 5 stars
- Sierra Valley Rehab Center1.4 mi · Porterville, CA · 4 of 5 stars
- Sequoia Transitional Care1.5 mi · Porterville, CA · 4 of 5 stars
- River Walk Care Center1.6 mi · Porterville, CA · 2 of 5 stars
- Lindsay Gardens Nursing & Rehabilitation12 mi · Lindsay, CA · 4 of 5 stars
Nearest hospital emergency rooms
- Sierra View Medical Center1.2 mi · Porterville, CA · Acute Care Hospital
- Adventist Health Tulare21 mi · Tulare, CA · Acute Care Hospital
- Adventist Health Delano23 mi · Delano, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13