Quick answers
- Where is Visalia Post Acute?
- 1925 E. Houston Ave, Visalia, CA 93292, in Tulare County, California.
- What is the phone number of Visalia Post Acute?
- (559) 732-1020, as listed by Medicare (CMS).
- What is the Medicare star rating of Visalia Post Acute?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Visalia Post Acute been fined?
- Medicare lists 1 fine totaling $9,016 and 1 payment denial.
- What did inspectors find at Visalia Post Acute?
- In its last three inspection cycles (October 4, 2023 to August 10, 2026), Medicare lists 74 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 (October 4, 2023 to August 10, 2026), Visalia Post Acute had 74 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 $9,016 in total (1 fine, the latest on May 21, 2026) and had 1 Medicare payment denial. 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: March 6, 2026 — 24 health citations
Inspections in this cycle: January 12, 2026 (complaint investigation); March 6, 2026 (standard health inspection); May 4, 2026 (complaint investigation); May 21, 2026 (complaint investigation); June 9, 2026 (complaint investigation); June 26, 2026 (complaint investigation); June 30, 2026 (complaint investigation); July 29, 2026 (complaint investigation); August 10, 2026 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 23 less serious citations (levels A to F)
F0585 Level F
“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.”
F0850 Level F
“Hire a qualified full-time social worker in a facility with more than 120 beds.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
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.”
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.”
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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0761 Level D
“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.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0761 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
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.”
Previous cycle: February 3, 2025 — 26 health citations
Inspections in this cycle: October 2, 2024 (complaint investigation); February 3, 2025 (standard health inspection); February 10, 2025 (complaint investigation); March 20, 2025 (complaint investigation); May 16, 2025 (complaint investigation); May 29, 2025 (complaint investigation); September 3, 2025 (complaint investigation).
Show 26 citations (levels A to F, no actual harm)
F0578 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0943 Level F
“Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0847 Level E
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0687 Level D
“Provide appropriate foot care.”
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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0626 Level D
“Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.”
F0660 Level D
“Plan the resident's discharge to meet the resident's goals and needs.”
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.”
F0625 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0800 Level D
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0912 Level D
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
Earlier cycle: December 7, 2023 — 24 health citations
Inspections in this cycle: October 4, 2023 (complaint investigation); October 20, 2023 (complaint investigation); December 7, 2023 (standard health inspection); January 16, 2024 (complaint investigation); February 5, 2024 (complaint investigation); April 3, 2024 (complaint investigation); May 8, 2024 (complaint investigation); May 16, 2024 (complaint investigation); June 28, 2024 (complaint investigation); August 15, 2024 (complaint investigation).
Show 24 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.”
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.”
F0837 Level D
“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.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0687 Level D
“Provide appropriate foot care.”
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.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
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.”
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.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0912 Level D
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
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.”
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.”
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 (38)
E0039 Level F
“Conduct testing and exercise requirements.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0161 Level E
“Use approved construction type or materials.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0324 Level D
“Provide properly protected cooking facilities.”
E0041 Level C
“Implement emergency and standby power systems.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0039 Level F
“Conduct testing and exercise requirements.”
E0041 Level F
“Implement emergency and standby power systems.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0293 Level F
“Have properly located and lighted "Exit" signs.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0341 Level E
“Install a fire alarm system that can be heard throughout the facility.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0926 Level E
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
E0030 Level D
“List the names and contact information of those in the facility.”
E0006 Level C
“Conduct risk assessment and an All-Hazards approach.”
E0031 Level C
“Provide emergency officials' contact information.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0037 Level D
“Establish staff and initial training requirements.”
E0039 Level D
“Conduct testing and exercise requirements.”
E0041 Level D
“Implement emergency and standby power systems.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0500 Level D
“Meet other general requirements that are deficient.”
K0914 Level D
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0291 Level C
“Install emergency lighting that can last at least 1 1/2 hours.”
Fines and payment denials
Total fines over about the last three years: $9,016 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 21, 2026 | Fine | $9,016 |
| May 21, 2026 | Payment denial | from June 30, 2026, 3 days |
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 | 0.21 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.09 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.56 | 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 | 3.73 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.17 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 39.9% | 36.6% | 45.3% |
| RN turnover (per year) | 37.5% | 37.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 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: Spruce Holdings, LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Hudson River Opco LLC | Direct owner | 100% | November 5, 2021 |
| Bay Bridge Capital Partners, LLC | Indirect owner | 100% | November 5, 2021 |
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 | 176 |
| Average residents per day | 161.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Pacs Group |
| Legal business name | Spruce Holdings, LLC |
| First approved by Medicare/Medicaid | 1985-08-09 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1925 E. Houston Ave, Visalia, CA 93292 |
| County | Tulare County |
| State | California |
| Phone | (559) 732‑1020 |
| CMS Certification Number | 055604 |
| Name in Medicare records | VISALIA 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).
- Delta Healthcare & Wellness Center, LP1.2 mi · Visalia, CA · 5 of 5 stars
- Kaweah Health Skilled Nursing Center2.1 mi · Visalia, CA · 4 of 5 stars
- Sequoia Vista3.7 mi · Visalia, CA · 1 of 5 stars
- Linwood Meadows Care Center4.1 mi · Visalia, CA · 3 of 5 stars
- Westgate Gardens Care Center4.2 mi · Visalia, CA · 4 of 5 stars
Nearest hospital emergency rooms
- Kaweah Health Medical Center1.7 mi · Visalia, CA · Acute Care Hospital
- Adventist Health Tulare13 mi · Tulare, CA · Acute Care Hospital
- Adventist Health Hanford20 mi · Hanford, 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