ElderGrade
C

62.2/100

Average

Sequoia Transitional Care

350 North Villa Street, Porterville, CA 93257

CMS 4/5 stars #13 of 16 in Tulare County (559) 784-6644
Certified beds
99
Occupancy
92%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $41,759 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

14.2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -7.8 for 39 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.01 total nurse hours per resident per day (national median 3.77)
  • 0.1 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 38% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $41,759 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.10 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.10 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.74 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 38.00%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 39 citations

Last standard health inspection: January 15, 2026 (7 months ago).

D Apr 2, 2026 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

G Jan 15, 2026 F0697

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Actual harm to a resident

F Jan 15, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

E Jan 15, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 15, 2026 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Jan 15, 2026 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Jan 15, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Dec 31, 2025 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HASNAIN, ABBAS Individual CONTRACTED MANAGING EMPLOYEE
MURPHY, CORY Individual W-2 MANAGING EMPLOYEE
APT, FREDERICK Individual CORPORATE OFFICER
HANCOCK, MARK Individual CORPORATE OFFICER
JERGENSEN, JOSHUA Individual CORPORATE OFFICER
MITCHELL, JOHN Individual CORPORATE OFFICER
PROVIDENCE GROUP OF CALIFORNIA LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
PROVIDENCE GROUP NH, LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Sequoia Transitional Care

What is the ElderGrade for Sequoia Transitional Care? +

Sequoia Transitional Care holds an ElderGrade of C (62.2 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Sequoia Transitional Care? +

Residents receive an average of 4.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Sequoia Transitional Care been cited for harming residents? +

Yes. 2 of the 39 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Sequoia Transitional Care accept Medicaid? +

Yes, Sequoia Transitional Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.