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B

75/100

Above average

Westgate Gardens Care Center

4525 W. Tulare Ave., Visalia, CA 93277

CMS 4/5 stars #12 of 16 in Tulare County (559) 733-0901
Certified beds
140
Occupancy
96%
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.

  • $10,317 in federal fines

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

Our read on Westgate Gardens Care Center

Westgate Gardens runs 140 beds in Visalia, and its nurse staffing sits at 4.13 hours per resident day, roughly 7% above the national average, though weekends drop about 6% below its own weekday levels. Turnover lands at 45.3%, essentially matching the national figure of 45.8%, so retention here isn't unusually bad or unusually good. What stands out is the inspection record: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a $10,317 fine attached. The last inspection was February 2025, so the record is current. Strong quality-measure scores sit alongside that history, worth asking about directly when you visit.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing13/30Stability9/15Outcomes15/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

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

  • →No citations recorded in the last 3 years

Staffing

13/30

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

  • →3.67 total nurse hours per resident per day (national median 3.77)
  • →0.32 RN hours per resident per day
  • →Weekend staffing drops 6% against weekdays

Staff stability

9/15

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

  • →45% 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

8/10

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

  • →$10,317 in federal fines across 1 action(s)

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 day4.13 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.32 hrs
National average 0.69 hrsBelow average

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

Weekend nurse hours3.90 hrs
National average 3.42 hrsBetter than average

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

Nursing staff turnover45.30%
National average 45.80%Better than average

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

Recent inspection findings

Last standard health inspection: February 24, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of PACS GROUP, which operates 275 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Westgate Gardens Care Center

What is the ElderGrade for Westgate Gardens Care Center? +

Westgate Gardens Care Center holds an ElderGrade of B (75 out of 100), which we describe as "above 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 Westgate Gardens Care Center? +

Residents receive an average of 4.13 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Westgate Gardens Care Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Westgate Gardens Care Center accept Medicaid? +

Yes, Westgate Gardens Care Center 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.