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    Nursing home · VISALIA, CA

    VISALIA POST ACUTE

    1925 E. HOUSTON AVE, VISALIA, CA 93292

    CMS certification number: 055604 · Updated October 1, 2026

    Request care assistance5597321020Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    176

    Residents / day

    161.8

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Tulare
    Certified beds
    176
    Average residents per day
    161.8
    First certified
    August 9, 1985

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    3 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Tulare, California. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    3.27
    n=15
    State peers
    3.21

    Nurse hours / resident / day

    This home
    3.86
    County peers
    4.53
    n=15
    State peers
    4.54
    n=1138

    Weekend nurse hours / resident / day

    This home
    3.73
    County peers
    4.11
    n=15
    State peers
    4.10
    n=1138

    Nursing staff turnover (%)

    This home
    39.90
    County peers
    39.46
    n=13
    State peers
    36.55
    n=1011

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 3.5% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 39.9% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    38
    Health citations
    74
    Resident measures
    17
    Ownership records
    7
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.86348
    Reported RN Staffing Hours per Resident per Day
    0.21443
    Reported LPN Staffing Hours per Resident per Day
    1.09263
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.55642
    Total number of nurse staff hours per resident per day on the weekend
    3.72770
    Registered Nurse hours per resident per day on the weekend
    0.16859
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03605
    Total nursing staff turnover
    39.9
    Registered Nurse turnover
    37.5
    Number of administrators who have left the nursing home
    1
    Chain Name
    PACS GROUP
    Number of Facilities in Chain
    277
    Chain Average Overall 5-star Rating
    3.0
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    CA
    Urban
    Y
    Chain ID
    690
    Latitude
    36.3419
    Location
    1925 E. HOUSTON AVE,VISALIA,CA,93292
    ZIP Code
    93292
    City/Town
    VISALIA
    Longitude
    -119.27
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    PACS GROUP
    County/Parish
    Tulare
    Provider Name
    VISALIA POST ACUTE
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    1925 E. HOUSTON AVE
    Telephone Number
    5597321020
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    SPRUCE HOLDINGS, LLC
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.27552
    Chain Average QM Rating
    4.5
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    176
    Provider SSA County Code
    640
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    37.5
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.90446
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    39.9
    Chain Average Staffing Rating
    2.5
    Number of Facilities in Chain
    277
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    055604
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    9016.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    168
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    180.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    161.8
    Chain Average Overall 5-star Rating
    3.0
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    216
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.5
    Rating Cycle 1 Health Deficiency Score
    168
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    216
    Rating Cycle 1 Standard Survey Health Date
    2026-03-06
    Rating Cycle 2 Standard Health Survey Date
    2025-02-03
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.23522
    Case-Mix RN Staffing Hours per Resident per Day
    0.62556
    Reported RN Staffing Hours per Resident per Day
    0.21443
    Adjusted LPN Staffing Hours per Resident per Day
    1.19856
    Case-Mix LPN Staffing Hours per Resident per Day
    0.77952
    Reported LPN Staffing Hours per Resident per Day
    1.09263
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    24
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    40
    Rating Cycle 1 Number of Standard Health Deficiencies
    14
    Rating Cycle 2 Number of Standard Health Deficiencies
    17
    Reported Licensed Staffing Hours per Resident per Day
    1.30706
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    10
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.80427
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.12309
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.55642
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.23805
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.52818
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    23
    Reported Total Nurse Staffing Hours per Resident per Day
    3.86348
    Registered Nurse hours per resident per day on the weekend
    0.16859
    Date First Approved to Provide Medicare and Medicaid Services
    1985-08-09
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03605
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.08911
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.10505
    Total number of nurse staff hours per resident per day on the weekend
    3.72770

    COMMUNITY EXPERIENCE

    Reviews of VISALIA POST ACUTE

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026