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Assisted Living Home

Westgate Gardens Care Center

Assisted Living Home

Westgate Gardens Care Center

4525 W Tulare Ave, Visalia, CA 93277 View map
Overview of Westgate Gardens Care Center

A distinguished senior living community situated in the serene residential area of West Tulare Avenue, Visalia, CA, Westgate Gardens Care Center offers short-term rehabilitation, skilled nursing, long-term care, complex wound care, and hospice services. As a four-star rated Medicare community, Westgate Gardens Care Center continuously provides top-tier care and assistance for seniors to have a safe healing journey. The community doubles its efforts to create a care plan that best matches residents’ special needs and aspirations.

With round-the-clock care and assistance from a team of compassionate and highly skilled professionals consisting of licensed nurses, seniors can ease their minds and live comfortably. Ideally placed near convenient amenities such as Kaweah Health Medical Hospital and stunning attractions, the community ensures residents are well-cared for. Westgate Gardens Care Center strives to provide a safe place for seniors to heal and experience unrivaled care in its cozy spaces.

(559) 733-0901

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
2/5
California average: 3.6/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
2/5
California average: 3.2/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
California average: 3.5/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
California average: 4.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 9m per day

This home provides 28% less nursing time per resident than the California average.

California average: 4h 23m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 140

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the California average
Occupancy rate 93.7%
Residents per day (avg) 135
Occupancy rate
93.7%
Residents per day (avg)
135

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

81% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

13% of new residents, often for short stays.

Typical stay 2 years

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Privately-owned community
Home revenue
$31.9M
Profit
$1.2M
Privately-owned community
Home revenue
$31,906,082.00
Profit
$1,190,713.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.5M
26.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$22.3M
Total costs $30.7M
Walk Score
Walk Score: 36 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Additional licensing details

CMS Certification Number: 555208
Awards: Best Nursing Homes – Short-Term Rehabilitation award from U.S. News, 5-Star Quality Measures Medicare Rating

Care Services

Alzheimer's Certification
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

Expansive rehab gym
spacious courtyards
common areas
restaurant-style dining

Programs & Activities

Activities
Daily activities for a wide variety of interests.
Specific Programs
Short-Term Rehabilitation, 24-Hour Skilled Nursing, Long-Term Care, Complex Wound Care, Hospice Services
Operating Hours
Monday – Friday: 9 am to 5 pm

Dining & Nutrition

Food Description
Restaurant-style dining with diets designed by a full-time, in-house Registered Dietician.

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 140

Building type icon
Building type icon

Building Type: Single-story

Types of Care at Westgate Gardens Care Center

Nursing Home Skilled Nursing Nursing Care Hospice Care
Contact Westgate Gardens Care Center

Health Inspection History

Inspections
Total health inspections 25

California average 12.5


Last Health inspection on Aug 2025

Total health citations 55

California average 50.2

Citations per inspection
2.2

California average 4.65


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

30 of 55 citations resulted from standard inspections; and 25 of 55 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 1
In line with California average

California average: 1

0 critical citations More info California average: 0.4

1 serious citation More info California average: 1

54 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 05, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Aug 05, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Jul 01, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jun 11, 2025
Corrected

Compare Assisted Living around Tulare County The information below is reported by the California Department of Social Services and Department of Public Health.

Quail Park on Cypress
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Visalia
175
-
46
66.9%
5
9
11
24
QP RETIREMENT VILLAGE,LLC & LIVING CARE MANAGEMENT
Studio / 1 Bed / 2 Bed
Quail Park at Shannon Ranch
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Visalia
150
A+
43
70.0%
4
7
2
6
NORTHWEST VISALIA SNR HOUSING; MILLENIUM ADVISORS
Studio / 1 Bed / 2 Bed
Westgate Gardens Care Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Visalia
140
-
36
93.7%
-
-
-
-
-
-
Park Visalia Assisted Living & Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Visalia
110
-
54
67.3%
5
24
10
8
SH 3 VISALIA OPCO LLC; CRFLD MANAGEMENT, LLC
Studio / 1 Bed / 2 Bed
Glory Days Memory Care and Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Visalia
10
-
29
70.0%
5
2
0
7
GLORY DAYS ASSISTED LIVING, INC.
-

Places of interest near Westgate Gardens Care Center

Address 3.3 miles from city center

Address 4525 W Tulare Ave, Visalia, CA 93277

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 227
Employees 225
Contractors 2
Staff to resident ratio 1.71:1
1706667% better than California average

California average ratio: 0.00:1

Avg staff/day 91
Average shift 7.5 hours
0% compared with California average

California average: 7.7 hours

Total staff hours (quarter) 62,495
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 141
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.4%

231 contractor hours this quarter

Physical Therapy Assistant: 2
Staff by category
Certified Nursing Assistant141014132,24191100%6.8
Licensed Practical Nurse3403412,66491100%9.4
Registered Nurse8082,94591100%9.1
Physical Therapy Aide6062,1988088%7.9
Speech Language Pathologist7071,7376976%7.6
Qualified Activities Professional6061,6408897%9.9
RN Director of Nursing3031,5396976%8
Physical Therapy Assistant2241,0496774%8
Respiratory Therapy Technician5051,0418593%6.9
Other Dietary Services Staff3039469099%7.3
Qualified Social Worker2027686673%7.6
Dental Services Staff2027616369%7.2
Administrator1015126470%8
Nurse Practitioner1015126470%8
Occupational Therapy Aide1015126470%8
Mental Health Service Worker1015126470%8
Therapeutic Recreation Specialist1014816268%7.8
Dietitian1014386167%7.2
141 Certified Nursing Assistant
% of Days 100%
34 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
6 Physical Therapy Aide
% of Days 88%
7 Speech Language Pathologist
% of Days 76%
6 Qualified Activities Professional
% of Days 97%
3 RN Director of Nursing
% of Days 76%
4 Physical Therapy Assistant
% of Days 74%
5 Respiratory Therapy Technician
% of Days 93%
3 Other Dietary Services Staff
% of Days 99%
2 Qualified Social Worker
% of Days 73%
2 Dental Services Staff
% of Days 69%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 Occupational Therapy Aide
% of Days 70%
1 Mental Health Service Worker
% of Days 70%
1 Therapeutic Recreation Specialist
% of Days 68%
1 Dietitian
% of Days 67%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
133 residents
Residents by payment source
Medicare
27 residents (20.3%)
Medicaid
83 residents (62.4%)
Private pay or other
23 residents (17.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Clinical Research

Conducts clinical research trials to develop and test new treatments

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.2
22% better than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.4
17% better than California average

California average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.9%
29% better than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.7%
15% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 6.7%
41% better than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
56% worse than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
79% better than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.6%
86% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.8%
92% worse than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.0%
31% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with California average

California average: 98.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
In line with California average

California average: 93.2%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $8K
85% lower than California average

California average: $55K

Number of fines 1
58% fewer fines than California average

California average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
102% more payment denials than California average

California average: 0.5

Fines amount comparison
Fines amount comparison
This facility $8K
California average $55K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 15, 2025
$8K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. May 15, 2025
32 days

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for California Seniors

Get financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

California CARES Program

CA CARES

Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

No strict limit; cost-sharing above ~$2,500/month threshold.

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

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