State average 12.5
Last Health inspection on Aug 2025
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.
State average 12.5
Last Health inspection on Aug 2025
State average 50.2
State 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.
State average: 0.4
State average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
285 contractor hours this quarter
| Certified Nursing Assistant | 136 | 0 | 136 | 33,082 | 92 | 100% | 7 |
| Licensed Practical Nurse | 38 | 0 | 38 | 13,034 | 92 | 100% | 9.5 |
| Registered Nurse | 9 | 0 | 9 | 3,110 | 92 | 100% | 8.9 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,784 | 67 | 73% | 7.6 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,728 | 70 | 76% | 7.7 |
| Qualified Activities Professional | 5 | 0 | 5 | 1,611 | 91 | 99% | 9.5 |
| Physical Therapy Assistant | 3 | 2 | 5 | 1,317 | 80 | 87% | 7.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,264 | 75 | 82% | 7.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 982 | 90 | 98% | 7.4 |
| RN Director of Nursing | 2 | 0 | 2 | 959 | 64 | 70% | 7.8 |
| Dental Services Staff | 2 | 0 | 2 | 771 | 61 | 66% | 7.3 |
| Qualified Social Worker | 2 | 0 | 2 | 760 | 68 | 74% | 6.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 451 | 60 | 65% | 7.5 |
| Administrator | 1 | 0 | 1 | 428 | 63 | 68% | 6.8 |
| Dietitian | 1 | 0 | 1 | 315 | 44 | 48% | 7.2 |
| Medical Director | 0 | 1 | 1 | 30 | 30 | 33% | 1 |
Includes penalties issued in 2025
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
81% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Conducts clinical research trials to develop and test new treatments
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Westgate Gardens Care Center from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
No pets allowed
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (81% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.3 miles from city center
Estimated distance in miles from Visalia's city center to Westgate Gardens Care Center's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better.
This is a proprietary Assisted Living Magazine score.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Harrison Villa of Mt. San Antonio Gardens | NH AL IL MC SNF | Pomona | 520
Facility
520
CA AVG
103
Rank
#16 / 1,645 |
84.0%
Facility
84.0%
CA AVG
75.9
Rank
#487 / 1,452 | +11% | 6.84
Facility
6.84
CA AVG
4.22
Rank
#3 / 288 | +3% | +62% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 94
Facility
94
CA AVG
81
Rank
#213 / 1,474 | 16
Facility
16
CA AVG
50.2
Rank
#20 / 290 | 5.3
Facility
5.3
CA AVG
4.6
Rank
#216 / 290 | - | 437 | - | 45 | Congregational Homes | $5.9MFiscal year ending 09/2023
Facility
$5.9MFiscal year ending 09/2023
CA AVG
$15.7M
Rank
#249 / 259 | $18.0MFiscal year ending 09/2023
Facility
$18.0MFiscal year ending 09/2023
CA AVG
$9.0M
Rank
#11 / 259 | 306%Fiscal year ending 09/2023
Facility
306%Fiscal year ending 09/2023
CA AVG
61.2%
Rank
#2 / 259 | 55016 | ||||
| Vi at La Jolla Village | NH AL IL MC SNF | San Diego (University City) | 783
Facility
783
CA AVG
103
Rank
#5 / 1,645 |
69.3%
Facility
69.3%
CA AVG
75.9
Rank
#948 / 1,452 | -9% | 5.50
Facility
5.50
CA AVG
4.22
Rank
#16 / 288 | +43% | +30% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 84
Facility
84
CA AVG
81
Rank
#731 / 1,474 | 15
Facility
15
CA AVG
50.2
Rank
#18 / 290 | 2.1
Facility
2.1
CA AVG
4.6
Rank
#7 / 290 | - | 543 | - |
88
Facility
88
CA AVG
59
Rank
#218 / 2,057 | Cc-La Jolla, Inc | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#187 / 259 | $9.6MFiscal year ending 12/2023
Facility
$9.6MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#91 / 259 | 91.3%Fiscal year ending 12/2023
Facility
91.3%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#18 / 259 | 555793 | ||||
| Carlsbad By The Sea Care Center | NH SNF | Carlsbad (Carlsbad Village) | 224
Facility
224
CA AVG
103
Rank
#115 / 1,645 |
84.8%
Facility
84.8%
CA AVG
75.9
Rank
#466 / 1,452 | +12% | 5.09
Facility
5.09
CA AVG
4.22
Rank
#34 / 288 | 0% | +21% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 94
Facility
94
CA AVG
81
Rank
#213 / 1,474 | 12
Facility
12
CA AVG
50.2
Rank
#8 / 290 | 4.0
Facility
4.0
CA AVG
4.6
Rank
#140 / 290 | - | 190 | A+ |
96
Facility
96
CA AVG
59
Rank
#43 / 2,057 | Paula Digerness | $6.3MFiscal year ending 03/2024
Facility
$6.3MFiscal year ending 03/2024
CA AVG
$15.7M
Rank
#245 / 259 | $8.0MFiscal year ending 03/2024
Facility
$8.0MFiscal year ending 03/2024
CA AVG
$9.0M
Rank
#137 / 259 | 128.1%Fiscal year ending 03/2024
Facility
128.1%Fiscal year ending 03/2024
CA AVG
61.2%
Rank
#7 / 259 | 56496 | ||||
| Vi at Palo Alto | NH AL IL MC SNF | Palo Alto | 876
Facility
876
CA AVG
103
Rank
#1 / 1,645 |
73.1%
Facility
73.1%
CA AVG
75.9
Rank
#852 / 1,452 | -4% | 5.53
Facility
5.53
CA AVG
4.22
Rank
#16 / 288 | +28% | +31% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 90
Facility
90
CA AVG
81
Rank
#462 / 1,474 | 18
Facility
18
CA AVG
50.2
Rank
#27 / 290 | 3.0
Facility
3.0
CA AVG
4.6
Rank
#53 / 290 | 1 | 640 | - |
80
Facility
80
CA AVG
59
Rank
#416 / 2,057 | Cary Maslow | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#116 / 259 | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#73 / 259 | 70.6%Fiscal year ending 12/2023
Facility
70.6%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#32 / 259 | 555835 | ||||
| Westgate Gardens Care Center | NH HOS SNF | Visalia | 140
Facility
140
CA AVG
103
Rank
#417 / 1,645 |
31.4%
Facility
31.4%
CA AVG
75.9
Rank
#1,444 / 1,452 | -59% | 3.67
Facility
3.67
CA AVG
4.22
Rank
#216 / 288 | -55% | -13% | $10.3k
Facility
$10.3k
CA AVG
$56.5k
Rank
#201 / 293 | - | 55
Facility
55
CA AVG
50.2
Rank
#202 / 290 | 2.2
Facility
2.2
CA AVG
4.6
Rank
#10 / 290 | 1 | 44 | - |
36
Facility
36
CA AVG
59
Rank
#1,626 / 2,057 | Jonathan Walker | $18.7MFiscal year ending 12/2023
Facility
$18.7MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#72 / 259 | $10.0MFiscal year ending 12/2023
Facility
$10.0MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#81 / 259 | 53.2%Fiscal year ending 12/2023
Facility
53.2%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#137 / 259 | 555208 |
Westgate Gardens Care Center has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Westgate Gardens Care Center's occupancy is 93.7%.
Westgate Gardens Care Center has been operating for approximately 42 years, based on available licensing and registration records.
No, Westgate Gardens Care Center has a no-pet policy.
Westgate Gardens Care Center is registered as a for-profit in CA.
Westgate Gardens Care Center has had 54 reported citations since 2019 according to records from California Department of Social Services (CDSS).
Yes — there are 24 photos of Westgate Gardens Care Center in the photo gallery on this page.
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