3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 18m per day | ▼ 55% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 9m per day | ▼ 6% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 42m per day | ▲ 3% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 48m per day | ▼ 7% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 24% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 65% State avg: 30m per day · National avg: 28m per day |
Key information about the people who lead and staff this community.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California assisted living residence score (the benchmark); higher is better.
7 points below the California average for assisted living residences (81/100)
Rank #998 / 1401 in California Inspection Score — State benchmarked This home is ranked 998th out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. Inspection score: 74 out of 100. Letter grade C. 7 points below the California average for assisted living residences (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 54 | 10 | This facility has 440% more total citations than a typical California assisted living residence (54 vs. CA avg 10).↑ 440% worse |
|
Citations per year
Average citations per year since 2019.
| 7.7 | 1.4 | This facility has 450% more citations per year than a typical California assisted living residence (7.7 vs. CA avg 1.4).↑ 450% worse |
|
Citations per inspection
Average citations per inspection.
| 2.2 | 3.3 | This facility has 33% fewer citations per inspection than a typical California assisted living residence (2.2 vs. CA avg 3.3).↓ 33% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 9 | 16 | This facility has 44% fewer total visits than a typical California assisted living residence (9 vs. CA avg 16).↓ 44% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 9 | 13 | This facility has 31% fewer complaint visits than a typical California assisted living residence (9 vs. CA avg 13).↓ 31% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 0 | 7 | This facility has 100% fewer other visits than a typical California assisted living residence (0 vs. CA avg 7).↓ 100% better |
State average N/A
Last Health inspection on Aug 2025
State average N/A
State average N/A
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.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 38 LPN Staff are full-time employees. No contractors work on this role.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 136 CNA Staff are full-time employees. No contractors work on this role.
136
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
285 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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)
85% lower than State averageState average: $55K
58% fewer fines than State averageState average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
102% more payment denials than State averageState average: 0.5
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 15, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 State averageState average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.4
17% better than State averageState average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.9%
29% better than State averageState average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
13.7%
15% worse than State averageState average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.7%
41% better than State averageState average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
56% worse than State averageState average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
1.1%
79% better than State averageState average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.2%
Percent of long-stay residents who lose too much weight
0.6%
86% better than State averageState average: 4.2%
Percent of long-stay residents who have depressive symptoms
12.8%
92% worse than State averageState average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
7.0%
31% better than State averageState average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State averageState average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.61
28% better than State averageState average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
15% better than State averageState average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
6% better than State averageState average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with State averageState average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.7%
15% better than State averageState average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
17% worse than State averageState average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
49% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
32.8%
39% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.7%
18% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
Total residents
133Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Westgate Gardens Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #115 / 355Payroll — State benchmarkedThis home is ranked 115th out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #332 / 355Payroll % — State benchmarkedThis home is ranked 332nd out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 55–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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
The information below is reported by the California Department of Social Services and Department of Public Health.
| Westgate Gardens Care Center | NH HC NC | Visalia | - | 140 | - | 36 | - |
| OakView Health Center | NH AL MC | Thousand Oaks (Mountclef Village) | - | 63 | A+ | 20 | Private / Semi-Private Rooms |
| Bayshire Carlsbad | NH AL IL MC | Carlsbad (Palamai) | - | 125 | A+ | 59 | Studio / 1 Bed / 2 Bed |
| The Reutlinger Community | NH AL IL MC | Danville | - | 120 | A+ | 30 | Studio / 1 Bed |
| Heritage Gardens | NH AL HC IL NC RC | Loma Linda | - | 64 | A+ | 47 | Private / Semi-Private Rooms |
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 is registered as a for-profit in CA.
Yes — there are 24 photos of Westgate Gardens Care Center in the photo gallery on this page.
Westgate Gardens Care Center is located at 4525 W Tulare Ave, Visalia, CA 93277.
(559) 733-0901 will put you in contact with the team at Westgate Gardens Care Center.
Yes — Westgate Gardens Care Center is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
