| Visalia Post Acute | |
| 1925 E. Houston Ave, Visalia, California 93292 | |
| (559) 732-1020 | |
| Name | Visalia Post Acute |
|---|---|
| Location | 1925 E. Houston Ave, Visalia, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 176 |
| Occupancy Rate | 90.8% |
| Medicare ID (CCN) | 055604 |
| Legal Business Name | Spruce Holdings, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1225270341 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Spruce Holdings, LLC |
| Doing Business As | Visalia Post Acute |
| Address | 1925 E Houston Ave, Visalia, CA 93292 |
| Phone Number | 559-732-1020 |
| NPI Number | 1689742538 |
| Match | Possible same name, address or phone number |
| Organization Name | Wick Financial Corporation |
| Doing Business As | Visalia Nursing & Rehabilitation Center |
| Address | 1925 E Houston Ave, Visalia, CA 93292 |
| Phone Number | 559-732-1020 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.76 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.2 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.15 | 0.86 |
| Nurse aide hours per resident per day | 2.42 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.6 | 3.42 |
| RN hours per resident per day on the weekend | 0.17 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 41.8% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $13,870 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 30, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 3, 2026 |
| Jun 26, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 3, 2026 |
| Jun 9, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 3, 2026 |
| May 21, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jun 17, 2026 |
| May 21, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 15, 2026 |
| May 4, 2026 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 12, 2026 |
| May 4, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2026 |
| Mar 6, 2026 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Mar 23, 2026 |
| Mar 6, 2026 | Hire a qualified full-time social worker in a facility with more than 120 beds. F0850, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 9, 2026 |
| Mar 6, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 9, 2026 |
| Mar 6, 2026 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 17, 2026 |
| Mar 6, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Mar 19, 2026 |
| Mar 6, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 5, 2026 |
| Mar 6, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2026 |
| Mar 6, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 7, 2026 |
| Mar 6, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 15, 2026 |
| Mar 6, 2026 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2026 |
| Mar 6, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 13, 2026 |
| Mar 6, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2026 |
| Mar 6, 2026 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Mar 16, 2026 |
| Mar 6, 2026 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 6, 2026 |
| Jan 12, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Sep 3, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 30, 2025 |
| Sep 3, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 30, 2025 |
| Sep 3, 2025 | Provide appropriate foot care. F0687, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 30, 2025 |
| May 29, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 16, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 20, 2025 |
| Mar 20, 2025 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2025 |
| Feb 10, 2025 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 3, 2025 |
| Feb 3, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Feb 27, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.69 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.01 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.17 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.53 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.32 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.24 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.54 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.15 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.05 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.44 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.08 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0.87 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.87 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.43 | 15.38 |
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