Deficiency timeline

WESTGATE GARDENS CARE CENTER

Dated inspection findings, penalties, and correction notes for this nursing home in Visalia, CA. Newest events first.

55 eventsTimeline fines $10,317Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Jun 22, 2026

  2. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Apr 24, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0917: Environmental

    Environment

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

    Corrected Feb 24, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Dec 29, 2025

  5. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Sep 3, 2025

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Sep 3, 2025

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0837: Administration

    Administration

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Corrected Aug 12, 2025

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0607: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected Jul 30, 2025

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jul 30, 2025

  10. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jul 20, 2025

  11. Fine $10,317cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  12. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0627: Resident Rights

    Resident rights

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected Jun 13, 2025

  13. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Apr 9, 2025

  14. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Mar 30, 2025

  15. Class IIIPotential for more than minimal harm (E)cms

    F0578: Resident Rights

    Resident rights

    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.

    Corrected Mar 24, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Mar 24, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Mar 24, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Mar 24, 2025

  19. Class IIIPotential for more than minimal harm (E)cms

    F0847: Administration

    Administration

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected Mar 24, 2025

  20. Class IIIPotential for more than minimal harm (E)cms

    F0868: Administration

    Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected Mar 24, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Mar 24, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Mar 24, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Mar 24, 2025

  24. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Mar 4, 2025

  25. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jan 3, 2025

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Oct 3, 2024

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0622: Resident Rights

    Resident rights

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected Jun 28, 2024

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 3, 2024

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Apr 24, 2024

  30. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Dec 14, 2023

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Aug 31, 2023

  32. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Aug 16, 2023

  33. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Aug 16, 2023

  34. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0622: Resident Rights

    Resident rights

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected Aug 11, 2023

  35. Class IIIPotential for more than minimal harm (D)cms

    F0644: Resident Assessment and Care Planning

    Assessment & care planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 22, 2023

  36. Class IIIPotential for more than minimal harm (D)cms

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected May 22, 2023

  37. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected May 22, 2023

  38. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 22, 2023

  39. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 22, 2023

  40. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected May 22, 2023

  41. Class IIIPotential for more than minimal harm (D)cms

    F0803: Nutrition and Dietary

    Nutrition & dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected May 22, 2023

  42. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected May 22, 2023

  43. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 22, 2023

  44. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected May 22, 2023

  45. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 22, 2023

  46. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected May 22, 2023

  47. Class IIIPotential for more than minimal harm (E)cms

    F0645: Resident Assessment and Care Planning

    Assessment & care planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 22, 2023

  48. Class IIIPotential for more than minimal harm (E)cms

    F0578: Resident Rights

    Resident rights

    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.

    Corrected May 22, 2023

  49. Class IIIPotential for more than minimal harm (E)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 22, 2023

  50. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Nov 19, 2019

  51. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Nov 19, 2019

  52. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Nov 19, 2019

  53. Class IIIPotential for more than minimal harm (D)cms

    F0806: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected Nov 19, 2019

  54. Class IIIPotential for more than minimal harm (D)cms

    F0810: Nutrition and Dietary

    Nutrition & dietary

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected Nov 19, 2019

  55. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Nov 19, 2019

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

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