Overview

Address
3710 WEST TULARE AVENUE, VISALIA, CA 93277
Phone
5597322244
Certified beds
99
Avg daily residents
92 (93% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1974-01-17
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.19 4.52 3.58 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.30 0.79 0.26 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.26 1.00 1.07
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.63 2.73 2.24
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.56
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.08

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.83
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
3.27
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
44.3%
annual
RN turnover
62.5%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.60
higher acuity than avg
Case-Mix Index Ratio
1.16
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-05 32 20 12 204 1 204
Cycle 2/3 (prior) 2023-11-09 37 19 18 184 1 184
Total weighted health score
199.0
lower is better

Deficiencies (82)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

81 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-12-18 2026-01-23
0585 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. D 2025-12-01 2026-01-23
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-11-14 2026-01-05
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2025-08-26 2025-09-24
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-08-18 2025-09-19
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-08-06 2025-09-24
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2025-07-15 2025-09-08
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-07-15 2025-08-23
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. D 2025-06-24 2025-08-28
0585 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. D 2025-06-24 2025-08-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-06-24 2025-08-28
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-04-16 2025-05-27
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-01-27 2025-02-26
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2024-12-05 2024-12-26
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2024-12-05 2024-12-26
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2024-12-05 2024-12-26
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-12-05 2024-12-26
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2024-12-05 2024-12-26
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. E 2024-12-05 2024-12-26
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-12-05 2024-12-26
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-12-05 2024-12-26
0685 Assist a resident in gaining access to vision and hearing services. D 2024-12-05 2024-12-26
0692 Provide enough food/fluids to maintain a resident's health. D 2024-12-05 2024-12-26
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2024-12-05 2024-12-26
0730 Observe each nurse aide's job performance and give regular training. F 2024-12-05 2024-12-26
0759 Ensure medication error rates are not 5 percent or greater. E 2024-12-05 2024-12-26
0761 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. D 2024-12-05 2024-12-26
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F 2024-12-05 2024-12-26
0803 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. D 2024-12-05 2024-12-26
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2024-12-05 2024-12-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-12-05 2024-12-26
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2024-12-05 2024-12-26
0880 Provide and implement an infection prevention and control program. E 2024-12-05 2024-12-26
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-11-18 2024-12-17
0606 Not hire anyone with a finding of abuse, neglect, exploitation, or theft. D 2024-11-18 2024-12-17
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-08-20 2024-09-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-07-29 2024-08-31
0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. D 2024-07-17 2024-08-17
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-05-30 2024-07-26
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2024-03-04 2024-03-21
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-02-21 2024-03-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-22 2024-02-20
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-12-28 2024-01-28
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2023-12-28 2024-01-28
0578 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. E 2023-11-09 2023-12-09
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2023-11-09 2023-12-09
0638 Assure that each resident’s assessment is updated at least once every 3 months. D 2023-11-09 2023-12-09
0641 Ensure each resident receives an accurate assessment. E 2023-11-09 2023-12-09
0645 PASARR screening for Mental disorders or Intellectual Disabilities E 2023-11-09 2023-12-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-11-09 2023-12-09

Showing 50 most recent of 82. See the All Data CSV for the full list.

Penalties (2)

Fines issued
1
last 3 years
Total fines
$12,735
Payment denials
1
Date Type Fine amount
2025-11-14 Fine $12,735
2024-05-30 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.2% Medicaid 75.6% Other 15.2%

Operating performance

Operating Margin
13.8%
Total Margin
13.8%
Occupancy Rate
90.9%
Cost per Resident Day
$27

Revenue & costs

Net Patient Revenue
$12.6M
Total Costs
$873K
Net Income
$1.7M

Balance sheet

Total Assets
$2.5M
Total Liabilities
-$2.9M
Fund Balance
$2.1M
Current Ratio
1.53

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager individuals (9)

Name Role Association
MCCLUNG, BARBRA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/29/2002
MOYLE, KENSETT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/29/2002
FAZALBHOY, SHUBHANGI OPERATIONAL/MANAGERIAL CONTROL since 11/16/2008
HANSON, CARY OPERATIONAL/MANAGERIAL CONTROL since 05/26/2009
MOYLE, LINDSEY OPERATIONAL/MANAGERIAL CONTROL since 05/01/2011
MOYLE, KENSETT CORPORATE DIRECTOR since 06/15/2005
MOYLE, KENSETT CORPORATE OFFICER since 04/01/2009
HIGBEE, JAMES W-2 MANAGING EMPLOYEE since 04/01/2009
MOYLE, KENSETT W-2 MANAGING EMPLOYEE since 10/17/2005

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $27 metrics.cost_per_resident_day
Cost Report Current Ratio 1.53 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 75.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.2% metrics.medicare_day_share
Cost Report Net Income ($) $1,743,213 metrics.net_income
Cost Report Net Patient Revenue ($) $12,633,938 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 90.9% metrics.occupancy_rate
Cost Report Operating Margin (%) 13.8% metrics.operating_margin
Cost Report Total Assets ($) $2,535,820 metrics.total_assets
Cost Report Total Costs ($) $873,308 metrics.total_costs
Cost Report Total Fund Balances ($) $2,065,810 metrics.fund_balance
Cost Report Total Liabilities ($) $-2,932,607 metrics.total_liabilities
Cost Report Total Margin (%) 13.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.07408 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.24259 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.25929 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.57596 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.26804 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 92.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.00414 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.72902 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.79148 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.52464 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.98799 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town VISALIA City/Town
Provider Information CMS Certification Number (CCN) 055916 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Tulare County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1974-01-17 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 36.3201 Latitude
Provider Information Legal Business Name KAWEAH MANOR, INC. Legal Business Name
Provider Information Location 3710 WEST TULARE AVENUE,VISALIA,CA,93277 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -119.33 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 99 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.60288 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.16349 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 3710 WEST TULARE AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SEQUOIA VISTA Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 640 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 204 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 12 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 20 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 204 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 32 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 19 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-11-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 184 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 18 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 184 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 37 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.20306 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 62.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.56258 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.25871 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.62810 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08301 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.30386 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.19068 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 5597322244 Telephone Number
Provider Information Total Amount of Fines in Dollars 12735.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.82982 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 44.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 199.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 93277 ZIP Code