Overview

Address
661 WEST POPLAR, PORTERVILLE, CA 93257
Phone
5597848371
Certified beds
62
Avg daily residents
59 (95% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1973-12-21
Setting
Urban
2 /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.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 24.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 5/5

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
3.96 4.12 3.71 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.31 0.72 0.29 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.08 0.91 1.01
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.57 2.48 2.41
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.39
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.02

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)
3.68
hrs / resident / day
RN (weekend)
0.15
hrs / resident / day
Total nurse (adjusted, weekend)
3.45
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
44.4%
annual
RN turnover
33.3%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.46
higher acuity than avg
Case-Mix Index Ratio
1.06
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) 2024-10-17 23 22 1 132 1 132
Cycle 2/3 (prior) 2022-11-04 18 12 6 72 1 72
Total weighted health score
117.0
lower is better

Deficiencies (53)

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).

2 A/B/C No actual harm — minor
50 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0776 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. D 2025-06-04 2025-07-09
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-10-17 2024-11-05
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-10-17 2024-11-05
0584 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. D 2024-10-17 2024-11-05
0641 Ensure each resident receives an accurate assessment. D 2024-10-17 2024-11-05
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-10-17 2024-11-05
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-10-17 2024-11-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-10-17 2024-11-05
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-10-17 2024-11-05
0679 Provide activities to meet all resident's needs. D 2024-10-17 2024-11-05
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-10-17 2024-11-05
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-10-17 2024-11-05
0692 Provide enough food/fluids to maintain a resident's health. D 2024-10-17 2024-11-05
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2024-10-17 2024-11-05
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-10-17 2024-11-05
0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. D 2024-10-17 2024-11-05
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. D 2024-10-17 2024-11-05
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-10-17 2024-11-05
0759 Ensure medication error rates are not 5 percent or greater. D 2024-10-17 2024-11-05
0760 Ensure that residents are free from significant medication errors. D 2024-10-17 2024-11-05
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2024-10-17 2024-11-05
0880 Provide and implement an infection prevention and control program. F 2024-10-17 2024-11-05
0881 Implement a program that monitors antibiotic use. F 2024-10-17 2024-11-05
0692 Provide enough food/fluids to maintain a resident's health. D 2024-09-09 2024-10-15
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-10 2024-01-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-12-12 2023-12-20
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-08-16 2023-08-23
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-04-26 2023-05-05
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-04-26 2023-05-05
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 2022-11-04 2022-12-09
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2022-11-04 2022-12-09
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2022-11-04 2022-12-09
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D 2022-11-04 2022-12-09
0679 Provide activities to meet all resident's needs. D 2022-11-04 2022-12-09
0685 Assist a resident in gaining access to vision and hearing services. D 2022-11-04 2022-12-09
0687 Provide appropriate foot care. D 2022-11-04 2022-12-09
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. D 2022-11-04 2022-12-09
0730 Observe each nurse aide's job performance and give regular training. D 2022-11-04 2022-12-09
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2022-11-04 2022-12-09
0759 Ensure medication error rates are not 5 percent or greater. D 2022-11-04 2022-12-09
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2022-11-04 2022-12-09
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2019-06-27 2019-07-23
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2019-06-27 2019-07-23
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2019-06-27 2019-07-23
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 2019-06-27 2019-07-23
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2019-06-27 2019-07-23
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 2019-06-27 2019-07-23
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2019-06-27 2019-07-23
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2019-06-27 2019-07-23
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2019-06-27 2019-07-23

Showing 50 most recent of 53. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$8,018
Date Type Fine amount
2024-09-09 Fine $8,018

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 28.3% Medicaid 16.8% Other 54.9%

Operating performance

Operating Margin
11.4%
Total Margin
11.5%
Occupancy Rate
93.9%
Cost per Resident Day
$56

Revenue & costs

Net Patient Revenue
$9.0M
Total Costs
$1.2M
Net Income
$1.0M

Balance sheet

Total Assets
$6.4M
Total Liabilities
$805K
Fund Balance
$5.6M
Current Ratio
10.54

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

Ownership & Corporate Structure

Chain: PACS GROUP

Chain ID
690
Facilities in chain
264
Legal business name
VALLEY CAREIDENCE OPCO, LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.6
Staffing
2.4
QM
4.2

Owner / manager organizations (4)

Organization Role Association
PROVIDENCE GROUP OF CALIFORNIA LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/24/2014
PACS GROUP, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
PACS HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023
PROVIDENCE GROUP NH, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 06/30/2023

Owner / manager individuals (9)

Name Role Association
HANCOCK, MARK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/15/2024
MURRAY, JASON 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/15/2024
RASMUSSEN, MASON OPERATIONAL/MANAGERIAL CONTROL since 03/01/2021
APT, FREDERICK CORPORATE OFFICER since 01/01/2024
HANCOCK, MARK CORPORATE OFFICER since 03/24/2014
JERGENSEN, JOSHUA CORPORATE OFFICER since 01/01/2024
MITCHELL, JOHN CORPORATE OFFICER since 01/01/2024
HASNAIN, ABBAS CONTRACTED MANAGING EMPLOYEE since 02/21/2023
RASMUSSEN, MASON W-2 MANAGING EMPLOYEE since 03/01/2021

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 ($) $56 metrics.cost_per_resident_day
Cost Report Current Ratio 10.54 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 16.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 28.3% metrics.medicare_day_share
Cost Report Net Income ($) $1,032,520 metrics.net_income
Cost Report Net Patient Revenue ($) $8,952,187 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 93.9% metrics.occupancy_rate
Cost Report Operating Margin (%) 11.4% metrics.operating_margin
Cost Report Total Assets ($) $6,416,895 metrics.total_assets
Cost Report Total Costs ($) $1,191,611 metrics.total_costs
Cost Report Total Fund Balances ($) $5,612,389 metrics.fund_balance
Cost Report Total Liabilities ($) $804,506 metrics.total_liabilities
Cost Report Total Margin (%) 11.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.01447 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.40829 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.29072 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.71349 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.44839 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 58.7 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 0.91425 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.48472 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.72063 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.11960 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.63099 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.4 Chain Average Staffing Rating
Provider Information Chain ID 690 Chain ID
Provider Information Chain Name PACS GROUP Chain Name
Provider Information City/Town PORTERVILLE City/Town
Provider Information CMS Certification Number (CCN) 056423 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 1973-12-21 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 36.0516 Latitude
Provider Information Legal Business Name VALLEY CAREIDENCE OPCO, LLC Legal Business Name
Provider Information Location 661 WEST POPLAR,PORTERVILLE,CA,93257 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 -119.03 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 62 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 264 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.45939 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.05933 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 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 661 WEST POPLAR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name GATEWAY POST ACUTE 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 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 132 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 1 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 22 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-17 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 132 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 23 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-11-04 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 72 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 6 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 72 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 18 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.15263 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 33.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.39264 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.08244 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.56964 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02345 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.31020 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 3.96229 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 24 Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 5597848371 Telephone Number
Provider Information Total Amount of Fines in Dollars 8018.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.67943 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 44.4 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 117.000 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 93257 ZIP Code