SNF
KAWEAH HEALTH SKILLED NURSING CENTER
CCN: 555396 · VISALIA, CA 93277 · Tulare County
Hospital-based
Overview
- Address
- 1633 SOUTH COURT STREET, VISALIA, CA 93277
- Phone
- 5596246037
- Certified beds
- 70
- Avg daily residents
- 42 (60% of beds filled)
- Ownership
- Government (hospital district)
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-10-24
- Setting
- Urban
5 /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.
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 | 7.62 | 8.33 | 3.53 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.77 | 1.46 | 0.82 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 2.44 | 1.85 | 1.13 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.40 | 5.02 | 1.58 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 4.21 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
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)
7.10
hrs / resident / day
RN (weekend)
1.50
hrs / resident / day
Total nurse (adjusted, weekend)
3.29
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
28.9%
annual
RN turnover
20.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
2.95
higher acuity than avg
Case-Mix Index Ratio
2.14
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) | 2025-03-20 | 7 | 5 | 2 | 36 | 1 | 36 |
| Cycle 2/3 (prior) | 2024-03-21 | 11 | 10 | 1 | 72 | 1 | 72 |
Total weighted health score
45.0
lower is better
Deficiencies (23)
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).
22 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 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. | E | 2025-12-03 | 2025-12-04 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-09 | 2025-09-01 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-03-20 | 2025-04-14 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-20 | 2025-04-14 |
| 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 | 2025-03-20 | 2025-04-14 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-03-20 | 2025-04-14 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-03-20 | 2025-04-14 |
| 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. | D | 2024-03-21 | 2024-04-19 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-21 | 2024-04-19 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-03-21 | 2024-04-19 |
| 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 | 2024-03-21 | 2024-04-19 |
| 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 | 2024-03-21 | 2024-04-19 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-21 | 2024-04-19 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2024-03-21 | 2024-04-19 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-03-21 | 2024-04-19 |
| 0908 | Keep all essential equipment working safely. | D | 2024-03-21 | 2024-04-19 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-03-21 | 2024-04-19 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2023-07-10 | 2023-07-10 |
| 0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | E | 2022-06-09 | 2022-07-11 |
| 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. | D | 2022-06-09 | 2022-07-11 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-06-09 | 2022-07-11 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-06-09 | 2022-07-11 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-06-09 | 2022-07-11 |
Ownership & Corporate Structure
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| KAWEAH DELTA HEALTH CARE DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/24/1989 |
| INPATIENT SPECIALISTS OF CALIFORNIA PC | OPERATIONAL/MANAGERIAL CONTROL | since 01/02/2025 |
| KAWEAH DELTA HEALTH CARE DISTRICT | OPERATIONAL/MANAGERIAL CONTROL | since 12/16/2024 |
Owner / manager individuals (25)
| Name | Role | Association |
|---|---|---|
| BATTH, JAGDEV | OPERATIONAL/MANAGERIAL CONTROL | since 12/09/2024 |
| CRIPPS, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | since 12/09/2024 |
| FAMY, ANNA | OPERATIONAL/MANAGERIAL CONTROL | since 11/19/2024 |
| FRANCIS, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 12/09/2024 |
| HERBST, GARY | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2024 |
| MIRVISS, LYNN | OPERATIONAL/MANAGERIAL CONTROL | since 12/16/2024 |
| NIEDERREITER, MARY | OPERATIONAL/MANAGERIAL CONTROL | since 11/25/2024 |
| NOESKI, KERI | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2024 |
| OLMOS, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2024 |
| RODRIGUEZ, AMBAR | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2024 |
| TUPPER, MALINDA | OPERATIONAL/MANAGERIAL CONTROL | since 12/10/2024 |
| YEATTS, DALE | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2025 |
| BATTH, JAGDEV | CORPORATE OFFICER | since 03/01/2020 |
| CRIPPS, BENJAMIN | CORPORATE OFFICER | since 02/12/2017 |
| HERBST, GARY | CORPORATE OFFICER | since 09/01/2017 |
| NOESKI, KERI | CORPORATE OFFICER | since 06/28/2020 |
| TUPPER, MALINDA | CORPORATE OFFICER | since 02/14/2018 |
| YEATTS, DALE | CONTRACTED MANAGING EMPLOYEE | since 07/01/2024 |
| BATTH, JAGDEV | W-2 MANAGING EMPLOYEE | since 03/01/2020 |
| CRIPPS, BENJAMIN | W-2 MANAGING EMPLOYEE | since 02/12/2017 |
| FAMY, ANNA | W-2 MANAGING EMPLOYEE | since 11/12/2023 |
| HERBST, GARY | W-2 MANAGING EMPLOYEE | since 09/01/2017 |
| NIEDERREITER, MARY | W-2 MANAGING EMPLOYEE | since 03/15/2023 |
| NOESKI, KERI | W-2 MANAGING EMPLOYEE | since 06/28/2020 |
| TUPPER, MALINDA | W-2 MANAGING EMPLOYEE | since 02/04/2018 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- Yes
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows.
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.
Show 99 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.13271 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.57879 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.81979 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.53130 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.29220 | 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 | 42.3 | 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 | 1.84786 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 5.02207 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 1.45652 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 8.32645 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 7.33889 | 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) | 555396 | 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 | 1989-10-24 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 36.3162 | Latitude |
| Provider Information | Legal Business Name | KAWEAH DELTA HEALTH CARE DISTRICT | Legal Business Name |
| Provider Information | Location | 1633 SOUTH COURT STREET,VISALIA,CA,93277 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -119.29 | 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 | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 70 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 2.94969 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 2.14111 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Government - Hospital district | 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 | 1633 SOUTH COURT STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | KAWEAH HEALTH SKILLED NURSING CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | Y | 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 | 36 | 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 | 2 | 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 | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-20 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 36 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 10 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-21 | 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 | 1 | 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 | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.50200 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 20.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 4.21077 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 2.44281 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.40481 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08501 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.76796 | 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 | 7.61558 | 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 | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 5596246037 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 7.09994 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 28.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 45.000 | 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 |