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Nursing HomeMedicaid

Westgate Gardens Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4525 W. Tulare Ave., Visalia, CA 93277140 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 118 Google reviews

5
4
3
2
1
Westgate Gardens Care Center Nursing Home in Visalia, CA — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation and short-term stays due to its clean environment and strong therapy team. However, if your loved one is at high risk for pressure sores or requires intensive monitoring, you must verify their specific protocols for skin care and night-shift staffing, as past reviews have highlighted significant failures in these areas.

Google Reviews

Google Reviews

118 reviews on Google
Families considering Westgate Gardens will find a facility highly praised for its cleanliness, recent renovations, and a physically capable therapy team. While many reviewers highlight exceptionally compassionate CNAs and nurses, there are serious, recurring allegations regarding patient neglect, specifically involving bedsores, weight loss, and inadequate monitoring of high-risk residents.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0Activities8.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Effective physical therapy and rehabilitation
  • Compassionate and attentive nursing staff
  • Engaging resident activities and social services

Concerns

  • Instances of patient neglect and bedsores (mentioned by 4 reviewers)
  • Inadequate staffing levels or slow response times (mentioned by 3 reviewers)
  • Issues with weight loss and nutritional monitoring (mentioned by 2 reviewers)
  • Inconsistent food quality and temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(2)'20(4)'22(7)'24(50)'26(9)

Distribution · 120 analyzed

5
100
4
1
3
0
2
0
1
19
18 reviews posted between May 23, 2024May 24, 2024 · 18 were 5-star

How They Respond to Reviews

80%response rate
Generic

The owner relies heavily on a small set of repetitive templates to respond to 5-star reviews. While they occasionally personalize a response by name or mention specific staff, the majority of replies are canned phrases like 'Thank you for the positive review! We appreciate the support.'

Questions for Your Tour

  • 1I noticed many people appreciate how clean and well-maintained the facility is; what specific cleaning protocols do you have in place for the resident rooms?
  • 2With the recent focus on improving staffing levels, what steps is the facility taking to ensure nurses and aides can respond quickly to call lights?
  • 3How does the nursing team monitor nutritional needs and weight stability to ensure every resident is eating well?
  • 4What specific protocols are in place to prevent skin breakdown or bedsores during regular care routines?
  • 5Can you tell me more about the types of social activities and engagement programs available to help residents stay active and connected?
  • 6How does the clinical team handle medical emergencies or changes in a resident's condition during the night shift?

Personalized based on this facility's data


Key Review Excerpts

All of the personnel were terrific. Very courteous and attentive. We especially would would like to recognize one of the CNA's Natalie. She was absolutely wonderful.

Long-term resident's family · 2026★★★★★

I am truly grateful for the exceptional care my uncle received here. From the moment you walk into the clean, beautifully maintained facility, you’re greeted by warm, friendly staff who are always ready to assist and answer any questions.

Long-term resident's family · 2025★★★★★

He was gone for less then 2 mos and when he came home he couldn't stand and certainly couldn't walk anymore and had bed sores. He told me the physical therapist was rough and so he refused to do it.

Rehab patient's family · 2024☆☆☆☆
Source: 118 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
4.14hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Mixed Results

6

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
19.4%
CA
10.7%
Tulare
14.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
19.5%
CA
13.7%
Tulare
22.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.3%
Mixed vs Avgs
Here
10.3%
US
12.1%
CA
7.0%
Tulare
3.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Tulare
99.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.7%
Mixed vs Avgs
Here
10.7%
US
15.4%
CA
11.6%
Tulare
6.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
CA
98.2%
Tulare
99.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
CA
94.2%
Tulare
97.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.8%
Mixed vs Avgs
Here
93.8%
US
79.7%
CA
93.2%
Tulare
96.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
CA
1.5%
Tulare
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
1penalties
Above state avg (15.4)
26 complaint-triggered

Westgate Gardens has significant quality concerns with 25 family-filed complaints triggering deficiencies across 78 total violations. The most persistent problems involve care planning, resident rights issues, and medication management. Issues with reporting incidents to families and ensuring proper neglect/abuse protocols appear repeatedly across multiple years, suggesting ongoing operational challenges that families should carefully evaluate before placement.

Feb 17, 2026Complaint
1
0917Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

Dec 22, 2025Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Aug 5, 2025Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 1, 2025Complaint
1
0837Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

Jun 11, 2025Complaint
2
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jun 4, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

May 15, 2025

$10,317

Ownership & Operations

Who Operates This Facility

Owner / Operator

Westgate Gardens Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 123 of 260

Ownership & Management

Key personnel

Grossman, StephenContracted Managing EmployeeWalker, JonathanW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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