Complaint Investigation

Sequoia Vista

August 26, 2025 · Visalia, CA · 3710 West Tulare Avenue

Citations 1

CMS Rating 1/5

Beds 99

Provider ID 055916

Healthcare Facility

Sequoia Vista

Visalia, CA · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

SEQUOIA VISTA in VISALIA, CA — inspection on August 26, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0557

Resident Rights Deficiencies

Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), was treated with respect and dignity.

This failure resulted in Resident 1 feeling intimidated and bullied.Findings:

During an interview on 8/26/25 at 10:35 a.m. with Licensed Vocational Nurse (LVN), LVN stated she was in Resident 1's room during a conversation between Resident 1 and the Social Worker (SW). LVN stated SW gave attitude when responding to Resident 1's questions on 8/18/25. LVN stated SW's demeanor during her responses to Resident 1, was snarky.

During an interview on 8/26/25 at 11:32 a.m. with Resident 1, Resident 1 stated she was talking with the Social Worker (SW) in her room on 8/18/25. Resident 1 stated SW intimidated and bullied her during their conversation.During a review of Resident 1's BIMS (Brief Interview for Mental Status- cognitive assessment tool used to evaluate a resident's mental status), dated 8/2/25, the BIMS indicated Summary Score - 15 (score of 13-15 means cognitively intact).During a review of the facility's policy and procedure (P&P) titled, Promoting/Maintaining Resident Dignity, dated 7/2022, the P&P indicated, 10.

Speak respectfully to residents.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in VISALIA, CA, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SEQUOIA VISTA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.