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Complaint Investigation

Sequoia Vista

Inspection Date: November 14, 2025
Total Violations 1
Facility ID 055916
Location VISALIA, CA
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Inspection Findings

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

had wounds.During a concurrent observation and interview on 11/14/25 at 2:19 p.m. with ADON, in Resident 1's room, Resident 1 was lying on the bed and had a cut under his left eye, bruising to his left cheek and scabs to the left side of his nose and under his left eyebrow. ADON stated the day after the altercation with Resident 2, she had observed a cut under Resident 1's left eye but was unaware of the bruising and the scabs. ADON stated when she noticed the cut she spoke to Resident 1's nurse and the nurse said the cut was there prior to the altercation. ADON stated that when the cut, bruising and scabbing were identified a change of condition should have been made to notify the physician to obtain treatment orders, the RP should have been notified and the areas monitored.During a concurrent interview and

record review on 11/14/25 at 2:25 p.m. with ADON, Resident 1's clinical record was reviewed. ADON was unable to provide documentation of any assessment, treatment, monitoring and notification to the physician and RP being done.During a review of the facility's policy and procedure (P&P) titled, Notification of Changes dated 3/2025, the P&P indicated, The facility must inform the resident, consult with the resident' s physician and/or notify the resident's family member or legal representative when there is a change requiring such notification.accidents.potential to require physician intervention.circumstances that require a need to alter treatment. This may include.new treatment.During a review of the facility's policy and procedure (P&P) titled, Skin assessment dated 3/25, the P&P indicated, The assessment may also be performed after a change of condition or after any newly identified pressure injury.

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📋 Inspection Summary

SEQUOIA VISTA in VISALIA, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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.
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