Sequoia Vista
SEQUOIA VISTA in VISALIA, CA — inspection on November 14, 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
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.
Facility ID:
Frequently Asked Questions
More Reports
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.