Data / Nursing homes / California / Visalia Post Acute
Visalia Post Acute, Visalia, CA: 1 star rating, fined $9,016 across 1 fine and had 1 payment denial
Visalia Post Acute in Visalia, CA is owned by Hudson River OPCO LLC, is rated 1 of 5 stars by Medicare, and was fined $9,016 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 74 health citations from inspections in that time, the latest survey on August 10, 2026, and 1 of them found actual harm or immediate jeopardy.
SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.
Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in California
- Address
- 1925 E. Houston Ave, Visalia, CA 93292
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 176
- Residents per day
- 162 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Spruce Holdings, LLC
- Chain
- Pacs Group, 277 facilities
- Fines
- $9,016 across 1 fine, three years to October 1, 2026
- Payment denials
- 1
- Health citations
- 74, of which 1 with actual harm or immediate jeopardy
- Latest survey
- August 10, 2026
- CMS Certification Number
- 055604
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| May 21, 2026 | Fine | $9,016 | Not listed | data.cms.gov | |
| May 21, 2026 | Payment denial | Not listed | June 30, 2026 | 3 | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 10, 2026 | F881 | Implement a program that monitors antibiotic use. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 29, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 20, 2026 | data.cms.gov |
| June 30, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 3, 2026 | data.cms.gov |
| June 26, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 3, 2026 | data.cms.gov |
| June 9, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 3, 2026 | data.cms.gov |
| May 21, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | June 17, 2026 | data.cms.gov |
| May 21, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 15, 2026 | data.cms.gov |
| May 4, 2026 | F761 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | May 15, 2026 | data.cms.gov |
| May 4, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 12, 2026 | data.cms.gov |
| March 6, 2026 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 16, 2026 | data.cms.gov |
| March 6, 2026 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2026 | data.cms.gov |
| March 6, 2026 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B: pattern, minimal harm potential | Corrected | March 6, 2026 | data.cms.gov |
| March 6, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 5, 2026 | data.cms.gov |
| March 6, 2026 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 17, 2026 | data.cms.gov |
| March 6, 2026 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 9, 2026 | data.cms.gov |
| March 6, 2026 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 9, 2026 | data.cms.gov |
| March 6, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 13, 2026 | data.cms.gov |
| March 6, 2026 | F761 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2026 | data.cms.gov |
| March 6, 2026 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 15, 2026 | data.cms.gov |
| March 6, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 7, 2026 | data.cms.gov |
| March 6, 2026 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 20, 2026 | data.cms.gov |
| March 6, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 19, 2026 | data.cms.gov |
| March 6, 2026 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 23, 2026 | data.cms.gov |
| January 12, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 20, 2026 | data.cms.gov |
| September 3, 2025 | F687 | Provide appropriate foot care. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 30, 2025 | data.cms.gov |
| September 3, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 30, 2025 | data.cms.gov |
| September 3, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 30, 2025 | data.cms.gov |
| May 29, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 16, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 20, 2025 | data.cms.gov |
| March 20, 2025 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 1, 2025 | data.cms.gov |
| February 10, 2025 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 3, 2025 | data.cms.gov |
| February 3, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D: isolated, no actual harm, potential for more than minimal harm | Waiver granted | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F791 | Provide or obtain dental services for each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| February 3, 2025 | F578 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 27, 2025 | data.cms.gov |
| October 2, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 2, 2024 | data.cms.gov |
| August 15, 2024 | F837 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 10, 2024 | data.cms.gov |
| June 28, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 9, 2024 | data.cms.gov |
| May 16, 2024 | F687 | Provide appropriate foot care. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 17, 2024 | data.cms.gov |
| May 16, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 17, 2024 | data.cms.gov |
| May 16, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 17, 2024 | data.cms.gov |
| May 8, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 27, 2024 | data.cms.gov |
| May 8, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 27, 2024 | data.cms.gov |
| May 8, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 27, 2024 | data.cms.gov |
| April 3, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 23, 2024 | data.cms.gov |
| February 5, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 23, 2024 | data.cms.gov |
| January 16, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 30, 2024 | data.cms.gov |
| December 7, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D: isolated, no actual harm, potential for more than minimal harm | Waiver granted | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| December 7, 2023 | F578 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | January 4, 2024 | data.cms.gov |
| October 20, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 20, 2023 | data.cms.gov |
| October 4, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 23, 2023 | data.cms.gov |
| October 4, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 23, 2023 | data.cms.gov |
| October 4, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 23, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (2 managers, 3 officers, directors or trustees). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Hudson River OPCO LLC | Direct owner | 100% | November 5, 2021 | data.cms.gov |
| Bay Bridge Capital Partners, LLC | Indirect owner | 100% | November 5, 2021 | data.cms.gov |
Also on SpecStream
- All nursing homes in California
- Every nursing home Hudson River OPCO LLC owns or manages
- Every nursing home Bay Bridge Capital Partners, LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.