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Public Record

Linwood Meadows Care Center

Nursing HomeVisalia, CACMS 555125
55 citations on record

Operated by PACS Group

From CMS

Facility profile

CMS overall rating
3 / 5

*CMS Five-Star

Certified beds
98

*CMS

Avg. residents per day
89.2

*CMS

California cost report

Food cost per resident day

Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.

2024 raw food costs per resident day

$10.61

Filing period: to

California median $8.96 across 825 filers. This facility: 75.6th percentile of those filers.

Within its operator's California portfolio ( 118 filers): median $10.16.

RN, LVN, and CNA staffing mix

Census context: 33,596 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN3,785$167,878$44.35/hour
LVN39,353$1,426,328$36.24/hour
CNA91,771$1,818,841$19.82/hour

2023 raw food costs per resident day

$10.16

Filing period: to

California median $8.51 across 892 filers. This facility: 72.8th percentile of those filers.

Within its operator's California portfolio ( 118 filers): median $9.62.

RN, LVN, and CNA staffing mix

Census context: 33,263 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN5,029$215,004$42.75/hour
LVN37,291$1,275,662$34.21/hour
CNA89,591$1,712,014$19.11/hour

2022 raw food costs per resident day

$9.47

Filing period: to

California median $8.23 across 896 filers. This facility: 68.8th percentile of those filers.

Within its operator's California portfolio ( 116 filers): median $9.34.

RN, LVN, and CNA staffing mix

Census context: 31,840 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN5,425$235,693$43.45/hour
LVN29,241$947,577$32.41/hour
CNA70,905$1,301,432$18.35/hour

*HCAI Long-Term Care Integrated Disclosure

Inspection record

On record from CMS

Health citations
55

*CMS

Fire safety findings
27

*CMS

Inspections on file
12

*CMS

Last inspection
2025-08-05

*CMS

Citations

55 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0552Generalpotential for harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • 0730Generalpotential for harm

    Observe each nurse aide's job performance and give regular training.

  • 0727Generalpotential for harm

    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.

  • 0679Generalpotential for harm

    Provide activities to meet all resident's needs.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0578Generalpotential for harm

    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.

  • 0947Generalpotential for harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  • 0921Generalpotential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • 0909Generalpotential for harm

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

  • 0887Generalpotential for harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0807Generalpotential for harm

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0689Generalpotential for harm

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

  • 0837Generalpotential for harm

    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.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0551Generalpotential for harm

    Give the resident's representative the ability to exercise the resident's rights.

  • 0656Generalpotential for harm

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

  • 0805Generalpotential for harm

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • 0557Generalpotential for harm

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • 0584Generalpotential for harm

    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.

  • 0585Generalpotential for harm

    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.

  • 0623Generalpotential for harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0761Generalpotential for harm

    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.

  • 0790Generalpotential for harm

    Provide routine and 24-hour emergency dental care for each resident.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0881Generalpotential for harm

    Implement a program that monitors antibiotic use.

  • 0924Generalpotential for harm

    Put firmly secured handrails on each side of hallways.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0925Generalpotential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  • 0883Generalpotential for harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0814Generalpotential for harm

    Dispose of garbage and refuse properly.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0761Generalpotential for harm

    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.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0758Generalpotential for harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0685Generalpotential for harm

    Assist a resident in gaining access to vision and hearing services.

  • 0676Generalpotential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0656Generalpotential for harm

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

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0640Generalpotential for harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection1 deficiency
    View inspection report
  • Inspection1 deficiency

    555125 05/23/2025 Linwood Meadows Care Center 4444 West Meadow Visalia, CA 93277 F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities…

    Read full statement of deficiencies
  • InspectionFire Safety6 deficiencies
    View inspection report
  • Inspection16 deficiencies

    555125 05/22/2025 Linwood Meadows Care Center 4444 West Meadow Visalia, CA 93277 F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…

    Read full statement of deficiencies
  • Inspection1 deficiency
    View inspection report
  • Inspection2 deficiencies

    555125 12/13/2024 Linwood Meadows Care Center 4444 West Meadow Visalia, CA 93277 F 0837 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Establish a governing body that is legally responsible for establishing and implementing policies for managing and…

    Read full statement of deficiencies
  • Inspection1 deficiency

    555125 11/01/2024 Linwood Meadows Care Center 4444 West Meadow Visalia, CA 93277 F 0551 Give the resident's representative the ability to exercise the resident's rights. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies
  • Inspection1 deficiency

    555125 08/20/2024 Linwood Meadows Care Center 4444 West Meadow Visalia, CA 93277 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be…

    Read full statement of deficiencies
  • InspectionFire Safety5 deficiencies
    View inspection report
  • Inspection16 deficiencies

    555125 10/26/2023 Linwood Meadows Care Center 4444 West Meadow Visalia, CA 93277 F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Based on…

    Read full statement of deficiencies

Showing the 10 most recent inspections. 3 earlier inspections are also on record.

Ownership

PACS Group

279nursing homes nationwide, in CMS records

134 in California, 145 in other states.

Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.

FAQ

Questions and answers

What is Linwood Meadows Care Center?
Linwood Meadows Care Center is a Medicare- and Medicaid-certified nursing home in Visalia, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 555125.
What is the CMS rating for Linwood Meadows Care Center?
Linwood Meadows Care Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Linwood Meadows Care Center have?
Linwood Meadows Care Center is certified for 98 beds. It serves an average of 89.2 residents per day.
How many citations does Linwood Meadows Care Center have?
Linwood Meadows Care Center has 55 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Linwood Meadows Care Center last inspected?
Linwood Meadows Care Center was last inspected on August 5, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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