LINWOOD MEADOWS CARE CENTER Inspection Report, Violations & Safety Grade (VISALIA, California)

4444 WEST MEADOW, VISALIA, California 93277

Phone: 5596271241

CMS Overall:3/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

90.8

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Tulare

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health2/5

Staffing3/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	California Avg	Difference
RN Hours per Resident per Day	0.22	0.68	-0.46
Total Nurse Hours per Resident per Day	4.02	4.54	-0.52
CMS Staffing Rating	3/5	3.3/5	-
Nursing Staff Turnover	36.4%	36.6%	-

Health Citation History

54 health citations on record

Date	Category	Description	Severity
2025-08-05	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2025-05-23	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E – Moderate Harm Potential
2025-05-22	Resident Rights Deficiencies	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 – Moderate Harm Potential
2025-05-22	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E – Moderate Harm Potential
2025-05-22	Nursing and Physician Services Deficiencies	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.	E – Moderate Harm Potential
2025-05-22	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2025-05-22	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.	E – Moderate Harm Potential
2025-05-22	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2025-05-22	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2025-05-22	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E – Moderate Harm Potential
2025-05-22	Infection Control Deficiencies	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.	E – Moderate Harm Potential
2025-05-22	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2025-05-22	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E – Moderate Harm Potential
2025-05-22	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D – Moderate Harm Potential
2025-05-22	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2025-05-22	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2025-05-22	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2025-05-22	Environmental Deficiencies	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.	D – Moderate Harm Potential
2025-01-10	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2024-12-13	Administration Deficiencies	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 – Moderate Harm Potential
2024-12-13	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2024-11-01	Resident Rights Deficiencies	Give the resident's representative the ability to exercise the resident's rights.	D – Moderate Harm Potential
2024-08-20	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2023-10-26	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2023-10-26	Resident Rights Deficiencies	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.	E – Moderate Harm Potential
2023-10-26	Resident Rights Deficiencies	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.	E – Moderate Harm Potential
2023-10-26	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E – Moderate Harm Potential
2023-10-26	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	E – Moderate Harm Potential
2023-10-26	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2023-10-26	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	E – Moderate Harm Potential
2023-10-26	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D – Moderate Harm Potential
2023-10-26	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D – Moderate Harm Potential
2023-10-26	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2023-10-26	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2023-10-26	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2023-10-26	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2023-10-26	Pharmacy Service Deficiencies	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 – Moderate Harm Potential
2023-10-26	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D – Moderate Harm Potential
2023-10-26	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D – Moderate Harm Potential
2021-07-23	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2021-07-23	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	F – Moderate Harm Potential
2021-07-23	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2021-07-23	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F – Moderate Harm Potential
2021-07-23	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	E – Moderate Harm Potential
2021-07-23	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2021-07-23	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2021-07-23	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E – Moderate Harm Potential
2021-07-23	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2021-07-23	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2021-07-23	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D – Moderate Harm Potential

Showing 50 of 54 citations.

Fire Safety Citation History

27 fire safety citations on record

Date	Category	Description	Severity
2025-05-22	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2025-05-22	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-05-22	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2025-05-22	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential
2025-05-22	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	C – Minimal Harm Potential
2025-05-22	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	C – Minimal Harm Potential
2023-10-26	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F – Moderate Harm Potential
2023-10-26	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	E – Moderate Harm Potential
2023-10-26	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	E – Moderate Harm Potential
2023-10-26	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2023-10-26	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	E – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Include a process for Emergency Preparedness collaboration.	E – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	E – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	E – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Implement emergency and standby power systems.	E – Moderate Harm Potential
2021-07-23	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2021-07-23	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Address patient/client population and determine types of services needed.	D – Moderate Harm Potential
2021-07-23	Emergency Preparedness Deficiencies	Establish policies and procedures for medical documentation.	D – Moderate Harm Potential
2021-07-23	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2021-07-23	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	D – Moderate Harm Potential
2021-07-23	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2021-07-23	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2021-07-23	Miscellaneous Deficiencies	Provide a written emergency evacuation plan.	D – Moderate Harm Potential
2021-07-23	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the use of electrical equipment.	D – Moderate Harm Potential
2021-07-23	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the VISALIA area at no cost.

Find Safe, Vetted Facilities Near VISALIA
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the VISALIA area at no cost.

Find Safe, Vetted Facilities Near VISALIA
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.