Gateway Post Acute
Porterville, California · CCN 056423
37 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 176
- Surveys
- 37
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 62
- Ownership
- For profit - Limited Liability company
- Chain
- PACS GROUP
- County
- Tulare
- Medicare-certified since
- 1973
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 252 for-profit facilities with fewer than 66 beds in California.
Last survey on record
Jun 4, 2026
158 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.95 | 4.36 |
| Registered-nurse hours per resident day | 0.20 | — |
| Annual nurse turnover | 54.7% | 36.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,018 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.5% | H— | I— |
| No harm, potential for more than minimal | D5176.1% | E811.9% | F57.5% |
| No harm, potential for minimal | A— | B23.0% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6584×
Ensure services provided by the nursing facility meet professional standards of quality.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F9123×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F6792×
Provide activities to meet all resident's needs.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
In the surveyor’s words
From the most serious findings on record at Gateway Post Acute, in the surveyor’s own words.
- Actual harm, isolatedF697Oct 17, 2024
Based on observation, interview, and record review, the facility failed to ensure the Infection Preventionist (IP-responsible for the implementation and review of the facility's infection prevention program) managed pain for one of one sampled resident (Resident 51) during wound dressing change on the open wound to the amputated left big toe and the vascular wound on the inner aspect of the left ankle. This failure resulted in Resident 51 experiencing pain as evidenced by facial expressions and pain level of nine out of 10 (0-no pain, 1-verbal, 3-mild pain,4-5 moderate pain, 6-9 severe pain, 10-excruciating pain). […]
- No harm, potential for more than minimal, widespreadF801May 14, 2026
Based on interview and record review, the facility failed to ensure the Certified Dietary Manager (CDM) met state education qualifications to supervise Food and Nutrition Service (FNS) operations. Specifically, the CDM lacked the required six hours of in-service training on California dietary service requirements per Title 22 (Section 72035) of the California Code of Regulations and CA Health and Safety Code (HSC) 1265.4(b) Pathway 4. This failure had the potential to adversely affect the facility's ability to ensure the nutritional, health, and safety needs of the residents.Findings:During a review of HSC 1265.4(a), current as of January 01, 2025, HSC 1265.4(a) indicated, (a) A licensed health facility, as defined in subdivision (a), (b), (c), (d), (f), or (k) of Section 1250, shall… […]
- No harm, potential for more than minimal, widespreadF880Oct 17, 2024
Based on observation, interview, and record review, the facility failed to implement infection control practices when: 1. The Infection Preventionist (IP) did not use appropriate personal protective equipment (PPE-refers to gowns, gloves, masks, face shields, goggles to protect the individual from injury or infection) and did not perform appropriate hand hygiene for one of one sampled Residents (Resident 51), 2. Conduct an effective infection control surveillance activity through data collection, data analysis, track, and trending for 57 of 57 residents residing in the facility. These failures had the potential to transmit infectious diseases. Findings: 1. During a concurrent observation and interview on 10/15/24 at 9:15 a.m. […]
- No harm, potential for more than minimal, widespreadF881Oct 17, 2024
Based on interview and record review, the facility failed to implement Antibiotic Stewardship (pharmacy-driven initiative dedicated to improve antibiotic [medications to treat bacteria] / antifungal [medications to treat fungus] use in nursing homes). This failure had the potential for residents to receive antibiotic and/or antifungal medications unnecessarily, which could be detrimental to residents' health. Findings: 1. During an interview on 10/17/24 at 8:20 a.m. with Infection Preventionist (IP), IP stated she was responsible for the antibiotic stewardship program in the facility. IP stated the pharmacist did not participate in the antibiotic stewardship progrm. IP stated there were no antibiotic stewardship meetings. […]
- No harm, potential for more than minimal, patternF726May 14, 2026
Based on interview and record review, the facility failed to ensure three of three sampled staff, one Registered Nurse (DON) and two Licensed Vocational Nurses (LVN 2, and LVN 4) had a competency evaluation to demonstrate skill profeciencies for management of:1. wound vac (vaccum, a medical device that uses negative pressure therapy to speed up wound healing, it involves a vacuum pump, a drainage canister, and specialized foam dressing that is applied over the wound bed that removes fluid, reduces swelling and increases blood flow to stimulate tissue growth) dressing change prior to performing this task.2. […]
Read 21 findings in full →The most serious and the most recent: 21 of 176 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 4, 2026Complaint2 findings
- May 14, 2026Standard14 findings
- Jun 4, 2025Complaint1 finding
- Oct 17, 2024Standard22 findings · 1 harm
- Sep 9, 2024Complaint1 finding
- Jan 10, 2024Complaint1 finding
- Dec 12, 2023Complaint1 finding
- Aug 16, 2023Complaint1 finding
Show the 29 earlier surveys
- Apr 26, 2023Complaint2 findings
- Dec 8, 2022Complaint1 finding
- Nov 4, 2022Standard12 findings
- Sep 20, 2022Complaint1 finding
- Mar 4, 2022Complaint1 finding
- Feb 24, 2022Complaint1 finding
- Jun 28, 2021Complaint1 finding
- Nov 10, 2020Complaint1 finding
- Nov 4, 2019Complaint1 finding
- Jun 27, 2019Standard12 findings
- Apr 11, 2019Complaint2 findings
- Feb 20, 2019Complaint1 finding
- Aug 15, 2018Complaint1 finding
- Jul 18, 2018Complaint1 finding
- Jul 12, 2018Standard20 findings
- Jul 13, 2017Standard10 findings
- Jul 28, 2016Standard16 findings
- Jan 5, 2016Complaint1 finding
- Aug 13, 2015Standard8 findings
- Jul 17, 2015Complaint1 finding
- May 5, 2015Complaint1 finding · 1 harm
- Sep 18, 2014Standard and complaint7 findings
- Oct 24, 2013—4 findings
- Jun 20, 2013—1 finding
- Oct 25, 2012—2 findings
- Oct 18, 2012—9 findings
- Apr 10, 2012—1 finding
- Dec 1, 2011—12 findings
- Oct 4, 2011—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction