Medical and dental care
Cited in 6 reports, with 6 deficiencies in total.
Mar 6, 2026Feb 12, 2026Dec 30, 2025May 23, 2025Jul 30, 2024Sep 5, 2023
MARBELLA VISALIA
3120 W. CALDWELL, Visalia CA 93277
72 bedsLatest official report Aug 7, 2026Licensed
Additional info
- Telephone
- (559) 735-0828
- Licensee
- VISALIA VENTURES, LLC;INTEGRAL SENIOR LIV MGMT LLC
- Administrator
- JACOB HUGH HARRYMAN
- Contact
- JACOB HUGH HARRYMAN
- License first date
- Aug 20, 1999
- License effective date
- Aug 20, 1999
- District office
- FRESNO RO · (559) 243-8080
- Regional office
- 24
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 23 Type A and 17 Type B deficiencies for this facility.
- Most recent inspection
- Aug 7, 2026
- Most recent deficiency
- Aug 7, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 6 Tulare County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 38 reports for this facility: 17 inspections, 21 complaint investigations, and 0 licensing or administrative records.
Those records contain 23 Type A and 17 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 17
- Recorded deficiencies
- 40
- Type A deficiencies
- 23
- Type B deficiencies
- 17
- Substantiated complaints
- 12
- Repeated topics
- 9
More than the typical 7
7 in the last 12 months
Well above the typical 6
22 in the last 12 months
Well above the typical 4
8 in the last 12 months
Well above the typical 3
14 in the last 12 months
Well above the typical 1
8 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Resident rights
Cited in 5 reports, with 8 deficiencies in total.
Incident reporting
Cited in 5 reports, with 5 deficiencies in total.
Admission, assessment, and eviction
Cited in 3 reports, with 3 deficiencies in total.
Food service
Cited in 3 reports, with 3 deficiencies in total.
Hazardous items and storage
Cited in 3 reports, with 3 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Medication handling and storage
Cited in 2 reports, with 2 deficiencies in total.
Records and plan of operation
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(4) Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulations listed above, which poses an immediate health and safety risk to residents in care. R1 – R6 did not receive their medications the evening of 3/2/26.
Official plan of correction
Facility has made the following corrections: Facility has removed med-tech to caregiver duties. Facility has received 3 key copies from Pharmacy. Facility has implemented rules to ensure keys are not misplaced in the future. Licensee agrees to submit a statement of intent regarding training by due date. Licensee will conduct medication training with all Med-Tech staff and submit documentation of training when completed.
Deadline recorded: Mar 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 7, 2026
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
87465(h)(6) - Incidental Medical and Dental Care: (h)The following requirements shall apply to medications which are centrally stored: (6)The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes… This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, facility had an issues receiving Centrally Stored Medication records from Pharmacy. Facility staff were supposed to log medications on Centrally Stored Medication and Destruction log and failed to do so.
Official plan of correction
Licensee agrees to submit a statement of intent regarding training by due date. Licensee will conduct medication training with all Med-Tech staff and submit documentation of training when completed.
Deadline recorded: Mar 9, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 9, 2026
Correction not verified in available records
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Feb 12, 2026 · Control 24-AS-20251120143046
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses an immediate health and safety risk to residents in care. R2 was not assisted with medication as needed/prescribed. R2’s medication Ropinirole HCL1 MG Tablet- Take 1 tablet by mouth at bedtime. This medication is showing with a start date of 1/15/2026, the bubble pack holds 30 pills, there are still 5 pills left in the bubble pack. LPA reviewed MARs which did not indicate the medication was missed or refused by the resident. The MARs shows this medication has been taken every night as prescribed, at 8:00 PM from January 15, 2026 thru February 11, 2026. R2 has too many pills left in the bubble pack, which indicates medication was missed or not given on three different occasions.
Official plan of correction
Facility provided current training verification of MedTech staff.
Deadline recorded: Feb 13, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 13, 2026
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87609(b)(4)(A-C)
- Regulation authority
- CCR
What the official deficiency says
87609 Allowable Health Conditions and the Use of Home Health Agencies (b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). (A) The written agreement shall reflect the services, frequency and duration of care. (B) The written agreement shall include day and evening contact information for the home health agency, and the method of communication between the agency and the facility, which may include verbal contact, electronic mail, or logbook. (C) The written agreement shall be signed by the licensee or licensee representative, and representative of the home health agency, and placed in the resident’s file. This requirement is not met as evidenced by: Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses a potential health and safety risk to residents in care. LPA reviewed R3 & R4's files which did not have a Home Health Care Plan. The plans cannot be followed if there is no home health care plan on file.
Official plan of correction
Licensee was able to obtain copy of current Home Health Care Plan and will obtain plans for future residents.
Deadline recorded: Feb 19, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 19, 2026
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. Based on observation, interview, and record, facility did not comply with the regulation listed above, which poses a potential health and safety risk to residents in care. LPA reviewed R1's incident reports which did not indicate R1's fall was reported to the Dept.
Official plan of correction
Licensee will send a statement regarding steps taking to ensure reports are sent out. verification will be sent to the Dept by POC date.
Deadline recorded: Feb 19, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 19, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. Based on records reviewed and interviews conducted, R1’s medication count is not accurate and medication administered does not match the MARS, which poses an immediate Health & Safety risk to the residents.
Official plan of correction
Licensee agrees that all Med-Tech staff complete medication training. Licensee agees to submit completion documents to CCLD by POC due date.
Deadline recorded: Dec 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 31, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 1 unfounded · 1 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211(a)(1) Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. LPA observed during an investigation that an indicent was not reported to Community Care Licensing.
Official plan of correction
Per Interim Executive Director/Administrator, an inservice training will be conducted by the POC date.
Deadline recorded: Dec 19, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 19, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(c)
- Regulation authority
- CCR
What the official deficiency says
87506 (c) All information and records obtained from or regarding residents shall be confidential. This requirement was not met as evidence by: Based on interviews conducted, residents’ information are provided to outside medi-cal assisted agencies programs for referral to verify if the resident meets programs requirement without resident’s knowledge, which poses/posed a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
Written Plan of Correction shall be submitted to the Fresno CCL by POC due date 12/08/25.
Deadline recorded: Dec 8, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 8, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidence by: review of records and interviews conducted. The licensee did not comply with the section cited above in that multiple residents had money or items stolen from them at the facility. This poses a potential health safety and or personal rights risk to residents in care.
Official plan of correction
Training will be completed with all staff on personal righst-financial exploitation. Training will include; what staff need to do when reported, what to fill out and who to notify. In-service sign in sheet and training material will be provided to CCL by POC date.
Deadline recorded: Dec 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 12, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Licensee cashed and deposited two of R1's checks into facility bank account which poses an immediate health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to submit a plan on how this regulation will be met by POC due date 09/29/25.
Deadline recorded: Sep 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 29, 2025
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(15)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (15) To send and receive unopened correspondence in a prompt manner. This requirement was not met as evidenced by: Licensee opened R1's mail without permission which poses a health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agree to conduct a staff training on personal rights and will submit training date and agenda by POC due date 09/29/25.
Deadline recorded: Sep 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 29, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 1 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(g)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements (g) Admission agreements shall specify the following: (5) Refund conditions (A) Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned.... pursuant to Health and Safety Code section 1569.652. This requirement was not met as evidenced by: Licensee did not refund R1 timely. R1's admissions agreement states refunds will be issued within 21 business days. R1 moved out of facility on 7/3/25 and refund was not issued until 8/22/25 which poses a potential health safety and or personal rights risk to residents in care.
Official plan of correction
Licensee agrees to submit in writing to LPA how this regulation will be met by POC due date 10/3/25
Deadline recorded: Oct 3, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 3, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(29)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b)The following food service requirements shall apply: (29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair and free of breaks, open seams, cracks or chips. This requirement was not met as evidenced by: Based on observations and interview the facility kitchen sink disposal has not been operating causing water to buildup in the sink.
Official plan of correction
Executive Director agrees to obtain estimate of repair/replacement and schedule repair. Once service is completed Executive Director will submit proof of service.
Deadline recorded: Dec 6, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 6, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)(3)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on staff and resident interviews staff we observed speaking rudely to residents and being “rough” when providing care. Interviews revealed when residents required additional support of time residents were intimidated or punished.
Official plan of correction
Administrator to submit plan of intent by due date to conduct in-service training on Regulation 87468.1 Personal Rights of Residents in All Facilities and submit records when completed.
Deadline recorded: Aug 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 8, 2024
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a) Personnel Requirements – General - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on the interviews conducted and records reviewed, R1 sustained multiple fractures after staff failed to abide by R1’s care plan and fell, which poses an immediate health and safety risk to the residents in care.
Official plan of correction
POC – Discussed during the NCC.
Deadline recorded: Jul 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2024
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(d)(3)
- Regulation authority
- CCR
What the official deficiency says
87411(d)(3) Personnel Requirements – General - Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not met as evidenced by: Based on the interviews conducted and records reviewed, staff were not trained on two person transfers of R1, which poses an immediate health and safety risk.
Official plan of correction
POC – Discussed during the NCC.
Deadline recorded: Jul 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2024
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(f)
- Regulation authority
- CCR
What the official deficiency says
87507(f) Admission Agreements - The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement was not met as evidenced by: Based on the records reviewed and interviews conducted, staff failed to abide by the resident’s care plan of providing 2 person transfers for R1, which poses a potential health and safety risk.
Official plan of correction
POC – Discussed during the NCC.
Deadline recorded: Jul 31, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 31, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Background checksType A
- Official classification
- Type A
- Official code
- 87355(a)
- Regulation authority
- CCR
What the official deficiency says
87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. Staff 1's background clearance was still pending while staff was working at the facility, which poses an immediate health, safety, or personal rights risk to residents in care.
Official plan of correction
***Plan of Correction already completed at time of visit*** Facility terminated Staff 1 on 1/26/2023.
Deadline recorded: Mar 1, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 1, 2023
Correction not verified in available records
1 complaint has no published investigation report
The official record holds these complaints, but no investigation report was published for them. Their outcome is shown as the source recorded it.
- Dec 11, 2025 · Control 24-AS-20251125143102
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology