CCN 055568 · Tulare County, California

Sierra Valley Rehab Center

301 West Putnam, Porterville, CA 93257

Sierra Valley Rehab Center is a 139-bed for-profit nursing home in Porterville, California, first certified for Medicare or Medicaid in 1974. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 126.0 residents a day, about 91% of its certified beds. HUD's healthcare database shows 4 FHA-insured Section 232 loans for a project matching this facility, most recently $2.6 million in April 2022 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.

Facility facts

Certified beds
139
Average residents per day
126.0 (90.6% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Sierra Nevada SNF LLC
Certified since
Jul 1, 1974
Chain or affiliated group
Pacs Group (275 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityCalifornia medianUS median
Overall rating4 of 5State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5
Health inspections3 of 5
Quality measures5 of 5
Staffing3 of 5
Total nurse hours per resident per day4.084.243.68
RN hours per resident per day0.270.500.58
Weekend nurse hours per resident per day3.76
Nursing staff turnover33.3%36.4%44.9%
Occupancy (residents / beds)90.6%92.0%85.7%
Fines reported by CMS1 totaling $8,190
Health deficiencies, latest standard survey13 (Feb 27, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Sierra Valley Rehab Center meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Truist BankOrganizationSecurity Interestn/a12/07/2023
Apt, FrederickIndividualOperational / Managerial Controln/a01/01/2024
Dotson, SandraIndividualOperational / Managerial Controln/a01/01/2024
Jergensen, JoshuaIndividualOperational / Managerial Controln/a01/01/2024
Mitchell, JohnIndividualOperational / Managerial Controln/a01/01/2024
Rasmussen, MasonIndividualOperational / Managerial Controln/a06/15/2023
Wadhwani, SuneelIndividualOperational / Managerial Controln/a06/15/2023

Changes of ownership

EffectiveBuyerSeller
Jun 15, 2023Sierra Nevada SNF LLCHacienda Care Center, Inc.

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Apr 7, 2022223(a)(7) refinance of a 223(f) loanHUD project name: Sierra Valley Rehab Center, 139 beds. Lender at endorsement: Berkadia Commercial Mortgage LLC$2,612,400Ended Apr 26, 2023Prepayment12122240
Mar 20, 2012223(a)(7) refinance of a 223(f) loanHUD project name: Sierra Valley Rehab Center, 139 beds. Lender at endorsement: Berkadia Commercial Mortgage LLC$6,178,500Ended Apr 11, 2022Prepayment12122108
Oct 31, 2006223(a)(7) refinance of a 223(f) loanHUD project name: Sierra Valley Rehabilitation Center, 139 beds. Lender at endorsement: Capmark Finance, Inc$6,253,300Ended Mar 30, 2012Prepayment12122067
Jul 19, 2001223(f) refinance or purchaseHUD project name: Sierra Valley Rehabilitation Center. Lender at endorsement: Capmark Finance, Inc$6,293,800Ended Oct 31, 2006Prepayment12122039

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Sierra Valley Rehab Center: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.