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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaOrchards at Tulare

Orchards at Tulare

604 E. Merritt Ave., Tulare, CA 932745596861601
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
4/5
Beds
99
certified
2 fine(s) totaling $132,586

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 99 certified beds with an average of 92.8 residents per day (94% occupancy)

• Last health inspection found 18 deficiencies (inspected May 8, 2025)

• Has been fined a total of $132,586 across 2 fine(s)

• Total nursing staff: 4.06 hours per resident per day

• Staff turnover rate: 48.5%

Orchards at Tulare is a 2-star Medicare and Medicaid certified nursing home in Tulare, California with 99 certified beds. It has been operating since 1974. The facility scored below average compared to California facilities.

Beds
99
Avg Residents/Day
92.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 17, 1974
Sprinklers
Yes
Council
Resident
County
Tulare
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
18
Weighted Score
150.0
Infection Citations
0

Deficiency Citations (85)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 24, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Apr 10, 2025Corrected: NoCycle: 1
F0837Potential 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.

Survey: Mar 26, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Mar 6, 2025Corrected: NoCycle: 1
F0578Potential 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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0584Potential 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.

Survey: May 8, 2025Corrected: NoCycle: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: May 8, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 8, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 8, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 8, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 8, 2025Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: May 8, 2025Corrected: NoCycle: 1
F0807Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: May 8, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 8, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Dec 11, 2024Corrected: NoCycle: 2
F0837Potential 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.

Survey: Dec 11, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Dec 2, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Dec 2, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 15, 2024Corrected: NoCycle: 2
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Oct 24, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0761Potential 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.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Oct 17, 2024Corrected: NoCycle: 2

+ 55 more deficiencies

Total Fines
$132,586
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineJul 10, 2023
$63,648
FineOct 17, 2024
$68,938
Payment DenialSep 14, 2023
63 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.72 hrs
National avg: 2.35 hrs
LPN1.08 hrs
National avg: 0.86 hrs
RN0.26 hrs
National avg: 0.68 hrs
Total Nursing4.06 hrs
National avg: 3.89 hrs
Weekend Total3.78 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
48.5%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

All California facilities

Tulare Healthcare & Wellness Center, LP

Tulare, CA · 97 beds

For profit
Health
Staffing
Quality

Grand Oaks Care

Tulare, CA · 99 beds

For profit$34,492 in fines
Health
Staffing
Quality
511 ft

Frequently Asked Questions

What is the CMS rating for Orchards at Tulare?▾
Orchards at Tulare has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
Has Orchards at Tulare had any health inspection violations?▾
Orchards at Tulare had 18 deficiency citations in its most recent health inspection (May 8, 2025). The facility has been fined a total of $132,586 across 2 fine(s).
What are the staffing levels at Orchards at Tulare?▾
Orchards at Tulare provides 4.06 total nursing staff hours per resident per day, including 0.26 RN hours, 1.08 LPN hours, and 2.72 nurse aide hours. The total staff turnover rate is 48.5%.
How many beds does Orchards at Tulare have?▾
Orchards at Tulare has 99 certified beds with an average of 92.8 residents per day, resulting in approximately 94% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Orchards at Tulare?▾
Yes, there are 2 other nursing homes in Tulare, California with an average rating of 1.7/5. You can compare all facilities on the Tulare nursing homes page.