NursingHomes.us
StatesRankingsCompare
NursingHomes.us

Independent nursing-home comparison using official CMS data. Not affiliated with the U.S. government.

Browse

  • All States
  • Rankings
  • Compare
  • Guides

Data

  • Nursing Home Chains
  • Inspection Codes
  • Data Sources

About

  • About Us
  • Contact
  • Privacy Policy
  • Terms of Use
© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaOrchards at Tulare

Orchards at Tulare

604 E. Merritt Ave., Tulare, CA 932745596861601WebsiteGoogle Maps
4.2on Google(33 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
4/5
Beds
99
certified
1 fine(s) totaling $68,938

How Orchards at Tulare Compares in California

Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
CA average
3.2/5
Below state average
Health inspection rating
1/5
CA average
2.8/5
Below state average
Staffing rating
3/5
CA average
3.3/5
Below state average
Nursing hours per resident
4.96 hrs/day
CA average
4.52 hrs/day
Above state average
RN hours per resident
0.35 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
50.0%
CA average
36.7%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the California average of 3.2/5.
Its 1/5 health inspection rating is below the California average of 2.8/5.
Reported nursing time is 4.96 hours per resident per day, above the state average of 4.52.
Reported RN time is 0.35 hours per resident per day, below the state average of 0.67.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
60
deficiency citations
Inspected Apr 18, 2024
Most recent cycle
18
deficiency citations
Inspected May 8, 2025
The most recent cycle recorded 42 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Tulare County 65+
54,353
11.5% of county
County Population
473,446
Tulare County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Orchards at Tulare is a 1-star Medicare and Medicaid certified nursing home in Tulare, California with 99 certified beds. It has been operating since 1974. Its overall CMS rating is 1 out of 5.

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
156.0
Infection Citations
0

Deficiency Citations (88)

F0573Potential for Harm

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Survey: Mar 9, 2026Corrected: 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: Mar 3, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 26, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 24, 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
F0692Potential for Harm

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

Survey: May 8, 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
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
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
F0658Potential for Harm

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

Survey: Apr 10, 2025Corrected: 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: Mar 26, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Mar 6, 2025Corrected: NoCycle: 2
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
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
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
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
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

+ 58 more deficiencies

Total Fines
$68,938
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

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 Aide3.37 hrs
National avg: 2.32 hrs
LPN1.24 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.69 hrs
Total Nursing4.96 hrs
National avg: 3.86 hrs
Weekend Total4.43 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
50.0%
RN Turnover
40.0%
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

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Orchards at Tulare and nearby alternatives.

All California facilities
Orchards at Tulare
Tulare, CACurrent facility
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $68,938
Tulare Healthcare & Wellness Center, LP
Tulare, CA0 ft
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Grand Oaks Care
Tulare, CA528 ft
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Westgate Gardens Care Center
Visalia, CA6.8 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: $10,317
Sequoia Vista
Visalia, CA6.8 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $46,078
Linwood Meadows Care Center
Visalia, CA6.9 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Kaweah Health Skilled Nursing Center
Visalia, CA7.1 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Orchards at Tulare
Tulare, CA · Current facility
—1/51/53/5$68,938
Tulare Healthcare & Wellness Center, LP
Tulare, CA
0 ft2/52/52/5None recorded
Grand Oaks Care
Tulare, CA
528 ft3/53/52/5None recorded
Westgate Gardens Care Center
Visalia, CA
6.8 mi3/52/53/5$10,317
Sequoia Vista
Visalia, CA
6.8 mi1/51/52/5$46,078
Linwood Meadows Care Center
Visalia, CA
6.9 mi3/52/53/5None recorded
Kaweah Health Skilled Nursing Center
Visalia, CA
7.1 mi5/54/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Orchards at Tulare?▾
Orchards at Tulare has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Orchards at Tulare cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Orchards at Tulare participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records 1 fine(s) totaling $68,938.
What are the staffing levels at Orchards at Tulare?▾
Orchards at Tulare provides 4.96 total nursing staff hours per resident per day, including 0.35 RN hours, 1.24 LPN hours, and 3.37 nurse aide hours. The total staff turnover rate is 50.0%.
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. This page lists 6 nearby nursing homes in California, including 2 in Tulare. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Orchards at Tulare?▾
On Google Maps, Orchards at Tulare has a rating of 4.2 out of 5 based on 33 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.