Nursing homes › California › Orchards at Tulare
604 E. Merritt Ave., Tulare, CA 93274 · 5596861601 · 99 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 4.96 (California median: 4.24). RN hours: 0.35. Weekend total: 4.43. Nursing staff turnover: 50%.
All-time on record: 88 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-09 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | complaint | corrected 2026-03-30 |
| 2026-03-03 | 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. | E | complaint | corrected 2026-03-13 |
| 2026-02-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-02 |
| 2025-11-24 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-01-07 |
| 2025-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2025-05-30 |
| 2025-05-08 | 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. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | 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. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Assess the resident when there is a significant change in condition | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | 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. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-05-30 |
| 2025-05-08 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-30 |
| 2025-04-10 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-05-13 |
| 2025-03-26 | 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. | D | complaint | corrected 2025-04-18 |
| 2025-03-06 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-03-13 |
| 2025-01-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-01-17 |
| 2024-12-11 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | complaint | corrected 2025-01-27 |
| 2024-12-11 | 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. | D | complaint | corrected 2025-01-27 |
| 2024-12-02 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-01-10 |
| 2024-12-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-01-10 |
| 2024-11-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-12-20 |
| 2024-11-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-12-20 |
| 2024-10-24 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2024-12-11 |
| 2024-10-18 | 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. | E | complaint | corrected 2024-12-13 |
| 2024-10-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-12-13 |
| 2024-10-18 | 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. | D | complaint | corrected 2024-12-13 |
| 2024-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-11-20 |
| 2024-08-22 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-09-18 |
| 2024-05-29 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2024-07-17 |
| 2024-04-18 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-05-09 |
| 2024-04-18 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | corrected 2024-05-09 |
| 2024-04-18 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2024-05-09 |
| 2024-04-18 | 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. | E | Health | corrected 2024-05-09 |
| 2024-04-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2024-05-09 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-17 | Fine | $68,938 |
| 2023-09-14 | Payment Denial | 63 days payment denial |
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056261. Corrections: data@carerecords.org.