Orchards at Tulare
604 E. Merritt Ave., Tulare, CA 93274
Orchards at Tulare, a 99-bed for profit - limited liability company nursing facility in Tulare, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,019 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5596861601
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #1,019 of 1,154
- In-state rank among rated CA homes
- 4.96
- Well above average · nurse hrs/day · nat'l 3.86
- 50
- Inspection findings · 1 serious
The verdict
Orchards at Tulare, a 99-bed for profit - limited liability company nursing facility in Tulare, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,019 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #1,019 of 1,154
- In-state rank among rated CA homes
- 4.96
- Nurse hrs/resident-day · national 3.86
- 50
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 1,165 CA nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 056261
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 99
- Residents
- 93
- In Hospital
- No
- County
- Tulare
- Last Inspection
- May 8, 2025
Staffing Data
How the 4.96 total nursing hours per resident-day are staffed:
- RN Hours
- 0.35 (nat'l avg: 0.69)
- LPN Hours
- 1.24
- CNA Hours
- 3.37
- Total Nursing Hours
- 4.96 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 50.0%
- RN Turnover
- 40.0%
What the CMS Record Reveals About Orchards at Tulare
According to CMS Nursing Home Compare, Orchards at Tulare ranks #1,019 of 1,154 rated nursing homes in CA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Orchards at Tulare operates 99 certified beds in Tulare, CA with approximately 93 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 4★).
The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $69K. Per resident day, this facility reports 4.96 total nursing hours (national average 3.86) and 0.35 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Orchards at Tulare falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (50 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 1, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 1, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jul 1, 2026
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Category: Resident Rights Deficiencies
Corrected: Mar 30, 2026
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.
Category: Resident Rights Deficiencies
Corrected: Mar 13, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 2, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 7, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 30, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 30, 2025
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Category: Nutrition and Dietary Deficiencies
Corrected: May 30, 2025
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.
Category: Nutrition and Dietary Deficiencies
Corrected: May 30, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: May 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: May 30, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 30, 2025
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 30, 2025
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.
Category: Resident Rights Deficiencies
Corrected: May 30, 2025
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.
Category: Resident Rights Deficiencies
Corrected: May 30, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 30, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 13, 2025
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.
Category: Administration Deficiencies
Corrected: Apr 18, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 17, 2025
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.
Category: Administration Deficiencies
Corrected: Jan 27, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 10, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 10, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Dec 20, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Dec 20, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 11, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 13, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 13, 2024
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 20, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Sep 18, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Category: Administration Deficiencies
Corrected: Jul 17, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: May 9, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: May 9, 2024
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: May 9, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: May 9, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Category: Nutrition and Dietary Deficiencies
Corrected: May 9, 2024
Provide routine and 24-hour emergency dental care for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: May 9, 2024
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Category: Nursing and Physician Services Deficiencies
Corrected: May 9, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.2% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 1.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 21.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 15.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.2% | No |
Penalty History 1 penalties totaling $69K
| Date | Type | Amount |
|---|---|---|
| Oct 17, 2024 | Fine | $69K |
| Sep 14, 2023 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Orchards at Tulare, both outside CA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside CA (99 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside CA (4.64 here).
Nearby Nursing Homes in CA
1,164 other nursing homes are on record in CA; 6 are shown here.
A Grace Sub Acute & Skilled Care
San Jose, CA
Acc Care Center
Sacramento, CA
Advanced Health Care of Sacramento
Sacramento, CA
Advanced Rehab Center of Tustin
Santa Ana, CA
Adventist Health Delano
Delano, CA
Adventist Health Sonora - D/P SNF
Sonora, CA
Understanding Nursing Home Data
What the CMS records show for Orchards at Tulare
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The CA registry aggregates state averages and the highest-rated homes in this cohort. View CA registry
- Peer homes near 99 beds show how CMS stars vary at a similar scale in CA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Orchards at Tulare?
Where does Orchards at Tulare rank among nursing homes in CA?
What are the staffing levels at Orchards at Tulare?
How many beds does Orchards at Tulare have?
Does Orchards at Tulare have any deficiencies on record?
Has Orchards at Tulare received any fines or penalties?
Who owns Orchards at Tulare?
When was Orchards at Tulare last inspected?
What quality measures are tracked for Orchards at Tulare?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
