Nursing HomeInspections

Orchards at Tulare

Nursing home in Tulare, CA

Medicare & Medicaid certified1★ overall (CMS)

Call (559) 686-1601Send a messageMap ↗

Public-record details

Address
604 E. Merritt Ave., Tulare, CA 93274
Phone
(559) 686-1601
Listed under
For-profit
Medicare CCN
056261
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
99
Average residents per day
93
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 17, 1974
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 056261. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 8, 2025. CMS lists 89 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 27, 2021 to Jun 29, 2026): 40 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 29, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 29, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 29, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 9, 2026Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 3, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 24, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 8, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 8, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 89. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $68,938 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 17, 2024Fine: $68,938
Sep 14, 2023Payment denial for 63 days from Dec 14, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.96 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
3.37 hours
Total nurse staffing on weekends
4.43 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Tulare

Grand Oaks Care897 North M Street · Tulare, CA 93274 · (559) 687-1340 · For-profit55 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Tulare Healthcare & Wellness Center, LP680 East Merritt Avenue · Tulare, CA 93274 · (559) 686-8581 · For-profit72 health citations in 3 inspection cycles · last standard inspection Mar 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 3 in Tulare →