Skilled Nursing

ORCHARDS AT TULARE

604 E. MERRITT AVE., TULARE, CA 93274

99beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

4.3h

Hrs/resident · weekday

Expected: 4.7h

4.3h

Hrs/resident · weekend

vs 4.3h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
LPNs
CNAs
53%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

78 standard deficiencies in the last 3 years

View all
0573Severity DMar 9, 2026

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

0584Severity EMar 3, 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.

0689Severity DFeb 26, 2026

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

0880Severity DNov 24, 2025

Provide and implement an infection prevention and control program.

0880Severity DMay 8, 2025

Provide and implement an infection prevention and control program.

0842Severity DMay 8, 2025

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

0812Severity FMay 8, 2025

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

0807Severity DMay 8, 2025

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

0803Severity DMay 8, 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.

0759Severity DMay 8, 2025

Ensure medication error rates are not 5 percent or greater.

0755Severity DMay 8, 2025

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

0697Severity DMay 8, 2025

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

0692Severity EMay 8, 2025

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

0684Severity DMay 8, 2025

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

0641Severity DMay 8, 2025

Ensure each resident receives an accurate assessment.

0637Severity DMay 8, 2025

Assess the resident when there is a significant change in condition

0584Severity DMay 8, 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.

0578Severity DMay 8, 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.

0658Severity DApr 10, 2025

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

0837Severity DMar 26, 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.

0658Severity DMar 6, 2025

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

0842Severity DJan 16, 2025

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

0837Severity DDec 11, 2024

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.

0745Severity DDec 11, 2024

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

0684Severity DDec 2, 2024

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

0658Severity DDec 2, 2024

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

0600Severity GNov 15, 2024

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

0580Severity DNov 15, 2024

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

0661Severity DOct 24, 2024

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

0803Severity EOct 18, 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.

0761Severity DOct 18, 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.

0658Severity DOct 18, 2024

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

0656Severity DOct 17, 2024

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

0580Severity DAug 22, 2024

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

0770Severity DMay 29, 2024

Provide timely, quality laboratory services/tests to meet the needs of residents.

0921Severity DApr 18, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0883Severity DApr 18, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0881Severity DApr 18, 2024

Implement a program that monitors antibiotic use.

0880Severity FApr 18, 2024

Provide and implement an infection prevention and control program.

0867Severity DApr 18, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0847Severity EApr 18, 2024

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0837Severity EApr 18, 2024

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.

0812Severity EApr 18, 2024

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

0805Severity DApr 18, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0790Severity DApr 18, 2024

Provide routine and 24-hour emergency dental care for each resident.

0761Severity DApr 18, 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.

0726Severity EApr 18, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0710Severity DApr 18, 2024

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0700Severity DApr 18, 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.

0698Severity DApr 18, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0688Severity DApr 18, 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.

0686Severity DApr 18, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0685Severity DApr 18, 2024

Assist a resident in gaining access to vision and hearing services.

0679Severity DApr 18, 2024

Provide activities to meet all resident's needs.

0677Severity DApr 18, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0655Severity EApr 18, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0584Severity DApr 18, 2024

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.

0578Severity EApr 18, 2024

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.

0558Severity EApr 18, 2024

Reasonably accommodate the needs and preferences of each resident.

0552Severity EApr 18, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

0657Severity DApr 9, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0837Severity EFeb 13, 2024

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.

0580Severity EFeb 13, 2024

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

0573Severity DFeb 13, 2024

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

0607Severity DJan 30, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0726Severity DJan 24, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0842Severity DDec 21, 2023

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

0689Severity DDec 21, 2023

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

0580Severity DDec 21, 2023

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

0880Severity DNov 28, 2023

Provide and implement an infection prevention and control program.

0803Severity ENov 13, 2023

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.

0658Severity DOct 10, 2023

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

0684Severity DSep 19, 2023

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

0604Severity DSep 15, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0656Severity GSep 14, 2023

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

0656Severity DAug 15, 2023

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

0689Severity GJul 26, 2023

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

0689Severity DJul 10, 2023

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

Legal Business Name Not Available· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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