Nursing Homes · Tulare, CA
Nursing Homes · Medicare certified
Orchards at Tulare
604 E. Merritt Ave. · Tulare, CA 93274 · 99 certified beds
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About Orchards at Tulare
Orchards at Tulare is a nursing home in Tulare, California. Its capacity is 99 beds, the same as the Tulare County median for nursing homes. It is run by a for-profit operator and is part of Ajc Healthcare. It is Medicare certified. Its public inspection record shows 88 citations, the most recent on March 9, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 5.39 hours per resident per day. It is one of 3 nursing homes listed in Tulare. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
3.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (88)
Records from May 2021 to March 2026.
March 9, 2026
Tag F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 30, 2026.
March 3, 2026
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 13, 2026.
February 26, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 2, 2026.
November 24, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.
May 8, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0803Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
May 8, 2025
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2025.
April 10, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 13, 2025.
March 26, 2025
Tag F0837Establish 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 18, 2025.
Penalties (2)
Total fines: $132,586
October 17, 2024 · Fine
CMS recorded a civil money penalty of $68,938 against this nursing home on October 17, 2024.
September 14, 2023 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting December 14, 2023, lasting 63 days (triggered by inspection on September 14, 2023).
Staffing
5.39 nurse hours per resident per day in Q2 2026, up from 4.69 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Ajc Healthcare, a chain of 16 nursing homes.
Average CMS star ratings across the chain: 2.4 overall, 2.0 for health inspections, 2.4 for staffing, 3.9 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in California.
Nearby alternatives
Other licensed providers in Tulare.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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