Grand Oaks Care
Cost data not yet available
Nursing Homes · Medicare certified
604 E. Merritt Ave. · Tulare, CA 93274 · 99 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1275230963. Look this up in the CMS NPPES registry (opens in a new tab)
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In Tulare, California, Orchards at Tulare is listed as a nursing home. Public records list 99 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Magnolia Health Corporation. We hold 88 inspection citations for this listing, the most recent dated 9 March 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 4.96 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
78
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
79
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
78
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Records from May 2021 to March 2026.
March 9, 2026 · D
Citation F0573Federal surveyors cited this nursing home on 2026-03-09 under CMS tag F0573 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Let each resident or the resident's legal representative access or purchase copies of all the resident's records. The deficiency was recorded as corrected on 2026-03-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 3, 2026 · E
Citation F0584Federal surveyors cited this nursing home on 2026-03-03 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 26, 2026 · D
Citation F0689Federal surveyors cited this nursing home on 2026-02-26 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-04-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 24, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-11-24 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0759Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0803Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0637Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · F
Citation F0812Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0807Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0807 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0641Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0755Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0578Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0584Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · E
Citation F0692Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0684Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 8, 2025 · D
Citation F0697Federal surveyors cited this nursing home on 2025-05-08 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 26, 2025 · D
Citation F0837Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0837 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $132,586
October 17, 2024 · Fine
Citation FINE-130969CMS recorded a civil money penalty of $68,938 against this nursing home on 2024-10-17 (Fine ID: 130969). Source: CMS Care Compare Penalties (as of 2026-07-01).
September 14, 2023 · Payment Denial
Citation PAYDEN-2023-12-14CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2023-12-14, lasting 63 days (triggered by inspection on 2023-09-14). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 4.96 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.27 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
Parent organization: Magnolia Health Corporation
parent · PAC 7810977907
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical CA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · CA$12,167/moOther licensed providers in Tulare, with their own public records.
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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