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 6, 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 March 13, 2025.
January 16, 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 January 17, 2025.
December 11, 2024
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 January 27, 2025.
December 11, 2024
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 27, 2025.
December 2, 2024
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 January 10, 2025.
December 2, 2024
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 January 10, 2025.
November 15, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected December 20, 2024.
November 15, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 20, 2024.
October 24, 2024
Tag F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2024.
October 18, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 13, 2024.
October 18, 2024
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 December 13, 2024.
October 18, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected December 13, 2024.
October 17, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2024.
August 22, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 18, 2024.
May 29, 2024
Tag F0770Provide timely, quality laboratory services/tests to meet the needs of residents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 17, 2024.
April 18, 2024
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.
April 18, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.
April 18, 2024
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 9, 2024.
April 18, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.
April 18, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.
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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