Orchards at Tulare

Certification

Medicare-certified.

Ratings

Inspection history (88)

Records from May 2021 to March 2026.

• April 18, 2024

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0812

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0679

  Provide activities to meet all resident's needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0688

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0698

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0790

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0552

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0677

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0700

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0805

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0867

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0847

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0655

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0883

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0921

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0710

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2024.

• April 18, 2024

  Tag F0686

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

  Severity D: isolated, 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