Nursing Homes · Tulare, CA
Nursing Homes · Medicare certified
Orchards at Tulare
604 E. Merritt Ave. · Tulare, CA 93274 · 99 certified beds
Are you the operator? Claim this profile.
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.
April 9, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 17, 2024.
February 13, 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 February 14, 2024.
February 13, 2024
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 February 14, 2024.
February 13, 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 E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2024.
January 30, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
January 24, 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 D: isolated, no actual harm, potential for more than minimal harm. Corrected February 6, 2024.
December 21, 2023
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 January 20, 2024.
December 21, 2023
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 20, 2024.
December 21, 2023
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 January 20, 2024.
November 28, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 6, 2023.
November 13, 2023
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 1, 2023.
October 10, 2023
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 October 31, 2023.
September 19, 2023
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 October 18, 2023.
September 15, 2023
Tag F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2023.
September 14, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity G: isolated, actual harm. Corrected October 16, 2023.
August 15, 2023
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 September 14, 2023.
July 26, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected July 27, 2023.
July 10, 2023
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 July 30, 2023.
May 27, 2021
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 June 28, 2021.
May 27, 2021
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2021.
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
Advertisement
Check availability and pricing at Orchards at Tulare
We'll email you Orchards at Tulare and similar options nearby, with local costs. You can also ask them to contact you, or call (559) 686-1601.
Sponsored
Talk to an advisor at no cost