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.
April 9, 2024 · D
Citation F0657Federal surveyors cited this nursing home on 2024-04-09 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 13, 2024 · E
Citation F0837Federal surveyors cited this nursing home on 2024-02-13 under CMS tag F0837 (CMS scope/severity E: pattern, 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 13, 2024 · D
Citation F0573Federal surveyors cited this nursing home on 2024-02-13 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 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 13, 2024 · E
Citation F0580Federal surveyors cited this nursing home on 2024-02-13 under CMS tag F0580 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 30, 2024 · D
Citation F0607Federal surveyors cited this nursing home on 2024-01-30 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-02-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 24, 2024 · D
Citation F0726Federal surveyors cited this nursing home on 2024-01-24 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2024-02-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 21, 2023 · D
Citation F0689Federal surveyors cited this nursing home on 2023-12-21 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 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 21, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-12-21 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 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 21, 2023 · D
Citation F0580Federal surveyors cited this nursing home on 2023-12-21 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 28, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-11-28 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 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 13, 2023 · E
Citation F0803Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0803 (CMS scope/severity E: pattern, 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 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 10, 2023 · D
Citation F0658Federal surveyors cited this nursing home on 2023-10-10 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 2023-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 19, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-09-19 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 2023-10-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 15, 2023 · D
Citation F0604Federal surveyors cited this nursing home on 2023-09-15 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2023-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 14, 2023 · G
Citation F0656Federal surveyors cited this nursing home on 2023-09-14 under CMS tag F0656 (CMS scope/severity G: isolated, actual harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 15, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-08-15 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-09-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 26, 2023 · G
Citation F0689Federal surveyors cited this nursing home on 2023-07-26 under CMS tag F0689 (CMS scope/severity G: isolated, actual 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 2023-07-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 10, 2023 · D
Citation F0689Federal surveyors cited this nursing home on 2023-07-10 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 2023-07-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 27, 2021 · D
Citation F0761Federal surveyors cited this nursing home on 2021-05-27 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2021-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 27, 2021 · D
Citation F0582Federal surveyors cited this nursing home on 2021-05-27 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2021-06-28. 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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