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.
May 27, 2021
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 28, 2021.
May 27, 2021
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 F: widespread, no actual harm, potential for more than minimal harm. Corrected June 28, 2021.
May 27, 2021
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 June 28, 2021.
May 27, 2021
Tag F0677Provide 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 June 28, 2021.
May 27, 2021
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2021.
May 27, 2021
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 June 28, 2021.
May 27, 2021
Tag F0688Provide 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 June 28, 2021.
May 27, 2021
Tag F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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
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