Orchards at Tulare

TULARE, CA • CMS Certification: 056261

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 604 E. MERRITT AVE., TULARE CA 93274
  • Phone: 5596861601

About Orchards at Tulare

Orchards At Tulare, located in TULARE, CA, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Orchards at Tulare

  • More Nursing Time: Staff spends 4.69 hours per resident daily (National Avg: 3.87).

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 4.69 hrs
  • Safety Record Clean

Chain Affiliations & Network

According to CMS records, this facility is independently owned and operated.

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Above Average Staffing

Orchards at Tulare provides more care hours than the state average and more than the national average.

Registered Nurses (RN)

0.28 hrs/day
State: 0.67 US: 0.68
Case Mix Adj: 0.68
Quality Adj: 0.28

Licensed Practical Nurses

1.41 hrs/day
State: 1.88 US: 1.54
Case Mix Adj: 0.86
Quality Adj: 1.13

Certified Assistants

3.28 hrs/day
State: 2.65 US: 2.33
Case Mix Adj: 2.32
Quality Adj: 3.27

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 1
Quality Measures 4
Staffing 3

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 92 May 08, 2025
Weighted Average 156 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 19.9%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 18.3%
Number of hospitalizations per 1000 long-stay resident days (QM551) 2.1%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 5.0%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 6.3%
Percentage of long-stay residents who lose too much weight (QM404) 3.0%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.0%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.6%
Percentage of long-stay residents who have depressive symptoms (QM408) 2.4%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 3.1%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 100.0%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 98.8%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 1.3%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 4.6%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 20.8%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 100.0%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 95.2%
Percentage of long-stay residents with pressure ulcers (QM479) 3.0%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 17.6%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 10.0%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 9 complaints
  • 2024: 18 complaints
  • 2025: 8 complaints
  • 2026: 4 complaints
  • Total: 39 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Apr 02, 2026 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 30, 2026 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Mar 13, 2026 Honor 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.
Jan 07, 2026 Provide and implement an infection prevention and control program.
May 13, 2025 Ensure services provided by the nursing facility meet professional standards of quality.
Apr 18, 2025 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.
Mar 13, 2025 Ensure services provided by the nursing facility meet professional standards of quality.
Jan 27, 2025 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Jan 27, 2025 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.
Jan 17, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 10, 2025 Ensure services provided by the nursing facility meet professional standards of quality.
Jan 10, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Dec 20, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 20, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Dec 13, 2024 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.
Dec 13, 2024 Ensure services provided by the nursing facility meet professional standards of quality.
Dec 13, 2024 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.
Dec 11, 2024 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Nov 20, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Sep 18, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 17, 2024 Provide timely, quality laboratory services/tests to meet the needs of residents.
Apr 17, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Feb 14, 2024 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Feb 14, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Feb 14, 2024 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.
Feb 06, 2024 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Feb 06, 2024 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.
Jan 20, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jan 20, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 20, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 06, 2023 Provide and implement an infection prevention and control program.
Dec 01, 2023 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.
Oct 31, 2023 Ensure services provided by the nursing facility meet professional standards of quality.
Oct 18, 2023 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Oct 16, 2023 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Oct 16, 2023 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Sep 14, 2023 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 30, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 27, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

Legal Business Name Not Available

Management & Direction

No management information provided.

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in TULARE, CA

Compare Orchards at Tulare to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Orchards at Tulare has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 4.69 hours per resident daily, compared to the national average of 3.87 hours.

Orchards at Tulare is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 99 certified beds.

Orchards at Tulare accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Orchards at Tulare directly at 5596861601. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Orchards at Tulare, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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