Orchards at Tulare
604 E. Merritt Ave. · Tulare, CA · 93274 · 5596861601
99 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $68,938 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$68,938 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 4.29 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 2 · $132,586 |
Inspection citations (88 in the current record)
-
Potential for harm · D March 9, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · E March 3, 2026 · found via complaint
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.
Corrected March 13, 2026 · Resident Rights
-
Potential for harm · D February 26, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · D November 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 7, 2026 · Infection Control
-
Potential for harm · D May 8, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 30, 2025 · Resident Rights
-
Potential for harm · D May 8, 2025
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.
Corrected May 30, 2025 · Resident Rights
-
Potential for harm · D May 8, 2025
Assess the resident when there is a significant change in condition
Corrected May 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 8, 2025
Ensure each resident receives an accurate assessment.
Corrected May 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2025 · Quality of Life and Care
-
Potential for harm · E May 8, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 8, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 30, 2025 · Pharmacy Service
-
Potential for harm · D May 8, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 30, 2025 · Pharmacy Service
-
Potential for harm · D May 8, 2025
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.
Corrected May 30, 2025 · Nutrition and Dietary
-
Potential for harm · D May 8, 2025
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected May 30, 2025 · Nutrition and Dietary
-
Potential for harm · F May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
-
Potential for harm · D May 8, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 8, 2025
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
-
Potential for harm · D April 10, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2025 · found via complaint
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.
Corrected April 18, 2025 · Administration
-
Potential for harm · D March 6, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 16, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 11, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected January 27, 2025 · Quality of Life and Care
-
Potential for harm · D December 11, 2024 · found via complaint
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.
Corrected January 27, 2025 · Administration
-
Potential for harm · D December 2, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 10, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2024 | Fine | $68,938 |
| September 14, 2023 | Payment Denial | 63 days |
| July 10, 2023 | Fine | $63,648 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056261 · certified since January 17, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.