Tulare Healthcare & Wellness Center, LP
680 East Merritt Avenue · Tulare, CA · 93274 · 5596868581
97 certified beds For profit - Individual Chain: Corporate Interface Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (72 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · E March 12, 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.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · E March 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E March 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E March 12, 2026
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.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · D March 12, 2026
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · D March 12, 2026
Observe each nurse aide's job performance and give regular training.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · D March 12, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · D March 12, 2026
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.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · F March 12, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 20, 2026 · Nutrition and Dietary
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Potential for harm · F March 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 20, 2026 · Nutrition and Dietary
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Potential for harm · D March 12, 2026
Provide and implement an infection prevention and control program.
Corrected April 20, 2026 · Infection Control
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Potential for harm · D March 12, 2026
Keep all essential equipment working safely.
Corrected April 20, 2026 · Environmental
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Potential for harm · D March 12, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 20, 2026 · Environmental
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Potential for harm · E December 23, 2025 · found via complaint
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 December 24, 2025 · Nutrition and Dietary
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Potential for harm · D November 24, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · D November 24, 2025 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected December 12, 2025 · Administration
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Potential for harm · D August 20, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 3, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 27, 2024 · found via complaint
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
Corrected January 31, 2025 · Environmental
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Potential for harm · D October 24, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 16, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055649 · 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.