Nursing homeFAID #1114
Orchards At Tulare
604 E. MERRITT AVE., TULARE, CA, 93274
(559) 686-1601
99 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
99
CMS facility ID
056261
Care type
Nursing home
County
Tulare
Facility name
Orchards At Tulare
Street address
604 E. MERRITT AVE.
City / state / ZIP
Tulare, CA 93274
Phone
(559) 686-1601
About this facility — Orchards At Tulare
Orchards At Tulare is a Medicare/Medicaid-certified skilled nursing facility in Tulare, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).
It is one of 9 senior care facilities in Tulare and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Orchards At Tulare 117 times across 35 inspections in the last three years, including 11 food-safety citations, and CMS has imposed $68,938 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Limited Liability company
Regulatory standing
Licensed / certified since
1974-01-17
CMS overall rating
1 of 5 stars
Health deficiencies
21 at the last standard inspection
Federal fines
$68,938 total
Last standard inspection
2025-05-08
Nurse staffing
5.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$347 per day (≈ $10,550/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
83% Medicaid · 9% Medicare · 8% private/other
Occupancy
86% (fiscal year 2023)
Vs. state median
32% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
99
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 11 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-29Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-01
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-07-01
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-01
2026-03-09Health inspectionComplaint-triggered1 citation
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2026-03-30
33 earlier / fire-safety inspections (113 citations)
2026-03-03Health inspectionComplaint-triggered1 citation
F-0584
E · No harm foundFrom a 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 2026-03-13
2026-02-26Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-02
2025-11-24Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-07
2025-05-08Health inspection14 citations
F-0578
D · No harm found
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 2025-05-30
F-0584
D · No harm found
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 2025-05-30
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-05-30
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-30
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-30
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-30
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-30
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-30
F-0803
D · No harm foundFood safety
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 2025-05-30
F-0807
D · No harm foundFood safety
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-05-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-30
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
2025-04-10Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-13
2025-03-26Health inspectionComplaint-triggered1 citation
F-0837
D · No harm foundFrom a 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 2025-04-18
2025-03-06Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-13
2025-01-16Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-17
2024-12-11Health inspectionComplaint-triggered2 citations
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-01-27
F-0837
D · No harm foundFrom a 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 2025-01-27
2024-12-02Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-10
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-10
2024-11-15Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-20
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-20
2024-10-24Health inspectionComplaint-triggered1 citation
F-0661
D · No harm foundFrom a complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-12-11
2024-10-18Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-13
F-0761
D · No harm foundFrom a complaint
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 2024-12-13
F-0803
E · No harm foundFood safetyFrom a 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 2024-12-13
2024-10-17Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-20
2024-08-22Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-18
2024-05-29Health inspectionComplaint-triggered1 citation
F-0770
D · No harm foundFrom a complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-07-17
2024-04-18Health inspection25 citations
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-09
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-09
F-0578
E · No harm found
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 2024-05-09
F-0584
D · No harm found
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 2024-05-09
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-09
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-09
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-05-09
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-09
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-09
F-0688
D · No harm found
Provide 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.
Corrected 2024-05-09
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-09
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-05-09
F-0710
D · No harm found
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-05-09
F-0726
E · No harm found
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 2024-05-09
F-0761
D · No harm found
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 2024-05-09
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-05-09
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-05-09
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-09
F-0837
E · No harm found
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 2024-05-09
F-0847
E · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-05-09
F-0867
D · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-09
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-09
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-05-09
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-09
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-09
2024-04-09Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-17
2024-02-13Health inspectionComplaint-triggered3 citations
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-02-14
F-0580
E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-14
F-0837
E · No harm foundFrom a 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 2024-02-14
2024-01-30Health inspectionComplaint-triggered1 citation
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-06
2024-01-24Health inspectionComplaint-triggered1 citation
F-0726
D · No harm foundFrom a complaint
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 2024-02-06
2023-12-21Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-20
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-20
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-20
2023-11-28Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-06
2023-11-13Health inspectionComplaint-triggered1 citation
F-0803
E · No harm foundFood safetyFrom a 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 2023-12-01
2023-10-10Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-31
2023-09-19Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-18
2023-09-15Health inspectionComplaint-triggered1 citation
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-10-16
2023-09-14Health inspectionComplaint-triggered1 citation
F-0656
G · Actual harmFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-16
2023-08-15Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-14
2021-05-27Health inspection10 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-06-28
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-06-28
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-06-28
F-0688
D · No harm found
Provide 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.
Corrected 2021-06-28
F-0761
D · No harm found
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 2021-06-28
F-0803
F · No harm foundFood safety
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 2021-06-28
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-06-28
F-0806
E · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-06-28
F-0809
D · No harm foundFood safety
Ensure 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.
Corrected 2021-06-28
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-06-28
2025-05-08Fire-safety inspection7 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-05-15
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-05-23
K-0344
D · No harm found
Have an alternate power supply for its alarm system.
Corrected 2025-05-23
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-05-16
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-15
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-23
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-05-23
2024-04-18Fire-safety inspection12 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-16
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2024-05-16
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2024-05-16
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-05-16
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-05-16
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-05-16
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-16
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-05-16
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-16
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2024-05-16
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-16
K-0919
D · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2024-05-16
2021-05-27Fire-safety inspection9 citations
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-07-15
E-0006
C · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-07-15
E-0030
C · No harm found
List the names and contact information of those in the facility.
Corrected 2021-07-15
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-07-15
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-07-15
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-07-15
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2021-07-15
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2021-07-15
K-0926
D · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2021-07-15
Federal penalties
2024-10-17Fine$68,938
2023-09-14Medicare payment denial — 63 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056261.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 117 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered