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Nursing homeFAID #855

Tulare Healthcare & Wellness Center

680 EAST MERRITT AVENUE, TULARE, CA, 93274

(559) 686-8581

97 licensed beds

CMS rates Tulare Healthcare & Wellness Center 2 out of 5 overall. Federal inspectors issued 91 citations across 25 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

680 East Merritt Avenue

Tulare, CA 93274

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Public record summary

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Bed capacity

CMS facility ID

055649

Care type

Nursing home

County

Tulare

Facility name

Tulare Healthcare & Wellness Center

Street address

680 EAST MERRITT AVENUE

City / state / ZIP

Tulare, CA 93274

Phone

(559) 686-8581

About this facility — Tulare Healthcare & Wellness Center

Tulare Healthcare & Wellness Center is a Medicare/Medicaid-certified skilled nursing facility in Tulare, California. It is licensed for 97 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.

It is listed as part of Corporate Interface Services, a group of 40 facilities on this site.

Federal inspectors have cited Tulare Healthcare & Wellness Center 91 times across 25 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. 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 November 6, 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

Parent company

Corporate Interface Services

Ownership type

For profit - Individual

Registered owners & officers

Cooke, Amanda

Operational control · Additional disclosable party — since 2024

Corporate Interface Services Llc

Operational control · Additional disclosable party — since 2024

Eretz Tulare Properties

Additional disclosable party — since 2021

Miyakawa, Jon

Operational control · Additional disclosable party — since 2025

Rechnitz, Shlomo

Partner — since 2020

Rockport Administrative Services, Llc

Operational control · Additional disclosable party — since 2021

Tulare Wellness Gp, Llc

Partner — since 2020

Regulatory standing

Licensed / certified since

1974-01-17

CMS overall rating

2 of 5 stars

Health deficiencies

21 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-12

Nurse staffing

4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$587 per day (≈ $17,840/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

63% Medicaid · 18% Medicare · 19% private/other

Occupancy

78% (fiscal year 2023)

Vs. state median

14% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. 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 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-20Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-09-04

2026-04-16Health 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 2026-04-22

23 earlier / fire-safety inspections (89 citations)

2026-03-12Health inspection16 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-04-20

F-0584

E · 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 2026-04-20

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-04-20

F-0656

E · 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 2026-04-20

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-04-20

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-04-20

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 2026-04-20

F-0729

D · No harm found

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2026-04-20

F-0730

D · No harm found

Observe each nurse aide's job performance and give regular training.

Corrected 2026-04-20

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-04-20

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 2026-04-20

F-0804

F · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-04-20

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 2026-04-20

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-20

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2026-04-20

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 2026-04-20

2025-12-23Health 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 2025-12-24

2025-11-24Health inspectionComplaint-triggered2 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-12-12

F-0774

D · No harm foundFrom a complaint

Help the resident with transportation to and from laboratory services outside of the facility.

Corrected 2025-12-12

2025-08-20Health 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 2025-09-18

2025-07-03Health 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 2025-08-08

2025-04-30Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-03

2024-12-27Health inspectionComplaint-triggered1 citation

F-0906

E · No harm foundFrom a complaint

Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.

Corrected 2025-01-31

2024-10-24Health inspection19 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-11-16

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-11-16

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 2024-11-16

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-11-16

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-16

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-11-16

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-16

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-16

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-11-16

F-0745

E · No harm found

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-11-16

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 2024-11-16

F-0761

D · No harm found

Corrected 2024-11-16

F-0790

D · No harm found

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-11-16

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-11-16

F-0806

D · 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 2024-11-16

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-11-16

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 2024-11-16

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 2024-11-16

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-11-16

2024-09-18Health inspectionComplaint-triggered2 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-09-19

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 2024-09-19

2024-07-31Health inspectionComplaint-triggered1 citation

F-0624

D · No harm foundFrom a complaint

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2024-08-01

2024-06-28Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-08-19

2024-05-15Health 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 2024-07-19

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-07-19

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-19

2024-05-09Health 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 2024-07-19

2024-02-26Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-03-26

2024-02-05Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-02-28

2024-01-26Health 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 2024-02-26

2024-01-25Health inspectionComplaint-triggered1 citation

F-0624

D · No harm foundFrom a complaint

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2024-02-19

2023-11-20Health inspectionComplaint-triggered1 citation

F-0606

D · No harm foundFrom a complaint

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2023-12-27

2022-11-10Health inspection16 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2022-12-04

F-0553

E · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2022-12-04

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-12-04

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 2022-12-04

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2022-12-04

F-0644

E · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-12-04

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 2022-12-04

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 2022-12-04

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-12-04

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2022-12-04

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-04

F-0740

D · No harm found

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2022-12-04

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2022-12-04

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 2022-12-04

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 2022-12-04

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-12-04

2026-03-12Fire-safety inspection7 citations

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-03-27

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-03-27

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-03-27

K-0711

C · No harm found

Provide a written emergency evacuation plan.

Corrected 2026-03-27

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-03-27

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2026-03-27

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-03-27

2025-12-18Fire-safety inspectionComplaint-triggered1 citation

K-0711

D · No harm foundFrom a complaint

Provide a written emergency evacuation plan.

Corrected 2025-12-24

2024-10-24Fire-safety inspection6 citations

E-0004

D · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-08

E-0030

C · No harm found

List the names and contact information of those in the facility.

Corrected 2024-11-08

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-11-08

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-08

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-11-08

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-08

2022-11-10Fire-safety inspection4 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-28

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2022-11-28

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-11-28

K-0700

D · No harm found

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2022-11-28

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 055649.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 79% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

4.1

Higher than 36% of nursing homes in the state

State median: 4.3

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 10 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	4.5%	10.2%	13.5%	Better than state
Lose too much weight	2.8%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.7%	0.7%	0.7%	Near state average
With a urinary tract infection	0.7%	1.2%	1.5%	Better than state
Have depressive symptoms	4.3%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.7%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	9.3%	8.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	14.5%	13.7%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	1.7%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	13.0%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	4.8%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.65	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.45	1.50	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.8%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	89.5%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	32.4%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	27.8%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 5 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0842 3 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Kaweah Health Medical Center, about 7.7 miles. CMS rating 3 of 5.
Sierra View Medical Center, about 20 miles. CMS rating 3 of 5.
Adventist Health Delano, about 32 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Orchards At Tulare, Tulare, less than 0.1 miles. CMS rating 2 of 5.
Grand Oaks Care, Tulare, less than 0.1 miles. CMS rating 3 of 5.
Twin Oaks Assisted Living Center, Tulare, about 0.2 miles. 20 state visits on record.
Dycora Transitional Health & Living - - Twin Oaks Assisted Living, Tulare, about 0.2 miles. 14 state visits on record.
Twin Oaks Assisted Living, Tulare, about 0.2 miles. 14 state visits on record.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 91 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 only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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