Orchards at Tulare
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 36 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (18 vs median 13.0)
Below average in CA · Critically understaffed (RN) · $132,586 in fines
What this means for your family
The nursing staff is frequently noted for their kindness and compassion, which is a major asset. However, you must closely monitor clinical oversight and hygiene, as multiple recent reviews allege serious failures in responding to medical distress and basic care needs.
Google Reviews
Google Reviews
36 reviews on Google“Families may find comfort in the highly praised nursing staff, who are frequently described as attentive, kind, and compassionate. However, there are serious allegations of medical neglect, poor hygiene, and unresponsiveness to urgent health concerns that should be investigated thoroughly.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Cleanliness in certain areas/rooms
- Effective communication regarding health updates
- Welcoming and friendly atmosphere
Concerns
- Allegations of medical neglect and failure to monitor vital symptoms (mentioned by 2 reviewers)
- Inadequate hygiene and failure to change soiled linens/diapers (mentioned by 2 reviewers)
- Difficulty reaching staff via telephone (mentioned by 2 reviewers)
- Inconsistent food quality and temperature (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 37 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how friendly and welcoming the atmosphere is here; what kind of social activities or group outings do you have planned for the residents each week?
- 2How does the nursing team ensure that vital signs and health changes are closely monitored and documented throughout the day and night?
- 3Could you tell us more about your processes for ensuring linens are changed promptly and that resident hygiene is maintained consistently?
- 4What steps does the kitchen staff take to ensure that meals are served at the proper temperature and that food quality remains consistent for every resident?
- 5In the event of a medical emergency after hours, what is the specific protocol for contacting the on-call physician and notifying the family?
- 6We noticed some positive feedback regarding communication about health updates; how do you ensure that family members can easily reach the nursing staff via phone if they have a quick question?
Personalized based on this facility's data
Key Review Excerpts
“The Care, that my mom receives at Orchards of Tulare is comforting to us. If anything is going on with her health or her care they contact us right away and we appreciate that.”
“The nurses are always so nice and very tentative. My Mom can be very difficult at times but they are champs. They are champions and they really are heros.”
“Nurses said tightness in chest wasn’t a sign of pain or a concern, they don’t answer the phone at all and the night shift was rude to my mom because she needed cleaning and left her flat w”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
7
measures
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The facility shows a concerning pattern with families filing numerous complaints, resulting in 36 complaint-triggered deficiencies and a recent serious abuse case in November 2024. Problems persist across surveys in care planning, notification of families about incidents, and nutrition services, with medication management also flagged multiple times. While the facility corrects issues when cited, the recurring nature of problems in resident assessment, family communication, and basic care standards suggests ongoing quality concerns that families should carefully evaluate.
Mar 9, 2026Complaint1
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Mar 3, 2026Complaint1
Resident Rights Deficiencies
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.
Feb 26, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 24, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 8, 2025Routine21
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 10, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Oct 17, 2024
$68,938
Payment Denial
Sep 14, 2023
63-day denial
Fine
Jul 10, 2023
$63,648
Ownership & Operations
Who Operates This Facility
Orchards at Tulare
for profit
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
36 reviews from families & visitors
Official Website
Visit medicare.gov
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Park Visalia Assisted Living
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