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Nursing Home · Tulare, CA
604 E. Merritt Ave., Tulare, CA 93274
Map location from our source data
Medicare overall rating
1 / 5 stars
Inspection records →About this listing
Catalog updated Sep 1, 2026. Current services and availability are unconfirmed.
Monthly cost
Ask for the full monthly cost, including care fees and one-time charges.
Availability
We don't have live openings. Ask about current availability, waiting lists, and move-in timing.
Reported capacity: 99 beds. This is not the number of openings.
Contact information →Care & support
Provides nursing care and help with daily activities. Some offer short-term rehabilitation.
This describes the care category. Confirm support for your family member's needs.
Understand care types →Payment options
Participation is reported in our source data. Confirm eligibility, covered services, and any private-pay costs.
Medicare participation does not mean all stays or services are covered.
Ask about these reported findings and check the latest official record.
Your next step
You don't need to know everything. Start with these questions.
Medicare rates this facility 1 out of 5 overall. Medicare reports an average of 0.35 registered-nurse hours per resident per day. Ask how coverage varies across shifts. The latest standard survey recorded 21 findings, above the CA average of 15.4. Review the inspection findings, ask which corrective actions are complete, and discuss the support your family member would receive.
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.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
A large number of reviewers praise the nurses and CNAs for being attentive, kind, and professional.
Some families appreciate immediate health updates, while others struggle to get anyone to answer the phone.
While some praise the facility as very clean, others reported filthy rooms and neglected hygiene.
Reviewers report meals are often cold, tasteless, or inconsistent in portion size.
One reviewer specifically thanks staff for caring for a resident with dementia, but others noted chaos.
Scores range from 0 (negative) to 10 (positive). They are model interpretations of reviews and are not clinical, safety, or inspection ratings. Unmentioned topics are omitted.
Strengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
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”
Reported nursing hours are daily averages per resident. They do not describe a specific shift or guarantee one-to-one care.
Per resident, per day
Nurses and aides combined
Reported by Medicare
Registered nurses
Ask during your visit: Who will help my family member during the day and overnight? How do you plan staffing when residents need more support?
EveryPlace uses reference points of 0.75 registered-nurse hours and 4.1 total nursing hours per resident per day. These are comparison targets, not current federal minimum requirements or a determination that a facility meets a resident's needs.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
1
measures
3
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 on antipsychotic medication
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
Detailed Medicare record · up to 3-year lookback
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
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.
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.
Federal Penalties
Fine
Oct 17, 2024
$68,938
Payment Denial
Sep 14, 2023
63-day denial
Orchards at Tulare
for profit
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact the provider directly when you feel ready. Have your questions handy and ask for answers in writing.
Confirm current status with CA Community Care Licensing Division. A direct record link is not available in this catalog.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
40 reviews from families & visitors
Official Website
Visit medicare.gov
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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