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Nursing Home · Tulare, CA
680 East Merritt Avenue, Tulare, CA 93274
Map location from our source data
Medicare overall rating
2 / 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: 97 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 2 out of 5 overall. Medicare reports an average of 0.21 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.
Recent reviews from 2025 and 2026 indicate a significant positive turnaround, with many families praising a new management team, improved cleanliness, and a much more professional, attentive staff. However, historical reviews from 2022-2024 highlight severe concerns regarding neglect, poor hygiene, and lack of accountability that families should investigate through recent visits.
AI summaries of public opinions. These describe review sentiment, not verified care quality.
Recent reviews highly praise the staff's kindness, though historical reviews mention severe neglect and rudeness.
Recent reviews praise the easy check-in and informative staff, but older reviews cite major communication failures.
Multiple recent reviews specifically note that the facility looks newly painted and is very clean.
While some recent visitors find it tasty, older reviews heavily criticize the taste and quality of meals.
One reviewer noted the facility struggled to provide appropriate care for a resident with dementia.
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 · 76 analyzed
Key Review Excerpts
“The rehab team was wonderful too, encouraging my grandpa to make progress while still being patient and suppor”
“The people who took care of my sister treated her like their grandma. Thank you. #105 by the window”
“My mother inlaw has been here for less then 2 days and waited 3 hours for water and when it did come there was spoiled milk in it. Asked from assistance to use the restroom and 3 hours later still no one to take her to the rest room.”
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
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
11
measures
6
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have repeatedly filed complaints triggering many of the 76 deficiencies found across 25 inspections, with recurring problems in care planning, resident rights, and food service. The facility shows persistent issues with developing proper care plans for residents, accommodating their needs and preferences, and maintaining nutritional standards. While most deficiencies appear corrected when cited, the high volume of complaint-driven violations and repeated problems in the same care areas suggest ongoing quality concerns families should carefully consider.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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
Have generator or other power source capable of supplying service within 10 seconds.
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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
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.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
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.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Administration Deficiencies
Help the resident with transportation to and from laboratory services outside of the facility.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Tulare Healthcare & Wellness Center, Lp
for profit
Corporate Interface Services
40 facilities nationwide
Key personnel
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
Google Maps
Photos, directions & neighborhood info
Google Reviews
72 reviews from families & visitors
Official Website
Visit missioncg.com
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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