Tulare Healthcare & Wellness Center, Lp
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 63 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 (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (25 vs median 13.0)
- High staff turnover (64%)
- High RN turnover (75%)
Bottom 25% in CA · Critically understaffed (RN) · No penalties on record
What this means for your family
This facility appears to be undergoing a major positive transformation under new management, with recent visitors highly praising the cleanliness and rehab services. However, because of serious historical reports of neglect and hygiene issues, you should personally verify that the current high standards for hygiene and nursing responsiveness are being maintained during your visits.
Google Reviews
Google Reviews
63 reviews on Google“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.”
Quality Themes
Tap a score for detailsStrengths
- Recent improvements in facility cleanliness
- Attentive and professional rehabilitation/therapy team
- Friendly and welcoming front desk/entry process
- Compassionate care from specific nursing and aide staff
Concerns
- Inconsistent nursing responsiveness and hygiene (mentioned by 3 reviewers)
- Poor communication from social services or administration (mentioned by 2 reviewers)
- Issues with food quality and taste (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 67 analyzed
How They Respond to Reviews
The owner uses standardized, template-based responses that avoid addressing specific allegations of neglect or poor hygiene. Instead, they rely on boilerplate statements about their commitment to care and redirect all concerns to a phone call with the Administrator.
Questions for Your Tour
- 1I've heard wonderful things about your rehab and therapy team; could you tell me more about how they work with residents to maintain their mobility?
- 2With the recent improvements in cleanliness noted by many, what specific protocols are in place to ensure the rooms and common areas stay tidy?
- 3How does the nursing team ensure that requests for assistance are addressed promptly, especially during the night shifts?
- 4What kind of daily activities or social programs are available to keep residents engaged and connected with one another?
- 5Can you explain the communication process between the administration and families, particularly regarding updates on a loved one's care plan?
- 6How does the dining team approach meal preparation to ensure food is both nutritious and enjoyable for the residents?
Personalized based on this facility's data
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.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
1
measures
5
measures
Residents on antipsychotic medication
Residents needing more daily help over time
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 whose walking got worse
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Mar 12, 2026Routine23
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.
Dec 23, 2025Complaint1
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.
Dec 18, 2025Complaint1
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Nov 24, 2025Complaint2
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.
Aug 20, 2025Complaint1
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.
Jul 3, 2025Complaint1
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.
Ownership & Operations
Who Operates This Facility
Tulare Healthcare & Wellness Center, Lp
for profit
Chain Affiliation
Corporate Interface Services
41 facilities nationwide
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
63 reviews from families & visitors
Official Website
Visit missioncg.com
Medicare data downloads
Original nursing home datasets
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