The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
ORCHARDS AT TULARE
TULARE, CA · Medicare-certified · 99 beds
Needs attention
For-profit
1 of 5 overall
ORCHARDS AT TULARE in Tulare, CA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a recent federal penalty with $68,938 in fines over the last 24 months. Staffing is rated 3 stars, with reported nurse staffing at 4.69 hours per resident per day versus the 4.1-hour federal benchmark, while quality measures are rated 4 stars.
Facility ratings
Health inspections
Staffing
4.6926 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $68,938recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6926.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.13
- Nurse aides
- 3.28
- Weekend nursing
- 4.29
Hours per resident per day.
Total staff turnover: 53%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.9%9.3%Improving
Residents with a fall causing major injury
4.9%2.4%Improving
Residents with pressure ulcers (bedsores)
6.8%1.2%Improving
Residents with a urinary tract infection
1.3%0%Improving
Residents who lost too much weight
2.7%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.3%3.9%No change
Residents whose ability to walk got worse
9.4%1.8%Improving
Long-stay residents on antianxiety or sleep medication
21.3%18.5%Improving
Short-stay residents newly given an antipsychotic
2.3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.4%7.9%Improving
Residents with depressive symptoms
4.1%1.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.2%—
Short-stay residents given the pneumonia vaccine
96.2%100%Improving
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $68,938 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $132,586 in total fines · 1 payment denial.
- $68,938
Federal fine
Oct 17, 2024
- 63 days
Medicare/Medicaid payment denial
Sep 14, 2023
- $63,648
Federal fine
Jul 10, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 94.3 residents on an average day (95% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.