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
Data as of September 1, 2026
1 of 5 overall
Orchards at Tulare has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a recent federal penalty including $68,938 in fines over the last 24 months. Staffing is rated 3 stars, and reported nurse staffing is 4.96 hours per resident day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.9639 hrs/resident/day
Quality measures
Last inspection: July 6, 2026Penalties, last 24 months: $68,938recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9639.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.24
- Nurse aides
- 3.37
- Weekend nursing
- 4.43
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 40%
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
10%3.1%Improving
Residents with a fall causing major injury
3.9%0%Improving
Residents with pressure ulcers (bedsores)
1.5%1.1%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.4%3.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.5%0%Improving
Residents whose ability to walk got worse
2%0%Improving
Long-stay residents on antianxiety or sleep medication
20.5%24.7%Worsening
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20%5.5%Improving
Residents with depressive symptoms
1.4%0%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
98.8%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 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
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited May 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — 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
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- 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: 1 fine · $68,938 in total fines.
- $68,938
Federal fine
Oct 17, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 92.8 residents on an average day (94% 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.