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Skilled NursingCMS verified

Orchards at Tulare

604 E. Merritt Ave., Tulare, CA 93274 · Tulare County

Find Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. Official Medicare site.

1.0CMS overall rating(559) 686-1601Visit website ↗
34
Use Caution
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Orchards at Tulare photo 1Orchards at Tulare photo 2Orchards at Tulare photo 3Orchards at Tulare photo 4Orchards at Tulare photo 5Orchards at Tulare photo 6

Photos via google places.

Availability outlookVery limited availability

Typically 95% full (94 of 99 beds occupied on an average day). Openings here tend to go fast.

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A low federal rating — review the details closely

Orchards at Tulare is a for-profit skilled nursing facility in Tulare, CA, with 99 certified beds and an average of about 94 residents per day.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 3/5 on staffing, 4/5 on quality measures.

Staff provide about 4.69 total nurse hours per resident each day (0.28 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 52.9%, higher than the ~52% national average. On the safety record, CMS notes 18 health deficiencies at its most recent standard survey, and 2 federal fines totaling $132,586 in the recent record.

Strengths

  • Above-average nurse staffing (4.69 hrs/resident/day)
  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • Below-average 1-star overall CMS rating
  • Below-average health-inspection rating
  • 18 deficiencies at last survey
  • $132,586 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Tulare options — our advisors can help you compare.

At a glance

Certified beds
99
Avg. residents/day
94
Ownership
For profit - Limited Liability company
Part of a chain
Independent
Continuing care
No
CMS provider #
056261

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$10,010–$15,050/mo (median $12,110)Local market estimate

2024–2026 published survey medians, state median adjusted to local Visalia prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Orchards at Tulare

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
4.69
National avg ≈ 3.9
RN hrs / resident / day
0.28
National avg ≈ 0.75
Nursing staff turnover
52.9%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey)
18
Federal fines
2 ($132,586)
Total penalties
3
Last standard survey
2025-05-08
Sprinkler system
Yes
Resident & family council
Resident

What inspectors found

The most recent findings from federal health inspections (88 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-03-09Severity D — potential for harmFrom a complaintResident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

2026-03-03Severity E — potential for harmFrom a complaintResident 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.

2026-02-26Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-11-24Severity D — potential for harmFrom a complaintInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-05-08Severity F — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-05-08Severity E — potential for harmQuality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

2025-05-08Severity D — potential for harmResident 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.

2025-05-08Severity D — potential for harmResident 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.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2024-10-17Fine$68,938
2023-09-14Payment denial
2023-07-10Fine$63,648

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy

Location

604 E. Merritt Ave., Tulare, CA

  • Monday: 8:00 AM – 9:00 PM
  • Tuesday: 8:00 AM – 9:00 PM
  • Wednesday: 8:00 AM – 9:00 PM
  • Thursday: 8:00 AM – 9:00 PM
  • Friday: 8:00 AM – 9:00 PM
  • Saturday: 8:00 AM – 9:00 PM
  • Sunday: 8:00 AM – 9:00 PM

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Orchards at Tulare.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Orchards at Tulare

How much does Orchards at Tulare cost?

Orchards at Tulare does not publish exact rates. Comparable skilled nursing in the Tulare, CA area typically runs $10,010–$15,050 per month (median $12,110, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Orchards at Tulare's Medicare rating?

Medicare (CMS) rates Orchards at Tulare 1 out of 5 stars overall, including 1/5 for health inspections, 3/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Orchards at Tulare?

Staff provide about 4.69 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 52.9% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Orchards at Tulare?

Orchards at Tulare has 88 health citations on its recent federal inspection record (last standard survey: 2025-05-08). The full citation-by-citation detail, with severity levels, is published on this page.

Does Orchards at Tulare have availability?

Typically 95% full (94 of 99 beds occupied on an average day). Openings here tend to go fast. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Orchards at Tulare offer?

Orchards at Tulare in Tulare, CA offers skilled nursing and is licensed for 99 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Visalia.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Orchards at Tulare — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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