Starfile / California

ORCHARDS AT TULARE

604 E. MERRITT AVE., TULARE, CA 93274 · CCN 056261

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$132,586

Number of fines

2

Number of penalties

3

Payment denials

1

Inspection citations (85)3 actual harm

1. DF0880Provide and implement an infection prevention and control program.2025-11-24 · Health · corrected 2026-01-07

   Potential for more than minimal harm

2. DF0578Honor 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.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

3. DF0584Honor 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.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

4. DF0637Assess the resident when there is a significant change in condition2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

7. EF0692Provide enough food/fluids to maintain a resident's health.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

8. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-08 · Health · corrected 2025-05-30

   Potential for more than minimal harm

10. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

11. DF0803Ensure 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.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

12. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

14. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

15. DF0880Provide and implement an infection prevention and control program.2025-05-08 · Health · corrected 2025-05-30

    Potential for more than minimal harm

16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-10 · Health · corrected 2025-05-13

    Potential for more than minimal harm

17. DF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2025-03-26 · Health · corrected 2025-04-18

    Potential for more than minimal harm

18. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-06 · Health · corrected 2025-03-13

    Potential for more than minimal harm

19. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-16 · Health · corrected 2025-01-17

    Potential for more than minimal harm

20. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-12-11 · Health · corrected 2025-01-27

    Potential for more than minimal harm

21. DF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-12-11 · Health · corrected 2025-01-27

    Potential for more than minimal harm

22. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-02 · Health · corrected 2025-01-10

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-02 · Health · corrected 2025-01-10

    Potential for more than minimal harm

24. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-15 · Health · corrected 2024-12-20

    Potential for more than minimal harm

25. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-15 · Health · corrected 2024-12-20

    Actual harm

26. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-10-24 · Health · corrected 2024-12-11

    Potential for more than minimal harm

27. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-18 · Health · corrected 2024-12-13

    Potential for more than minimal harm

28. DF0761Ensure 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.2024-10-18 · Health · corrected 2024-12-13

    Potential for more than minimal harm

29. EF0803Ensure 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.2024-10-18 · Health · corrected 2024-12-13

    Potential for more than minimal harm

30. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-17 · Health · corrected 2024-11-20

    Potential for more than minimal harm

31. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-22 · Health · corrected 2024-09-18

    Potential for more than minimal harm

32. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-05-29 · Health · corrected 2024-07-17

    Potential for more than minimal harm

33. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

34. EF0558Reasonably accommodate the needs and preferences of each resident.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

35. EF0578Honor 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.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

36. DF0584Honor 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.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

37. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

38. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

39. DF0679Provide activities to meet all resident's needs.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

40. DF0685Assist a resident in gaining access to vision and hearing services.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

41. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

42. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

43. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

44. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

45. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

46. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

47. DF0761Ensure 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.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

48. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

49. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

50. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

51. EF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

52. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

53. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

54. FF0880Provide and implement an infection prevention and control program.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

55. DF0881Implement a program that monitors antibiotic use.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

56. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

57. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-18 · Health · corrected 2024-05-09

    Potential for more than minimal harm

58. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-09 · Health · corrected 2024-04-17

    Potential for more than minimal harm

59. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-02-13 · Health · corrected 2024-02-14

    Potential for more than minimal harm

60. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-13 · Health · corrected 2024-02-14

    Potential for more than minimal harm

61. EF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-02-13 · Health · corrected 2024-02-14

    Potential for more than minimal harm

62. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-01-30 · Health · corrected 2024-02-06

    Potential for more than minimal harm

63. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-01-24 · Health · corrected 2024-02-06

    Potential for more than minimal harm

64. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-21 · Health · corrected 2024-01-20

    Potential for more than minimal harm

65. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-21 · Health · corrected 2024-01-20

    Potential for more than minimal harm

66. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-21 · Health · corrected 2024-01-20

    Potential for more than minimal harm

67. DF0880Provide and implement an infection prevention and control program.2023-11-28 · Health · corrected 2023-12-06

    Potential for more than minimal harm

68. EF0803Ensure 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.2023-11-13 · Health · corrected 2023-12-01

    Potential for more than minimal harm

69. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-10 · Health · corrected 2023-10-31

    Potential for more than minimal harm

70. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-19 · Health · corrected 2023-10-18

    Potential for more than minimal harm

71. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-09-15 · Health · corrected 2023-10-16

    Potential for more than minimal harm

72. GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-14 · Health · corrected 2023-10-16

    Actual harm

73. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-15 · Health · corrected 2023-09-14

    Potential for more than minimal harm

74. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-26 · Health · corrected 2023-07-27

    Actual harm

75. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-10 · Health · corrected 2023-07-30

    Potential for more than minimal harm

76. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

77. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

78. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

79. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

80. DF0761Ensure 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.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

81. FF0803Ensure 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.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

82. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

83. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

84. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

85. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-05-27 · Health · corrected 2021-06-28

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in TULARE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.