Nursing home / skilled nursing
Orchards At Tulare
Nursing home / skilled nursing in Tulare, California
Checked October 31, 2026
| Provider details |
|---|
| Address | 604 E. MERRITT AVE. |
| City | Tulare |
| State | California |
| ZIP code | 93274 |
| County | Tulare |
| Phone | 559-686-1601 |
| CMS certification number (CCN) | 056261 |
| Ownership | For profit - Limited Liability company |
| Certified beds | 99 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | January 17, 1974 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
Orchards At Tulare is in 604 E. MERRITT AVE., Tulare, CA 93274. Phone: 559-686-1601. Ownership: For profit - Limited Liability company. CMS rates it 2 out of 5 stars overall (health inspection 1, staffing 3, quality measures 5). CMS inspection and staffing detail: total weighted health survey score 157.000; 1 federal fines totaling $68938.00; total nursing staff turnover 44.5%.
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours |
|---|
| Overall rating | 2 of 5 |
| Health inspection rating | 1 of 5 |
| Staffing rating | 3 of 5 |
| Quality measure rating | 5 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 4 of 5 |
| RN staffing hours per resident per day | 0.47 |
| Total nurse staffing hours per resident per day | 5.39 |
Inspection results
| Source: CMS · processing date 2026-10-01 |
|---|
| Rating Cycle 1 Total Health Score | 112 |
| Total Weighted Health Survey Score | 157.000 |
| Rating Cycle 2/3 Total Health Score | 292 |
| Rating Cycle 1 Health Deficiency Score | 112 |
| Rating Cycle 2/3 Health Deficiency Score | 292 |
| Rating Cycle 1 Standard Survey Health Date | 2025-05-08 |
| Rating Cycle 1 Total Number of Health Deficiencies | 23 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 54 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 14 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 9 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 29 |
Staffing
| Source: CMS · processing date 2026-10-01 |
|---|
| Nursing Case-Mix Index | 1.55452 |
| Registered Nurse turnover | 66.7 |
| Nursing Case-Mix Index Ratio | 1.10230 |
| Total nursing staff turnover | 44.5 |
| Reported LPN Staffing Hours per Resident per Day | 1.27808 |
| Reported Licensed Staffing Hours per Resident per Day | 1.74455 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.64097 |
| Registered Nurse hours per resident per day on the weekend | 0.30489 |
| Total number of nurse staff hours per resident per day on the weekend | 4.71140 |
Penalties
| Source: CMS · processing date 2026-10-01 |
|---|
| Number of Fines | 1 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Total Amount of Fines in Dollars | 68938.00 |
Ownership
| Source: CMS · processing date 2026-10-01 |
|---|
| Chain ID | 616 |
| Chain Name | AJC HEALTHCARE |
| Legal Business Name | ORCHARDS AT TULARE LLC |
| Chain Average QM Rating | 3.9 |
| Chain Average Staffing Rating | 2.4 |
| Number of Facilities in Chain | 16 |
| Chain Average Overall 5-star Rating | 2.4 |
| Chain Average Health Inspection Rating | 2.0 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 |
|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 91.4 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
