Orchards at Tulare
Medicare-certified604 E. MERRITT AVE., Tulare, CA 93274
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Tulare Healthcare & Wellness Center, LP brings skilled nursing and rehabilitation expertise to Tulare, California, where experienced care teams focus on helping patients regain strength and independence. Compassionate medical professionals work closely with each resident to support recovery and quality of life.
Capacity
97 residents
Location
Tulare, CA
Status
Listed in a public registry
680 EAST MERRITT AVENUE, Tulare, California 93274
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 12, 2026, state inspectors cited 20 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 6 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined Tulare Healthcare & Wellness Center, Lp in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 6 minutesBelow the California average |
| Registered nurse time per resident, per day | 12 minutesBelow the California average |
56 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 16, 2026 · Complaint investigation · 1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 12, 2026 · Standard inspection · 16 citations
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide and implement an infection prevention and control program.
Observe each nurse aide's job performance and give regular training.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Keep all essential equipment working safely.
Ensure that residents are fully informed and understand their health status, care and treatments.
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Ensure 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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure 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.
Reasonably accommodate the needs and preferences of each resident.
Help the resident with transportation to and from laboratory services outside of the facility.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide activities to meet all resident's needs.
Keep residents' personal and medical records private and confidential.
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.
Ensure 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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Provide routine and 24-hour emergency dental care for each resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate pain management for a resident who requires such services.
Reasonably accommodate the needs and preferences of each resident.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Prepare residents for a safe transfer or discharge from the nursing home.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Prepare residents for a safe transfer or discharge from the nursing home.
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
680 EAST MERRITT AVENUETulare, CA 93274
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604 E. MERRITT AVE., Tulare, CA 93274
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State inspectors visited on March 12, 2026 and cited 20 health deficiencies, 4 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 4 hours 6 minutes with each resident per day, including 12 minutes from registered nurses.
Medicare's records show no fines against Tulare Healthcare & Wellness Center, Lp in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.