★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle23
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$68,938
Beds99
Inspection findings
Inspectors recorded 87 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 7, 2026 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 2, 2026 |
| Jul 6, 2026 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 31, 2026 |
| Jun 29, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 1, 2026 |
| Jun 29, 2026 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 1, 2026 |
| Jun 29, 2026 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 1, 2026 |
Earlier inspections (82)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Mar 9, 2026 | Resident rights | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 30, 2026 |
| Mar 3, 2026 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 13, 2026 |
| Feb 26, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 2, 2026 |
| Nov 24, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 7, 2026 |
| May 8, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: May 30, 2025 |
| May 8, 2025 | Food and nutrition | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (F0807) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern | Corrected: May 30, 2025 |
| May 8, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Resident assessment and care planning | Assess the resident when there is a significant change in condition (F0637) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| May 8, 2025 | Resident rights | 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. (F0578) | No harm, but a risk of harm isolated | Corrected: May 30, 2025 |
| Apr 10, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 13, 2025 |
| Mar 26, 2025 | Administration | Establish 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. (F0837) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 18, 2025 |
| Mar 6, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 13, 2025 |
| Jan 16, 2025 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 17, 2025 |
| Dec 11, 2024 | Administration | Establish 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. (F0837) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 27, 2025 |
| Dec 11, 2024 | Quality of life and care | Provide medically-related social services to help each resident achieve the highest possible quality of life. (F0745) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 27, 2025 |
| Dec 2, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 10, 2025 |
| Dec 2, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 10, 2025 |
| Nov 15, 2024 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | Actual harm to a resident isolated · from a complaint | Corrected: Dec 20, 2024 |
| Nov 15, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 20, 2024 |
| Oct 24, 2024 | Resident assessment and care planning | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (F0661) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 11, 2024 |
| Oct 18, 2024 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 13, 2024 |
| Oct 18, 2024 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 13, 2024 |
| Oct 18, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 13, 2024 |
| Oct 17, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 20, 2024 |
| Aug 22, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 18, 2024 |
| May 29, 2024 | Administration | Provide timely, quality laboratory services/tests to meet the needs of residents. (F0770) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 17, 2024 |
| Apr 18, 2024 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Infection control | Develop and implement policies and procedures for flu and pneumonia vaccinations. (F0883) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: May 9, 2024 |
| Apr 18, 2024 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Administration | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (F0847) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Administration | Establish 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. (F0837) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Provide routine and 24-hour emergency dental care for each resident. (F0790) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Nursing and physician services | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (F0710) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Try 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. (F0700) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Provide 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. (F0688) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: May 9, 2024 |
| Apr 18, 2024 | Resident rights | 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. (F0578) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 18, 2024 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm pattern | Corrected: May 9, 2024 |
| Apr 9, 2024 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 17, 2024 |
| Feb 13, 2024 | Administration | Establish 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. (F0837) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 14, 2024 |
| Feb 13, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 14, 2024 |
| Feb 13, 2024 | Resident rights | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 14, 2024 |
| Jan 30, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 6, 2024 |
| Jan 24, 2024 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 6, 2024 |
| Dec 21, 2023 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 20, 2024 |
| Dec 21, 2023 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 20, 2024 |
| Dec 21, 2023 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 20, 2024 |
| Nov 28, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 6, 2023 |
| Nov 13, 2023 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 1, 2023 |
| Oct 10, 2023 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 31, 2023 |
| May 27, 2021 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Food and nutrition | Ensure 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. (F0809) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm pattern | Corrected: Jun 28, 2021 |
| May 27, 2021 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Food and nutrition | 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. (F0803) | No harm, but a risk of harm widespread | Corrected: Jun 28, 2021 |
| May 27, 2021 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Quality of life and care | Provide 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. (F0688) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
| May 27, 2021 | Resident rights | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F0582) | No harm, but a risk of harm isolated | Corrected: Jun 28, 2021 |
Fines and payment denials
Federal fines in the last three years: $68,938 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Oct 17, 2024 | Fine | $68,938 |
Staffing
| Nurse staff hours per resident per day | 5.39 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.47 | California median: 0.52 |
| Nurse staff hours on weekends | 4.71 | California median: 3.85 |
| Nursing staff who left within a year | 44.5% | California median: 36.0% |
About this home
| Beds | 99 |
| Residents per day, average | 91.4 |
| Ownership | For-profit, limited liability company |
| Legal business name | Orchards at Tulare LLC |
| Chain | Ajc Healthcare (16 homes) |
| In Medicare/Medicaid since | Jan 17, 1974 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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