Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056261

Orchards At Tulare

85 federal citations on record , and 3 federal enforcement actions totaling $132,586.

Record summary

Federal record · Q1 2026
85
Total citations
75
Last 3 years
3
Actual harm+
3
Federal penalties
$132,586
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care19 Care Planning18 Resident Rights12 Nutrition & Dietary11 Administration7

Most common F-tags at this facility

F6585 F8804 F8374 F8034 F8424

Citation history

85 on record
SurveyF-TagViolationSeveritySource
Nov 24, 2025F880Provide and implement an infection prevention and control program.DComplaint
May 8, 2025F880Provide and implement an infection prevention and control program.DStandard
May 8, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 8, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 8, 2025F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard
May 8, 2025F803Ensure 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.DStandard
May 8, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
May 8, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 8, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
May 8, 2025F692Provide enough food/fluids to maintain a resident's health.EStandard
May 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 8, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 8, 2025F637Assess the resident when there is a significant change in conditionDStandard
May 8, 2025F584Honor 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.DStandard
May 8, 2025F578Honor 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.DStandard
Apr 10, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 26, 2025F837Establish 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.DComplaint
Mar 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 16, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 11, 2024F837Establish 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.DComplaint
Dec 11, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Dec 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 2, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Nov 15, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 24, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Oct 18, 2024F803Ensure 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.EComplaint
Oct 18, 2024F761Ensure 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.DComplaint
Oct 18, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 29, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Apr 18, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Apr 18, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 18, 2024F881Implement a program that monitors antibiotic use.DStandard
Apr 18, 2024F880Provide and implement an infection prevention and control program.FStandard
Apr 18, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Apr 18, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Apr 18, 2024F837Establish 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.EStandard
Apr 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 18, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Apr 18, 2024F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Apr 18, 2024F761Ensure 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.DStandard
Apr 18, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Apr 18, 2024F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Apr 18, 2024F700Try 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.DStandard
Apr 18, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 18, 2024F688Provide 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.DStandard
Apr 18, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 18, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 18, 2024F679Provide activities to meet all resident's needs.DStandard
Apr 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 18, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 18, 2024F584Honor 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.DStandard
Apr 18, 2024F578Honor 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.EStandard
Apr 18, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Apr 18, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Apr 9, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Feb 13, 2024F837Establish 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.EComplaint
Feb 13, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
Feb 13, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Jan 30, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jan 24, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Dec 21, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 21, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 28, 2023F880Provide and implement an infection prevention and control program.DComplaint
Nov 13, 2023F803Ensure 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.EComplaint
Oct 10, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 19, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 15, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Sep 14, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.GComplaint
Aug 15, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 26, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 27, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 27, 2021F809Ensure 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.DStandard
May 27, 2021F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
May 27, 2021F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
May 27, 2021F803Ensure 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.FStandard
May 27, 2021F761Ensure 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.DStandard
May 27, 2021F688Provide 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.DStandard
May 27, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 27, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 27, 2021F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $132,586 and 1 payment-denial actions spanning 63 days.

DateTypeFinePayment denial
Oct 17, 2024Fine$68,938—
Sep 14, 2023Payment Denial—Dec 14, 2023 · 63 days
Jul 10, 2023Fine$63,648—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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