Orchards at Tulare: Staffing, Turnover, and Inspection Record
Orchards at Tulare is a 99-bed for-profit nursing home in Tulare, California. In the CMS August 2026 release it reported 3.37 nurse aide hours per resident per day, 27% above the California average of 2.65, and 50.0% nursing staff turnover (California average 36.7%).
Orchards at Tulare
604 E. Merritt Ave.Tulare, CA 93274
Tulare County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Orchards at Tulare, nurse aides logged 3.37 hours per resident per day, 27% above the California average. With about 93 residents a day, that works out to roughly 313 aide hours a day, or about 39 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.37 | 2.65 | 2.32 |
| Licensed practical nurses | 1.24 | 1.20 | 0.86 |
| Registered nurses | 0.35 | 0.67 | 0.69 |
| All nursing staff | 4.96 | 4.52 | 3.86 |
| All nursing staff, weekends | 4.43 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.0% of nursing staff at Orchards at Tulare left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 40.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 8, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 21 health deficiencies (California average 15.7). CMS lists 1 fine totaling $68,938 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 17, 2024 | Fine | $68,938 |
| Sep 14, 2023 | Payment Denial | 63 days from Dec 14, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Orchards at Tulare holds 1 of 5 overall; the California average is 3.2.
About Orchards at Tulare
- Ownership: For profit - Limited Liability company
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Jan 17, 1974
- Councils: resident council
- Area: urban
Nursing homes near Orchards at Tulare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Tulare Healthcare & Wellness Center, LP Tulare | 0.0 | 97 | 2.59 | 4.10 | — | 2 | None |
| Grand Oaks Care Tulare | 0.1 | 99 | 2.77 | 4.25 | 50.4% | 3 | None |
| Westgate Gardens Care Center Visalia | 6.8 | 140 | 2.65 | 4.13 | 45.3% | 3 | $10,317 |
| Sequoia Vista Visalia | 6.8 | 99 | 3.17 | 4.91 | 51.6% | 1 | $46,078 |
| Linwood Meadows Care Center Visalia | 6.9 | 98 | 2.75 | 4.03 | 36.4% | 3 | None |
| Kaweah Health Skilled Nursing Center Visalia | 7.1 | 70 | 2.79 | 7.00 | 23.6% | 5 | None |
| Delta Healthcare & Wellness Center, LP Visalia | 8.2 | 44 | 2.62 | 4.33 | — | 5 | None |
| Visalia Post Acute Visalia | 9.1 | 176 | 2.42 | 3.76 | 41.8% | 1 | $13,870 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.