Orchards At Tulare has received an F grade based on CMS data, with a score of 30/100 — placing it among the lowest-rated nursing facilities in California. Families considering this Tulare facility should carefully review its inspection history and quality metrics.
Staffing at Orchards At Tulare is near the national average, with 4.06 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 85 deficiencies at Orchards At Tulare. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.06 | 3.8 | Average |
| Registered Nurses (RN) | 0.26 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.08 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.72 | 2.4 | Above Average |
| Weekend Total Nursing | 3.78 | 3.8 | Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Nov 23, 2025 · Infection Control Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 7, 2025 · Nutrition and Dietary Deficiencies
- Tag 0692 Severity EProvide enough food/fluids to maintain a resident's health.May 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andMay 7, 2025 · Resident Rights Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMay 7, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.4% | 4.5% | Average |
| Falls with major injury | 3.7% | 3.0% | Worse |
| On antipsychotic medication | 10.9% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.3% | 14.0% | Better |
| Excessive weight loss | 2.4% | 7.5% | Better |
| New/worsened incontinence | 20.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $132,586
How This Grade Was Calculated
This facility's grade of F is based on a score of 30 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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