★☆☆☆☆CMS 1/599 bedsFor-profitMedicaid
- Nurse hours
- 4.96 /day
- Staff turnover
- 50%
- Serious cites
- 0
Orchards At Tulare runs a for-profit operation with 99 certified beds. Staffing looks solid on paper, 4.96 nurse hours per resident day, well above the national average, but weekends dip about 11% below weekday coverage, and half the nursing staff turns over each year, a bit worse than the 45.8% national figure. The inspection record is the real concern: 88 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $68,938 fine. Inspectors were last on site in May 2025. The quality measure rating (4/5) and staffing rating (3/5) sit far above the health inspection rating (1/5), that gap tells you most of the story here.
★★☆☆☆CMS 2/597 bedsFor-profitMedicaid
- Nurse hours
- 4.10 /day
- Staff turnover
- n/a
- Serious cites
- 0
Tulare Healthcare & Wellness Center runs 97 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average. That headline number looks reassuring until you notice weekends run roughly 8% leaner than weekdays, which is when families tend to visit and when problems often surface. The inspection record is the bigger concern: 72 deficiencies on file, including 4 tied to abuse, though none rose to the harm or jeopardy level. Federal inspectors last visited in March 2026, and CMS rated the health inspection and staffing stars at 2 out of 5 each. Weigh the staffing figure against that deficiency count before deciding.
★★★☆☆CMS 3/599 bedsFor-profitMedicaid
- Nurse hours
- 4.25 /day
- Staff turnover
- 50%
- Serious cites
- 0
Grand Oaks Care runs a 99-bed for-profit home in Tulare, and the staffing picture is mixed. The 4.25 nurse hours per resident day sits about 10% above the national average, which sounds good until you notice weekends run roughly 10% leaner than weekdays and turnover hits 50.4% against a national 45.8%, meaning a lot of the people providing that care are new or on their way out. Inspections from February 2026 turned up 55 deficiencies, none at the harm level but one tied to abuse. Ownership is a limited liability company, and the quality measure score looks stronger than the staffing score.