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Merritt Manor Convalescent Hospital

📍 604 E. Merritt Ave., Tulare, CA 93274 📞 (559) 686-1601 🛏️ 99 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

May 8, 2025 Health Inspection

Fines and Penalties by Year

2021 1 penalties totaling $8,658

$8,658
Oct 5, 2021

Fine

2020 2 penalties totaling $38,556

$21,420
Aug 10, 2020

Fine

$17,136
Aug 10, 2020

Fine

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Health Violations by Year

2025 18 violations

Tag 0578 D May 8, 2025

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.

✓ Corrected: May 30, 2025
Tag 0584 D May 8, 2025

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.

✓ Corrected: May 30, 2025
Tag 0637 D May 8, 2025

Assess the resident when there is a significant change in condition

✓ Corrected: May 30, 2025
Tag 0641 D May 8, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: May 30, 2025
Tag 0684 D May 8, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 30, 2025
Tag 0692 E May 8, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: May 30, 2025
Tag 0697 D May 8, 2025

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: May 30, 2025
Tag 0755 D May 8, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 30, 2025
Tag 0759 D May 8, 2025

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 30, 2025
Tag 0803 D May 8, 2025

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.

✓ Corrected: May 30, 2025
Tag 0807 D May 8, 2025

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

✓ Corrected: May 30, 2025
Tag 0812 F May 8, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 30, 2025
Tag 0842 D May 8, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 30, 2025
Tag 0880 D May 8, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: May 30, 2025
Tag 0658 D Apr 10, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 13, 2025
Tag 0837 D Mar 26, 2025

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.

✓ Corrected: Apr 18, 2025
Tag 0658 D Mar 6, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 13, 2025
Tag 0842 D Jan 16, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jan 17, 2025

2024 32 violations

Tag 0770 D May 29, 2024

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Jul 17, 2024
Tag 0552 E Apr 18, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: May 9, 2024
Tag 0558 E Apr 18, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: May 9, 2024
Tag 0578 E Apr 18, 2024

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.

✓ Corrected: May 9, 2024
Tag 0584 D Apr 18, 2024

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.

✓ Corrected: May 9, 2024
Tag 0655 E Apr 18, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 9, 2024
Tag 0677 D Apr 18, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 9, 2024
Tag 0679 D Apr 18, 2024

Provide activities to meet all resident's needs.

✓ Corrected: May 9, 2024
Tag 0685 D Apr 18, 2024

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: May 9, 2024
Tag 0686 D Apr 18, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 9, 2024
Tag 0688 D Apr 18, 2024

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.

✓ Corrected: May 9, 2024
Tag 0698 D Apr 18, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 9, 2024
Tag 0700 D Apr 18, 2024

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.

✓ Corrected: May 9, 2024
Tag 0710 D Apr 18, 2024

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

✓ Corrected: May 9, 2024
Tag 0726 E Apr 18, 2024

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.

✓ Corrected: May 9, 2024
Tag 0761 D Apr 18, 2024

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.

✓ Corrected: May 9, 2024
Tag 0790 D Apr 18, 2024

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: May 9, 2024
Tag 0805 D Apr 18, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: May 9, 2024
Tag 0812 E Apr 18, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 9, 2024
Tag 0837 E Apr 18, 2024

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.

✓ Corrected: May 9, 2024
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2023 14 violations

Tag 0580 D Dec 21, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 20, 2024
Tag 0689 D Dec 21, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 20, 2024
Tag 0842 D Dec 21, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jan 20, 2024
Tag 0880 D Nov 28, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 6, 2023
Tag 0803 E Nov 13, 2023

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.

✓ Corrected: Dec 1, 2023
Tag 0658 D Oct 10, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 31, 2023
Tag 0684 D Sep 19, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 18, 2023
Tag 0604 D Sep 15, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Oct 16, 2023
Tag 0656 G Sep 14, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 16, 2023
Tag 0656 D Aug 15, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 14, 2023
Tag 0689 G Jul 26, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 27, 2023
Tag 0689 D Jul 10, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 30, 2023
Tag 0625 D Jan 17, 2023

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Jan 31, 2023
Tag 0684 D Jan 17, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 31, 2023

2022 7 violations

Tag 0677 D Dec 27, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jan 25, 2023
Tag 0689 D Mar 29, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 21, 2022
Tag 0656 D Mar 22, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 3, 2022
Tag 0656 D Feb 10, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 2, 2022
Tag 0689 G Feb 8, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 24, 2022
Tag 0580 G Feb 3, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 24, 2022
Tag 0790 D Jan 4, 2022

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Jan 13, 2022
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2021 22 violations

Tag 0656 D Nov 16, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 26, 2021
Tag 0689 G Nov 9, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 13, 2021
Tag 0658 D Oct 5, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 15, 2021
Tag 0689 D Sep 16, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 5, 2021
Tag 0656 D Sep 15, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 28, 2021
Tag 0657 D Sep 13, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 29, 2021
Tag 0656 D Aug 10, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 25, 2021
Tag 0689 D Jul 19, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 2, 2021
Tag 0656 D Jul 7, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 19, 2021
Tag 0582 D May 27, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 28, 2021
Tag 0656 D May 27, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 28, 2021
Tag 0677 D May 27, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 28, 2021
Tag 0688 D May 27, 2021

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.

✓ Corrected: Jun 28, 2021
Tag 0761 D May 27, 2021

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.

✓ Corrected: Jun 28, 2021
Tag 0803 F May 27, 2021

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.

✓ Corrected: Jun 28, 2021
Tag 0804 D May 27, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jun 28, 2021
Tag 0806 E May 27, 2021

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jun 28, 2021
Tag 0809 D May 27, 2021

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.

✓ Corrected: Jun 28, 2021
Tag 0842 D May 27, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 28, 2021
Tag 0609 D Apr 20, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 14, 2021

2020 27 violations

Tag 0573 D Nov 6, 2020

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: Dec 2, 2020
Tag 0689 K Aug 21, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 21, 2020
Tag 0865 E Aug 21, 2020

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Oct 21, 2020
Tag 0880 L Aug 10, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 6, 2020
Tag 0761 D Apr 6, 2020

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.

✓ Corrected: May 28, 2020
Tag 0825 D Apr 6, 2020

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: May 28, 2020
Tag 0600 G Apr 1, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 28, 2020
Tag 0760 D Apr 1, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: May 28, 2020
Tag 0656 D Feb 21, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 1, 2020
Tag 0561 D Jan 9, 2020

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Feb 5, 2020
Tag 0583 D Jan 9, 2020

Keep residents' personal and medical records private and confidential.

✓ Corrected: Feb 5, 2020
Tag 0625 D Jan 9, 2020

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Feb 5, 2020
Tag 0640 D Jan 9, 2020

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Feb 5, 2020
Tag 0656 E Jan 9, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 5, 2020
Tag 0657 D Jan 9, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 5, 2020
Tag 0658 E Jan 9, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Feb 5, 2020
Tag 0676 D Jan 9, 2020

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Feb 5, 2020
Tag 0684 D Jan 9, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 5, 2020
Tag 0689 D Jan 9, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 5, 2020
Tag 0760 D Jan 9, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 5, 2020
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2019 11 violations

Tag 0584 D Nov 18, 2019

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.

✓ Corrected: Dec 11, 2019
Tag 0641 D Nov 18, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 11, 2019
Tag 0550 D Sep 4, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Oct 17, 2019
Tag 0656 D Jul 10, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 7, 2019
Tag 0689 D Jul 10, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 7, 2019
Tag 0880 E Jul 10, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 7, 2019
Tag 0626 D Apr 26, 2019

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: May 28, 2019
Tag 0760 D Apr 24, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 7, 2019
Tag 0600 D Apr 9, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 14, 2019
Tag 0584 E Mar 15, 2019

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.

✓ Corrected: Apr 16, 2019
Tag 0689 D Feb 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 28, 2019

2018 41 violations

Tag 0655 D Dec 13, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jan 7, 2019
Tag 0656 D Dec 13, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 7, 2019
Tag 0658 D Dec 13, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 7, 2019
Tag 0661 D Dec 13, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Jan 7, 2019
Tag 0677 E Dec 13, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jan 7, 2019
Tag 0759 E Dec 13, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 7, 2019
Tag 0761 D Dec 13, 2018

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.

✓ Corrected: Jan 7, 2019
Tag 0812 F Dec 13, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 7, 2019
Tag 0868 F Dec 13, 2018

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

✓ Corrected: Jan 7, 2019
Tag 0880 E Dec 13, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 7, 2019
Tag 0881 E Dec 13, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Jan 7, 2019
Tag 0921 E Dec 13, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 7, 2019
Tag 0925 F Dec 13, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Jan 7, 2019
Tag 0584 D Oct 22, 2018

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.

✓ Corrected: Nov 19, 2018
Tag 0656 D Sep 18, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 15, 2018
Tag 0689 D Sep 18, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 15, 2018
Tag 0600 E Jul 20, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 21, 2018
Tag 0656 D May 11, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 14, 2018
Tag 0656 D Mar 19, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 10, 2018
Tag 0641 D Jan 25, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 2, 2018
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2017 3 violations

Tag 0323 D Sep 11, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Sep 27, 2017
Tag 0279 D Aug 30, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 7, 2017
Tag 0441 E Jul 27, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Aug 10, 2017
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