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Health Inspection

Orchards At Tulare

May 8, 2025 · Tulare, CA · 604 E. Merritt Ave.
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 056261
Healthcare Facility
Orchards At Tulare
Tulare, CA  ·  View full profile →
Inspection Summary

ORCHARDS AT TULARE in TULARE, CA — inspection on May 8, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF807
calorie malnutrition, iron deficiency anemia, adult failure to thrive.esophageal reflux disease.urinary Some capacity], Hct [hematocrit; the percentage of red blood cells in your blood] 26.8 L, Na [sodium] 4.1, Cr affected

During an interview on 05/06/25 at 04:06 p.m. with ADON, ADON stated, yes, daily monitoring of the fluid intake from meals log to identify potential concerns before outcome becomes worse would be ideal, I do not routinely monitor the fluid intake documented by the CNAs.

During a concurrent observation and interview on 5/7/25 at 11:58 a.m. with Resident 68 in Resident 68's room, Resident 68 was lying in bed, lips were observed to be cracked and dry, and eyes appeared to have dark circles around them. Resident 68 stated facility staff had not asked her what her beverage preferences were or beverages she would drink if she were home.

056261

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 056261 B.

Wing 05/08/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Orchards at Tulare 604 E.

Merritt Ave.

Tulare, CA 93274

F-F842)

3.

Effectively monitor, evaluate and identify, inadequate fluid intake during which time Resident 68 had increased fluid needs due to multiple pressure injuries, including Stage 4 (Full-thickness skin and tissue loss) and apply relevant approaches such as obtaining Resident 68's beverage preferences to help Resident 68 improve fluid intake. (Cross Refer

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TULARE, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ORCHARDS AT TULARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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