Orchards At Tulare

During a review of the facility 5-Day Follow-Up Report, the report indicated, On February 7, 2026, at approximately 10:38 AM, staff were notified that a male resident (Resident 1) was observed outside the facility in the hospital parking lot across the street.

The resident had exited through the front entrance after a newly hired CNA opened the secured door for visitors and did not recognize the resident as a non-visitor.During a review of the facility's policy and procedures (P&P) titled, Elopements and Wandering Residents, undated, the P&P indicated, Elopement occurs when a resident leaves the premises or a safe area without authorization (i.e., an order for discharge or leave of absence) and/or any necessary supervision to do so.During a review of the facility's policy and procedures (P&P) titled, Accidents and Supervision, undated, the P&P indicated, 5.

Supervision-Supervision is an intervention and a means of mitigating accident risk.

The facility will provide adequate supervision to prevent accidents.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE