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Twin Oaks Rehabilitation & Nursing Center

📍 897 North M Street, Tulare, CA 93274 📞 (559) 687-1340 🛏️ 99 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $10,650

$10,650
Jun 9, 2021

Fine

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Health Violations by Year

2025 1 violations

Tag 0656 D Jan 29, 2025

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

✓ Corrected: Feb 13, 2025

2024 9 violations

Tag 0609 D Jun 20, 2024

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

✓ Corrected: Jun 21, 2024
Tag 0804 E Jun 20, 2024

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

✓ Corrected: Jun 21, 2024
Tag 0837 E Jun 20, 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: Jun 21, 2024
Tag 0580 D May 7, 2024

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

✓ Corrected: May 8, 2024
Tag 0919 D May 7, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: May 8, 2024
Tag 0658 D Apr 23, 2024

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

✓ Corrected: Apr 25, 2024
Tag 0658 D Feb 13, 2024

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

✓ Corrected: Feb 29, 2024
Tag 0580 D Feb 7, 2024

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

✓ Corrected: Feb 29, 2024
Tag 0755 D Feb 7, 2024

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

✓ Corrected: Feb 29, 2024
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2023 8 violations

Tag 0655 D Dec 22, 2023

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

✓ Corrected: Jan 22, 2024
Tag 0658 D Dec 22, 2023

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

✓ Corrected: Jan 22, 2024
Tag 0698 E Nov 2, 2023

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

✓ Corrected: Dec 28, 2023
Tag 0755 D Nov 2, 2023

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

✓ Corrected: Dec 28, 2023
Tag 0689 D Oct 10, 2023

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

✓ Corrected: Oct 30, 2023
Tag 0689 G May 15, 2023

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

✓ Corrected: Jun 22, 2023
Tag 0658 D Mar 28, 2023

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

✓ Corrected: Mar 29, 2023
Tag 0684 D Feb 23, 2023

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

✓ Corrected: Mar 23, 2023

2022 19 violations

Tag 0578 D Oct 13, 2022

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: Nov 17, 2022
Tag 0656 D Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0676 E Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0677 D Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0679 E Oct 13, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Nov 17, 2022
Tag 0688 D Oct 13, 2022

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: Nov 17, 2022
Tag 0698 E Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0755 E Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0804 E Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0806 D Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0812 F Oct 13, 2022

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

✓ Corrected: Nov 17, 2022
Tag 0880 E Oct 13, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 17, 2022
Tag 0583 D Jul 5, 2022

Keep residents' personal and medical records private and confidential.

✓ Corrected: Aug 1, 2022
Tag 0641 D Jul 5, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 1, 2022
Tag 0656 D Jul 5, 2022

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

✓ Corrected: Aug 1, 2022
Tag 0658 D May 17, 2022

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

✓ Corrected: Jun 22, 2022
Tag 0745 D May 17, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jun 22, 2022
Tag 0755 D May 17, 2022

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

✓ Corrected: Jun 22, 2022
Tag 0698 D Mar 8, 2022

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

✓ Corrected: Apr 27, 2022
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2021 10 violations

Tag 0676 D Nov 30, 2021

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

✓ Corrected: Dec 30, 2021
Tag 0921 E Oct 20, 2021

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

✓ Corrected: Nov 18, 2021
Tag 0677 D Aug 23, 2021

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

✓ Corrected: Sep 27, 2021
Tag 0550 D Aug 18, 2021

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

✓ Corrected: Aug 31, 2021
Tag 0609 D Aug 18, 2021

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

✓ Corrected: Aug 31, 2021
Tag 0687 D Jun 28, 2021

Provide appropriate foot care.

✓ Corrected: Jul 21, 2021
Tag 0684 G Jun 16, 2021

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

✓ Corrected: Jul 9, 2021
Tag 0580 D Jun 15, 2021

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

✓ Corrected: Jun 30, 2021
Tag 0607 D Jun 9, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 25, 2021
Tag 0580 D Jan 14, 2021

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

✓ Corrected: Jan 26, 2021

2020 10 violations

Tag 0569 D Dec 17, 2020

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Dec 31, 2020
Tag 0582 D Dec 17, 2020

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

✓ Corrected: Dec 31, 2020
Tag 0585 D Dec 17, 2020

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Dec 31, 2020
Tag 0770 D Oct 9, 2020

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

✓ Corrected: Oct 20, 2020
Tag 0578 D Oct 5, 2020

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: Oct 30, 2020
Tag 0880 F Sep 1, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 24, 2020
Tag 0804 E Apr 6, 2020

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

✓ Corrected: Jul 24, 2020
Tag 0806 D Apr 6, 2020

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

✓ Corrected: Jul 24, 2020
Tag 0812 E Apr 6, 2020

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

✓ Corrected: Jul 24, 2020
Tag 0656 D Feb 27, 2020

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

✓ Corrected: Mar 23, 2020
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2019 20 violations

Tag 0726 E Aug 22, 2019

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: Sep 10, 2019
Tag 0761 D Aug 22, 2019

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: Sep 10, 2019
Tag 0842 D Aug 22, 2019

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

✓ Corrected: Sep 10, 2019
Tag 0695 D Jul 26, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 12, 2019
Tag 0607 E Jun 4, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 1, 2019
Tag 0689 D Apr 15, 2019

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

✓ Corrected: May 16, 2019
Tag 0656 D Apr 9, 2019

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

✓ Corrected: May 10, 2019
Tag 0550 E Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0558 D Mar 21, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Apr 29, 2019
Tag 0567 D Mar 21, 2019

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Apr 29, 2019
Tag 0656 D Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0658 E Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0689 D Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0692 D Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0761 D Mar 21, 2019

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: Apr 29, 2019
Tag 0803 E Mar 21, 2019

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: Apr 29, 2019
Tag 0805 D Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0806 E Mar 21, 2019

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

✓ Corrected: Apr 29, 2019
Tag 0880 E Mar 21, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 29, 2019
Tag 0908 E Mar 21, 2019

Keep all essential equipment working safely.

✓ Corrected: Apr 29, 2019

2018 14 violations

Tag 0550 D Dec 11, 2018

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

✓ Corrected: Jan 9, 2019
Tag 0558 E Nov 14, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 18, 2018
Tag 0565 D Nov 14, 2018

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Dec 18, 2018
Tag 0677 D May 30, 2018

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

✓ Corrected: Jun 1, 2018
Tag 0550 D Mar 15, 2018

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

✓ Corrected: Apr 11, 2018
Tag 0657 D Mar 15, 2018

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

✓ Corrected: Apr 11, 2018
Tag 0677 D Mar 15, 2018

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

✓ Corrected: Apr 11, 2018
Tag 0711 D Mar 15, 2018

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

✓ Corrected: Apr 11, 2018
Tag 0755 D Mar 15, 2018

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

✓ Corrected: Apr 11, 2018
Tag 0761 D Mar 15, 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: Apr 11, 2018
Tag 0804 D Mar 15, 2018

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

✓ Corrected: Apr 11, 2018
Tag 0812 F Mar 15, 2018

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

✓ Corrected: Apr 11, 2018
Tag 0880 E Mar 15, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 11, 2018
Tag 0755 E Mar 6, 2018

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

✓ Corrected: Mar 23, 2018
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2017 17 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 21, 2017
Tag 0364 D Aug 7, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

✓ Corrected: Aug 17, 2017
Tag 0431 F Apr 17, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Apr 26, 2017
Tag 0441 D Apr 17, 2017

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

✓ Corrected: Apr 26, 2017
Tag 0514 D Apr 17, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Apr 26, 2017
Tag 0154 D Mar 9, 2017

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

✓ Corrected: Apr 5, 2017
Tag 0166 D Mar 9, 2017

Try to resolve each resident's complaints quickly.

✓ Corrected: Apr 5, 2017
Tag 0204 D Mar 9, 2017

Help and prepare each resident for a safe and easy discharge or transfer from the nursing home.

✓ Corrected: Apr 5, 2017
Tag 0278 E Mar 9, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Apr 5, 2017
Tag 0279 D Mar 9, 2017

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

✓ Corrected: Apr 5, 2017
Tag 0281 D Mar 9, 2017

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

✓ Corrected: Apr 5, 2017
Tag 0364 E Mar 9, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

✓ Corrected: Apr 5, 2017
Tag 0365 E Mar 9, 2017

Provide food in a way that meets a resident's needs.

✓ Corrected: Apr 5, 2017
Tag 0387 D Mar 9, 2017

Make sure that doctors visit residents regularly, as required.

✓ Corrected: Apr 5, 2017
Tag 0425 F Mar 9, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Apr 5, 2017
Tag 0431 E Mar 9, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Apr 5, 2017
Tag 0441 D Mar 9, 2017

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

✓ Corrected: Apr 5, 2017
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