Tulare Healthcare & Wellness Center

    680 E Merritt Ave, Tulare, CA, 93274
    2.7 · 36 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Kind staff but care inconsistent

    I have mixed feelings. The building is clean, therapists and many CNAs are kind and helped my loved one - Heather and some staff were compassionate - but dementia care is inconsistent, staffing and training are inadequate, and communication/administration feel uncaring. I've seen missed meds, poor wound/peri care and residents left soiled or neglected, so I can't fully trust them without major improvements in staffing, training and accountability.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.69 · 36 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.1
    • Staff

      2.5
    • Meals

      1.8
    • Amenities

      2.7
    • Value

      1.0

    Pros

    • Friendly, smiling staff including CNAs, nurses, therapists, and supervisors
    • Occupational therapists praised for strong therapy and mobility improvement
    • Noted improvements in walking and mobility for some residents
    • Clean rooms and made beds on admission
    • Staff accommodating to families and allowing flexible visiting, including overnight/frequent visits
    • Dietary accommodations met for some residents and meals described as tasty by some reviewers
    • Specific staff members called out as compassionate and effective (example: Heather)
    • Reception/check-in system and initial admissions experience positive for some families
    • Facility described as easy to use and safe to visit by some reviewers

    Cons

    • Poor nursing bedside manner; rude, short, and irritated behavior reported
    • Inadequate personal care: peri care concerns and residents left in soiled briefs for extended periods
    • Medication management problems: meds missed or not changed as needed
    • Deficient wound care and other clinical care concerns (e.g., abdominal distension, confusion not reported)
    • Allegations of neglect resulting in weight loss, pain, injuries (including reported black eyes), and decline
    • Understaffing and slow response times for bathroom assistance, water, and feeding
    • Poor communication and inconsistent information from staff and departments
    • Administration perceived as absent, uncaring, and lacking accountability
    • Attempts to discharge or remove residents perceived as inappropriate by families
    • Safety concerns escalated to law enforcement and ombudsman involvement
    • Social services and front desk staff described as rude, unhelpful, or confrontational
    • Hygiene and sanitation issues: persistent odors, spoiled milk/water, smelly patients
    • Overcrowding and shared rooms compromising resident dignity
    • Dementia care concerns and staff lacking adequate knowledge for dementia patients
    • Staff refusing to identify themselves or provide names on request
    • Food quality complaints and occasional very negative reports about dining

    Summary review

    Overall sentiment across reviews for Tulare Healthcare & Wellness Center is mixed, with a distinct polarization between strong praise for certain staff and therapy outcomes and serious, recurring complaints about basic nursing care, communication, and management. Multiple families report compassionate, friendly, and engaged front-line staff including CNAs, therapists (especially occupational therapy), and some nurses and supervisors who contribute to improved mobility, successful therapy outcomes, accommodating visitation, and a generally welcoming admissions experience. Positive notes include clean rooms on arrival, made beds, dietary accommodations for restrictions, and specific staff members praised by name for compassionate care.

    At the same time, a significant number of reviews describe concerning lapses in clinical care and personal dignity. Repeated themes include inadequate peri and incontinence care (residents left in soiled briefs for extended periods), missed or incorrect medication administration, and reported deficiencies in wound care. There are several accounts of pain, weight decline, and injuries attributed to neglect or poor supervision, including mentions of two black eyes and general decline that family members say were not properly communicated. These reports indicate inconsistent execution of basic nursing responsibilities and raise clinical safety concerns for vulnerable residents.

    Staffing and staff behavior are described inconsistently. While many reviewers highlight smiling, helpful CNAs and therapists, others report rude or short nursing staff, unwillingness to provide names, and nurses who appear frustrated or neglectful during bedside care. Understaffing is implicated in many negative accounts: long waits for bathroom assistance or water, delayed feeding or assistance with eating, and slow responses to calls for help. This variability suggests that some shifts or units operate well while others fall short, producing an uneven resident experience.

    Communication and management issues form another clear pattern. Families report inconsistent or incorrect information from staff, poor handoffs between shifts or departments, and limited notification about declines in health. Some reviews describe administrative absence or an uncaring attitude from leadership, confrontational social workers, or front desk staff who are unhelpful. A subset of reviewers escalated concerns to outside authorities, noting sheriff involvement and ombudsman contact, and others described perceived attempts to discharge or remove residents in ways families contested. These accounts point to systemic problems with accountability, family engagement, and resident advocacy.

    Facility-level observations are mixed. Several families praised cleanliness and an improved check-in process, while others reported hygiene problems such as persistent odors, spoiled milk or water, and smelly patients. Overcrowding and shared rooms were mentioned as compromising dignity, including at least one report of a death in a shared room that family felt undermined privacy and dignity. Dining receives both praise and criticism: some reviewers said meals were tasty and dietary needs were met, while others called the food horrible.

    Specific population concerns include dementia care. Some families felt their loved ones with dementia received attentive care and were treated kindly, but others said staff lacked dementia-specific knowledge and that dementia care overall was poor. The mixed reports highlight inconsistent training or experience among staff working with cognitively impaired residents.

    In summary, Tulare Healthcare & Wellness Center appears to have capable and compassionate team members—notably in occupational therapy and among some CNAs and admitting staff—who can deliver positive rehabilitation and family-centered experiences. However, persistent and serious complaints about nursing care (personal hygiene, wound and medication management), staffing levels, communication breakdowns, administrative responsiveness, and sanitation indicate systemic issues that materially affect resident safety and dignity for many families. The pattern is one of uneven quality: when the right staff and adequate staffing align, families report good care and improvement; when staffing is thin or leadership and communication fail, the consequences described are significant. Prospective families should weigh the facility's strengths in therapy and some front-line caregivers against recurrent reports of clinical lapses and management shortcomings, and families currently involved may consider close monitoring of medication and wound management, frequent communication with nursing leadership, documentation of incidents, and engagement with advocates or the ombudsman when needed.

    Location

    Map showing location of Tulare Healthcare & Wellness Center

    About Tulare Healthcare & Wellness Center

    Tulare Healthcare & Wellness Center is a skilled nursing and rehabilitation facility located at 680 E Merritt Ave in Tulare, California, and it has 97 certified beds with an average of about 83 residents each day, and the place is managed by Corporate Interface Services LLC since March 2024, and though it's part of the Mission Care Group and privately held with 11-50 employees, the staff gives 3.81 nurse hours per resident per day, but the nurse turnover rate is 60.6%, which is something to keep in mind. The building has had 60 documented deficiencies, including three related to infection, and inspection reports have mentioned problems like environmental deficiencies with fire safety code F0906, along with deficiencies about infection prevention and control under code F0880.

    The team delivers 24-hour nursing care and can help with both short-term and long-term needs, and they work together using a collaborative approach, and they try to support residents' physical and emotional well-being by making personalized care plans. Services include skilled nursing, medication and pain management, physical, occupational, and speech therapy, stroke and diabetic care, hospice care, and long-term support, and for those who want more than medical attention, they offer laundry, pastoral, and personal care, with daily activities, recreational, and spiritual programs.

    The activities director Amanda is known for being passionate and personable, and she helps arrange events like Mother's Day Tea Time for families and residents, and residents might enjoy a restaurant-style dining option with many menu choices, along with a gazebo, barbershop, and beauty salon available on-site for comfort and convenience. Medical social services are provided, and people living here can take part in daily activities to support engagement and holistic well-being, with a focus on helping build and keep independence wherever possible. The center is open every day from 08:00 to 20:00, though there's no extra information available about certain services, amenities, or the specific care types beyond what's already listed, and it serves elderly residents including those with complex health needs who require nursing, rehabilitation, and medical assistance.

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