The Orchards at Armada
22600 Armada Ridge Road, Armada, MI 48005 · For profit - Corporation · 67 certified beds · (586) 784-5322 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $15,887 in federal fines (most recent 2023-12-19)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.0% | 10.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.6% | 5.4% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.6% | 1.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 1.7% | 4.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.5% | 3.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 11.9% | 12.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 24.4% | 19.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 95.1% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.2% | 5.1% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 22.7% | 20.0% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 24.4% | 14.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.4% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 68.6% | 79.5% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 29.4% | 24.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 3.6% | 11.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.89 | 1.84 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.13 | 1.64 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
50.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 125 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 71.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 57 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 50.7%CMS range 43.8–59.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.4%CMS range 6.8–14.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 71.9% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 64.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 59.6% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 96.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.7% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.1%CMS range 3.7–9.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.92 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 67 beds and averages 64.2 residents a day — about 96% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.69 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.85 hrs/resident/day on weekends vs 3.32 on weekdays — 14% thinner on weekends. RN hours go from 0.79 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.
- Immediate jeopardy · J2023-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake M100141494. Based on interview, and record review, the facility failed to prevent an elopement for one resident (R701) who had severe cognitive impairment, a high risk for falls, a known elopement risk, and demonstrated multiple attempts to exit the facility shortly before the elopement occurred. R701 eloped from the facility on 11/06/23 between 7:30 PM and 8 PM through the South exit door, without triggering the door alarm and unwitnessed by staff. In response to R701's repeated attempts to exit the South exit door, a staff member (Certified Nurse Assistant -CNA C) placed a geri-chair in front of the door to discourage R701 from approaching the door. CNA C exited another resident's room after providing care, and noticed the geri-chair had been moved and did not see R701. CNA C notified staff (Licensed Practical Nurse -LPN B) on the unit and they went out the South exit door and R701 was located sitting in the driver's seat of a facility van in the parking lot. R701, had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-05-06 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure restorative services were provided timely for one resident (R902) of four reviewed for range of motion (ROM) and mobility. Findings include: On 05/06/26 at 9:50 AM, R902 was observed laying on their back in bed saying they entered the facility to learn how to walk and could not currently walk and was not in therapy. R902 reported they had been in therapy while at the facility but did not recall why they were discharged from therapy and required assistance to get out of bed. On 05/06/26 at 12:50 PM, R902's information was reviewed with Physical Therapist (PT) A. PT A reported R902 was on the therapy caseload from 02/25/26 to 04/03/26 and was discharged due to R902 reaching their highest practicable level. Bed mobility at discharge was supervision (just standby resident) and was supervision for walking 50-100 feet with a walker. PT A reported R902 as able to get up and walk without physical assistance. PT A reported R902 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-02-25 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake 2786506.Based on interview and record review, the facility failed to ensure a wound status condition update to specialist for one resident (R901) of three residents reviewed for wounds. Findings Include:A complaint called into the State Agency indicated, Neither (name of consulting physician) and/or myself or my family members-who were visited daily- were never notified that there was an infection going on with (name of R901's) leg. (Name of consulting physician) sent (name of R901) to emergency immediately .Review of the clinical record revealed R901 was admitted to the facility on [DATE]. R901's diagnoses included Chronic ulcer of the right ankle (open wound right lower leg) and Varicose veins of Right lower extremity (RLE) with ulcer. The record revealed the resident was to have a wound vac (a vacuum dressing over a wound to promote healing) as ordered by a Wound Care Clinic Consulting Specialist (WCCCS). R901 had a follow-up visit on 12/4/2025 with the WCCCS where the wound…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-10 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to provide feeding assistance in a dignified manner for one (R15) of six residents reviewed for dignity. Findings include: On 06/09/25 at 12:14 PM, during an observation of the lunch service in the memory care unit dining room, Volunteer C was observed providing feeding assistance to R15 who was sitting up in a chair. Throughout the observation Volunteer C was in a standing position adjacent to the resident and was observed intermittently attending to another resident. On 06/10/25 at 10:54 AM, the facility Director of Nursing (DON) was interviewed and reported the expectation is that staff providing one to one feeding assistance should not do so in a standing position and that ideally, they would not assist more than one resident at a time in order to maintain resident dignity. Review of the facility record for R15 revealed an admission date of 12/18/23 with diagnoses including Dementia and Dysphagia (swallowing difficulty). R15's physician orders included an active order dated 12/21/23 stating 1:1 feeding,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-10 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure Peripherally Inserted Central Catheter (PICC) line care was performed consistant with professional standards of practice for one resident R42 of one whose Intravenous (IV) medication administration was observed. Findings include: On 06/08/25 at 3:56 PM, R42 was observed to be in bed with their head resting on their left hand and forearm. The PICC line dressing was observed to have a folded white gauze approximately two inches by two inches under a transparent dressing covering the insertion site, dated 06/01/25. R42 confirmed the dressing was being changed weekly and was receiving an IV antibiotic daily. A review of the Treatment Administration Record (TAR) and Medication Administration Record (MAR) for June 2025 documented the PICC line was last changed 06/01/25 and the IV antibiotic was infused daily. On 06/09/25 at 2:19 PM, IV medication administration for R42 was observed with Registered Nurse (RN)A and Licensed Practical Nurse (LPN) B. RN A donned gloves, cleaned the hub of the PICC line and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-10 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review the facility failed to ensure Peripherally Inserted Central Catheter (PICC) line care infection control measures and hand hygiene during meal assistance was performed for two residents (R42 and R15) of three residents reviewed for infection prevention. Findings include: R42 On 06/09/25 at 2:19 PM, IV medication administration for R42 was observed with Registered Nurse (RN)A and Licensed Practical Nurse (LPN) B. RN A was observed to complete hand hygiene on the way into the room. A sign on the wall at the right side of the doorway indicated enhanced barrier precautions were required and a gown and gloves were to be used when providing care via a central line such as the PICC line. A cart with the appropriate Personal Protective Equipment (PPE) was at the right hand side of the doorway. RN A entered the room without a gown on and proceeded to hang the IV bag on the IV pole. RN A handed the IV administration tubing to LPN B. RN A then reached into their left pants pocket and removed a pair of gloves and donned them. The IV line was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2024-05-23 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure opened food items were dated and discarded when expired, and failed to maintain the filter for the ice machine. This deficient practice had the potential to affect all residents that consume food. Findings include: On 5/22/24 between 8:30 AM-9:00 AM, during a tour of the kitchen with Dietary Manager (DM) L, the following items were observed: In the Blue Air reach-in cooler, there was an opened package of deli turkey dated 4/25, and an opened, undated package of salami. DM L stated both items would be discarded. In the Traulsen reach-in cooler, there was an opened 1 gallon container of Caesar dressing dated 3/25, and an opened container of Enchilada sauce dated 3/14. DML stated they should be discarded 30 days after opening. According to the 2017 FDA Food Code section 3-501.17: Ready-to-eat, potentially hazardous food prepared and held in a food establishment for more than 24 hours shall be clearly marked to indicate the date or day by which the food shall be consumed on the premises, sold, or discarded…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-23 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to revise a care plan for one resident (R56) out of one reviewed for care plans. Findings Include: On 5/21/2024 at 9:46 AM, R56 was observed in their bed with a breakfast tray in front of them. R56 was observed attempting to eat some of their applesauce. R56 was noted to have pureed textured food. A review of the tray ticket stated R56 was supposed to be a 1:1 assist with feeding, no one was noted to be in the room. A review of the medical record revealed R56 admitted into the facility on 3/13/2024 with the following diagnoses, Dysphagia following Cerebral Infarction and Aphasia. Further review of the medical record revealed a Brief Interview for Mental Status score of 2/15 indicating an impaired cognition. R56 also required assistance with bed mobility and transfers. Further review of the care plan revealed the following intervention, No straws and no fluids at bedside. On 5/21/2024 at 9:49 AM, 9:50 AM, 5/21/2023 at 12:04 PM, 12:59 PM, 5/22/2024 at 8:58 AM, 5/22/2024 at 12:59 PM, and 5/23/2024 at 9:54 AM, R56…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-23 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure meal assistance and positioning were provided for two residents (R53, R56) of five whose care needs and activities of daily living (ADLs) were reviewed. Findings include: R53 On 05/21/24 at 9:41 AM, R53 was observed to be supine in bed. Three pillows were stacked behind the shoulders and head. R53 appeared frail with decreased muscle mass and visible bony prominences in the face, shoulders and arms. R53 leaned over toward the left side of the bed. The head of the bed was up around 45 degrees. The breakfast of scrambled eggs had not been touched. R53 was asked if they needed help to eat and said yes and appeared to fall asleep. On 05/21/24 at 11:54 AM, R54 was observed to be supine in bed, the head of bed up around 45 degrees, leaned over toward the left side of the bed and appeared asleep. The breakfast tray previously observed had not been eaten. On 05/21/24 at 1:03 PM and 1:14 PM, R53 was observed to be hunched down in the bed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-23 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to apply heel protecters and lids to drinks per physician orders for one resident (R5) out of one reviewed for physician orders. Findings include: On 5/21/2024 at 10:00 AM, R5 was observed in bed. R5 stated they had just started to eat breakfast because they were waiting on their coffee to come. R5 stated they had just received their coffee and was now about to eat breakfast. R5's coffee cup was observed to not have a lid on it. R5 was asked if they like to get out of bed often. R5 stated that get out the bed when they feel like it. R5 was noted to not have anything on their heels and their heels were resting on the mattress. A review of the medical record revealed that R5 admitted into the facility on 6/22/2023 with the following diagnoses, Muscle Weakness and Difficulty in Walking. Further review of the Minimum Data Set assessment revealed a Brief Interview for Mental Status score of 12/15 indicating an impaired cognition. R5 also required assistance with bed mobility and transfer. Further review of active…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure an indwelling catheter (tube inserted into the bladder to drain urine) leg strap/band was in place and tubing positioned to allow for urine to drain for one resident (R367) of one reviewed for catheters. Findings include: On 05/21/24 at 9:59 AM, R367 was observed to be supine in bed and dressed in a hospital style gown. The connection point for the urinary catheter and drainage bag tubing was visible on the left leg and no strap was observed to prevent tension on the insertion site/urethra was in place. R367 was asked about the urinary catheter and leg strap and commented that it (the catheter) may be removed the next day. R367 reported they had been in the facility a few days. On 05/21/24 at 1:35 PM, rehab staff were in the residents room with resident. The urinary catheter drainage tubing was looped and on the floor. On 05/21/24 at 1:56 PM, rehab staff had exited the room. The urinary catheter drainage tubing remained looped and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 6 citations
- Potential for harm · D2024-05-23 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intakes MI00142869 and MI00143155. Based on observation, interview, and record review, the facility failed to provide timely assistance to meet the needs of residents for four residents (R367, R33, R17, R6) of five whose care needs were reviewed. Findings include: On 05/21/24 at 9:21 AM, R6 reported they have two or three times a week when staff take an hour or more to assist them when the call light is turned on. On 05/21/24 at 4:18 PM, a visitor reported they visit the facility every day and the facility staffing levels are short very often and have is a great concern. There are more staff than normal here today. Weekends are the worst. There are times when there is only one aide. I struggle with this, it is hard when you don't have family to help with visits. I sometimes wonder if they fill water cups on Saturday and Sunday. I have been thinking of moving (my family member) for this reason. On 05/22/24 at 10:08 AM, the call light for R367 was observed activated. At 10:13 AM, the call…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-23 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure medications were administered per manufactures recommendations and per physician order for one resident (R54) of four observed for the medication pass, resulting in a med error rate of 7.89 percent. Findings include: On 05/22/24 at 9:07 AM, A medication pass observation was conducted with Licensed Practical Nurse (LPN) A for R54. R54 was provided cholestyramine (a cholesterol binding agent) 4 gm (gram) in liquid form with calcium acetate 667 mg (milligram) two tablets, calcitriol 0.5 mcg (microgram) one tablet, fludrocortisone 0.1 mg one tablet constipation refused, Omeprazole 20 mg one tablet, Rifaximin 550 mg one tablet, Velphoro 500 mg (sucroferric oxyhydroxide) one tablet, Lexapro 5 mg one tablet, and Norco/hydrocodone 5 mg/325 mg one tablet. LPN A was queried about the administration of the cholestyramine with the other medications and proceeded to provide R54 with the medication. R54 was also prescribed: Doptelet 20 mg (avatrombopag) Give 40 mg by mouth one time a day. This was not given and was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-23 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00143588. Based on observation, interview, and record review, the facility failed to ensure food items were provided in a puree consistency per the diet order for one resident (R53) of two whose diets were reviewed. Findings include: On 05/22/24 at 9:37 AM, R53 was observed to be in bed, the torso curved down away from head of bed so the top of head pointed toward the left side of the bed. Three clear plastic cups of orange juice, milk and a pink liquid were observed with lids off and appeared filled. Scrambled eggs and a bowl of oatmeal had not been touched nor appeared to have been eaten. A regular size bag of hard pretzels was open next to the food tray. On 05/22/24 at 9:58 AM, R53 had been sat up slightly more upright in the bed. The meal tray and pretzels remained. On 05/22/24 at 1:55 PM, R53 was observed to be in bed. A pureed, entree had been served with a regular cubed piece of frosted cake. No items had been eaten. No liquids appeared to have been drank. On 05/23/24 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-23 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to wear proper personal protective equipment (PPE) for one resident (R24) out of one reviewed for Enhanced Barrier Precautions (EBP). Findings Include: On 5/21/2024 at 9:50 AM, Registered Nurse (RN) E was observed in front of R24's door grabbing gloves. RN E stated they were going into the room to finish performing care on R24. An EBP sign and cart was noted to be in front of the door. On 5/21/2024 at 9:55 AM, RN E was observed coming out of R24's room. RN E was queried as to why R24 was on EBP. RN E stated they thought that they were on EBP because R24 has chronic urinary tract infections. A review of the medical record revealed that R24 admitted into the facility on [DATE] with the following diagnoses, Personal History of Urinary Tract Infections and Muscle Weakness. Further review of the medical record revealed a Brief Interview for Mental Status score of 14/15 indicating an intact cognition. R24 also required assistance with bed mobility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-05-09 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to Intakes MI00130612, MI00133804, and MI00135872. Based on observation, interview, and record review, the facility failed to provide timely ADL (activities of daily living) care for three residents (R3, R35, and R167) of four reviewed, resulting in unmet care needs and the potential for skin breakdown. Findings include: On 5/7/23 at 10:08 AM, 10:10 AM, and 10:12 AM, R3 could be heard calling out for water from their room. An overwhelming smell of stool was noted upon entering the room and the temperature was noted to be uncomfortably warm. R3 was observed lying in their bed and continued to ask for water. R167, who shared the room with R3, was observed lying in their bed as well. R3 stated it was hot in the room and also indicated that they needed to be changed. R3 stated that they told staff, A long time ago .An hour ago that they, Pooped [their] diaper. R3 expressed feeling as though staff knew their brief was soiled but just did not want to help them. R3 was observed wearing a hospital-type gown and disposable brief. Stool was noted on the outside of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
This citation pertains to Intake MI00130612. Based on observation, interview, and record review, the facility failed to ensure hydration was readily available, affecting one resident (R3) and resulting in prolonged thirst and discomfort. Findings include: On 5/7/23 at 10:08 AM, 10:10 AM, and 10:12 AM, R3 could be heard calling out for water from their room. An overwhelming smell of stool was noted upon entering the room and the temperature was noted to be uncomfortably warm. R3 was observed lying in their bed and continued to ask for water. R3 also commented on how warm it felt in her room and said, They took [my] water .That's why I'm begging for water my mouth is so dry I can't even talk .Boy, my mouth is so dry. No hydration liquid was noted near R3 or on their side of the room. R3's bedside table was next to their bed with nothing on it. On 5/7/23 at 10:19 AM, R3 pressed their call light. At 10:25 AM, Agency Certified Nursing Assistant (CNA) A entered the room without knocking or announcing who they were to the residents. CNA A was interviewed and indicated she had not yet made…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$15,887 in federal fines across 1 penalty.
- $15,887 — penalty dated 2023-12-19
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to THE ORCHARDS MICHIGAN — 15 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 1.9 | +3.1 vs chain |
| Health inspection | 4 of 5 | 2.0 | +2.0 vs chain |
| Staffing | 2 of 5 | 1.7 | +0.3 vs chain |
| Quality measures | 5 of 5 | 3.4 | +1.6 vs chain |
The other 14 homes this chain runs (chain average 1.9★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ARMADA OPCO HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/2022 |
| MI OPCO HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2022 |
| GUTMAN, ISAAC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2022 |
| HOFFMAN, ALEXANDER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2022 |
| KORNFELD, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | NO PERCENTAGE PROVIDED | since 06/01/2022 |
| TAUB, JACOB | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2022 |
| FISHERMAN, ZALMAN | Individual | W-2 MANAGING EMPLOYEE | — | since 06/01/2022 |
| HENRIKSON, DONALD | Individual | W-2 MANAGING EMPLOYEE | — | since 06/01/2022 |
CMS files one row per role, so the 9 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MI
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235609. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.