Orchard Grove Health Campus

Location & what’s nearby

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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

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.

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.

71.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 278 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.7% 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 140 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 0.83 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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.

Staffing

How full it usually is: this home is certified for 55 beds and averages 52.8 residents a day — about 96% occupied, or roughly 2 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 4.36 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.99 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 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 3.72 hrs/resident/day on weekends vs 4.62 on weekdays — 19% thinner on weekends. RN hours go from 1.13 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%. 1 administrator has left in the past year.

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 unchanged from the previous inspection. 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.

• Actual harm · Gcited before2025-08-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 Complaint #2587468Based on interview and record review the facility failed to ensure a resident with a known fall risk received necessary interventions to prevent falls, ensure the resident was properly lifted off the ground following the fall and transferred timely to the hospital following the fall for one (R701) of two residents reviewed for falls, resulting in R701 being transferred to the hospital and treated for a nondisplaced oblique fracture, pain and dehydration.Findings include:A complaint was filed with the State Agency (SA) that alleged on or about 7/23/25, R701 who was admitted to the facility following a fall at home that resulted in a fracture to the right hip leading to hip replacement, fell again at the facility and sustained a fracture to the right hip. The Complainant noted R701 suffered from dementia and never should have been left unattended and needed to be transferred immediately to the hospital.An EMS (emergency medical services) run sheet was reviewed 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-06 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake number MI00152757. Based on observation, interview, and record review, the facility failed to ensure residents were treated in a dignified manner for two (R293 and R143) out of two residents reviewed for dignity/respect. Findings include: A Facility Reported Incident (FRI) was submitted to the State Agency (SA) that alleged that a CNA (certified nursing assistant) would not listen to the resident's (R293) request to wear certain clothing and then started yelling loudly at the resident. A review of R293 clinical record revealed the resident was initially admitted to the facility on [DATE] with diagnoses that included: syncope and collapse (temporary loss of consciousness), epilepsy and history of pulmonary embolism. A BIMS (Brief Interview for Mental Status) evaluation noted the resident had a BIMS score of 13/15 (cognitively intact). On 5/5/25 at approximately 9:39 AM, R293 was observed sitting in a wheelchair in their room. The resident was alert and able to answer questions…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care 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 oxygen (02) was administered per the physician's order for one (R294) of one resident reviewed for respiratory/oxygen care. Findings include: On 5/5/25 at approximately 10:50 AM, R294 was observed lying in bed. The resident was alert but unable to answer any questions asked. An oxygen concentrator was observed approximately three feet from the resident's bed. The concentrator was running at 2L (liter), however, the oxygen nasal canula tubing was wrapped around the concentrator and not inserted in the resident's nose. At approximately 11:00 AM and 11:10 AM, the resident was again observed without any 02 inserted in their nose. The DON was approached and asked if the resident received continuous oxygen. The DON was not certain as to their order and noted would review the residents record. A review of R294's clinical record revealed the resident was initially admitted to the facility with diagnoses that included: malignant cancer of the prostate, metabolic encephalopathy and stroke. The resident's Minimum…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide 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 maintain infection control practices of multi-use equipment between resident use for two residents (R14, and R16) of two reviewed for infection control practices. Findings include: On 3/26/2024 at 9:30 AM, Nurse C was observed to take R14's blood pressure. When the task was completed the device was not cleaned. When queried whether the device should be cleaned, Nurse D replied after each use. Nurse C did not then clean the device before moving on to the next resident. On 3/27/2024 at 11:30 AM, Nurse B took R16's blood pressure. Upon leaving the room, Nurse E did not clean the blood pressure device. When queried about when the blood pressure device should be cleaned and with what, Nurse E stated after each resident with germicidal wipes. On 3/27/2024 at 1:30 PM, an interview with the Infection Preventionist, Nurse D revealed that the expectation for cleaning multi-resident use equipment is that it is cleaned after each use, between residents. On 3/28/2024 at 11:30 AM, an interview with the Director of Nursing…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-04 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 interview and record review, the facility failed to monitor and justify the administration of an antibiotic for one resident (R6) of three residents reviewed for unnecessary medications. Findings include: A review of R6's medical record revealed that they were admitted into the facility on [DATE] with diagnoses that included Unspecified open wound, right lower leg, subsequent encounter, Chronic Obstructive Pulmonary Disease, and Type 2 Diabetes Mellitus. Further review revealed that the resident was cognitively intact and require supervision to limited assistance with Activities of Daily Living. Further review of the medical record revealed that the resident had been prescribed the following on 12/28/23, Vancomycin (antibiotic) 50 mg/mL (milligrams/milliliters); Amount to Administer: 2.5 ml/ 125mg; Oral twice a day for recurrent C-Diff (Clostridium difficile, a bacterium that causes infection in the colon-large intestine which can lead to symptoms ranging from diarrhea to severe damage to the colon).…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-03-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure 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 food items dated and discarded when expired, failed to store raw potentially hazardous food items appropriately, and failed to maintain a ceiling vent cover in a sanitary manner. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 3/20/23 between 7:20 AM-7:50 AM, the following items were observed: In the walk-in cooler, there was a container of mousse with a use-by date of 3/18. In addition, there was raw ground beef stored on an open shelving unit directly above a pan of raw fish. In the True reach-in cooler, there was an opened half gallon of lemonade with a hand written use by date of 3/8 and a manufacturer's use by date of 3/16, an opened undated gallon container of golden Italian salad dressing, and an opened gallon container of thousand island salad dressing with a use by date of 2/25. 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…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-03-22 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 assess for self-medication administration prior to leaving medications in room, for one sampled resident (R27) reviewed for self-medication administration, resulting in medications left in the resident's room. Findings Include: On 03/20/23 at 9:12 AM, two inhalers were observed on R27's over bed table. R27 was asked if they kept these inhalers in their room and R27 stated, No. The Nurse will come back and get them. On 3/20/23 at 10:27 AM, the two inhalers remained at R27's bedside on the table. R27 stated, I am done with them. The Nurse or staff was not observed on the unit. The inhalers labels revealed, Albuterol sulfate and Fluticasone propionate aerosol. A review of R27's orders noted, Albuterol sulfate aerosol inhaler; 90 mcg (Microgram)/actuation; amt (amount): 2 puffs; inhalation. Frequency: Once A Day. 7:00 - 11:00 AM. Fluticasone propionate aerosol inhaler; 44 mcg actuation; amt: 2 puffs; inhalation. Twice A Day 7:00 AM - 11:00 AM. On 3/20/23 at 2:37 PM, the two inhalers were no longer on the over 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-03-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 Based on interview and record review the facility failed to provide adequate supervision for two sampled resident (R33 and R143) of eight residents reviewed for accidents, resulting in the resident sustaining a fall. Findings include: On 3/20/23 at 9:18 AM, R33 was observed asleep with a low bed and with fall mats on the floor. A review of R33's medical record revealed a nurses note, 3/09/2023 12:32 PM, Writer called to salon . whom had been notified by [Salon Staff C], the beautician. [Salon Staff C] reported that she had been assisting resident into salon chair and resident started to fall. [Salon Staff C] assisted resident to the floor and called for help. [Salon Staff C] reported that resident did not hit [R33] head. ROM (range of motion) completed and WNL (within normal limits), no c/o (complaints of) pain, VSS (vital signs stable), no injury noted at this time. Resident assisted up into w/c (wheelchair) . Writer spoke with . and notified of fall and plan to only have clinical staff complete transfers. A…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 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 →

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

8 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 $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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