The Orchards at Southgate

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

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.

32.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 100 beds and averages 83.4 residents a day — about 83% occupied, or roughly 17 beds typically open. It usually has some room. 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 3.44 hrs/resident/day on weekends vs 3.72 on weekdays — 8% thinner on weekends. RN hours go from 0.45 to 0.29 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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-01-31 · 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 intake MI00142163. Based on observation, interview and record review the facility failed to provide adequate supervision. On January 15, 2024, at approximately 10:30 AM, R301 a cognitively impaired resident (BIMS of 4) eloped from the facility The recorded temperature that day was 9 degrees Fahrenheit. R301 walked down beside [NAME] Rd (A four lane highway) crossed Fort St (A six lane highway) and proceeded to (Name Redacted) Co-op Apartments (approximately 1.5 miles from facility). Director of Nursing called [NAME] Police at 11:22 AM, and it was reported resident was transported to the hospital at approximately 10:38 AM. This deficient practice resulted in the likelihood of serious injury, serious harm, serious impairment, or death related to being struck by a vehicle and/or exposure to extreme weather temperatures. Findings include: On 1/31/24 at 12:20 PM, R301 was observed. R301 was not not interviewable related to impaired cognition. Record review of R301's electronic medical record…

  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 · Past Non-Compliance
• Actual harm · G2025-09-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 implement interventions to prevent and promote healing of a facility acquired unstageable pressure ulcer (a severe skin injury that occurs at the heel and cannot be accurately staged because the wound base is covered by dead tissue) for one resident (R4) of three residents reviewed for pressure ulcers, resulting in the development of an unstageable heel pressure ulcer.Findings include:On 9/9/2025 at 12:13 PM, R4 was observed in bed, wearing a hospital gown, and watching TV. R4's head of bed was slightly raised, and their right heel was positioned off of the bottom of the mattress without support of heel protectors or a pillow for support. R4's right foot revealed a heel dressing with the date of 9/8/2025. R4 was asked what happened to their foot. R4 said the wound occurred on their foot from laying their foot on the footboard and bed frame. R4 stated their mattress was not long enough. R4 said, I'm kind of tall and my feet hangs over.On…

  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
• Actual harm · G2023-07-19 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 implement nutritional interventions for weight loss for one resident (R72) of four residents reviewed for nutritional parameters, resulting in a significant weight loss. Findings include: On 7/17/23 at approximately 10:28 A.M. R72 was observed in her room in bed. The resident appeared confused, thin in statue with temporal wasting (suggestive of weight loss). On 7/17/23 at 12:30 P.M. R72 was observed sleeping throughout the lunch meal without any staff assistance with eating. At 2:30 P.M.in the evening R72 was observed wandering in her wheelchair aimlessly throughout the facility. On 7/18/23 at 8:30 A.M., review of resident's Weight and Vital Summary revealed R72 had a significant weight loss in June. The record showed a progressive decline in the resident's weight. Weights were documented as indicated: 3/30- 108.5# (admission Weight) 3/31-108.5# 4/3- 108# 4/17-104# 5/2- 101.5# 6/6- 101# 6/28 -100# 6/28- 92.5# 7/6- 93# R72 loss a total of…

  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 · Dcited before2026-02-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 2732359. Based on observation, interview and record review, the facility failed to verify tube placement and assess gastric residual prior to administering medication one resident (R402) of one resident observed receiving medications via peg tube resulting in the potential for aspiration respiratory compromise.Findings include:On 2/18/26 at 3:55 PM, the surveyor observed Licensed Practical Nurse (LPN) B crush and administer oxycodone 5mg one tab via peg tube to R402.Prior to administering the medication, LPN B did not check for tube placement and did not assess gastric residual.On 2/18/26 at 4:05 PM, LPN B was interviewed about PEG tube protocol. LPN B said they did not check placement or residual at that time because they had checked it earlier in the day and did not believe it needed to be rechecked.On 2/18/26 at 4:20 PM, the Director of Nursing (DON) was interviewed and said that tube placement and residual should be checked every time prior to using the PEG tube 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 2732359.Based on observation, interview and record review, the facility failed to ensure staff performed hand hygiene after removal of soiled gloves and prior to donning clean gloves during wound related care for one resident (R402) of three residents observed receiving wound care. This deficient practice had the potential to increase the risk of cross-contamination and infection transmission.Findings include:On 2/18/2026 at 11:20AM, during an observation, Wound Care Nurse (WCN) A cleansed the wound in R402 perineal area. WCN A removed the soiled gloves, applied a clean pair of gloves, and then applied cream to R402's perineal area.No handwashing or use of alcohol-based hand rub (hand hygiene) was observed between glove removal and the application of new gloves.On 2/18/2026 at 12:05 PM, WCN A was interviewed and acknowledged they did not perform hand hygiene after removing the soiled gloves and prior to donning clean gloves to continue wound care.On 2/18/2026 at 12:30 PM, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 develop an individualized anticoagulant (a blood thinner that prevents blood clots from forming but increase the risk of bleeding) comprehensive care plan for one resident (R103) out of five residents reviewed for injuries of unknown origin. Findings include:On 8/20/25 at 10:13 AM, R103 was observed awake and sitting in a wheelchair in her room. When asked how she was doing, R103 stated that this morning a CNA (Certified Nurse Aide) asked her about bruises on her upper right arm and lower left leg. R103 said she had no idea how the bruises got there. During an observation and interview on 8/20/25 at 10:17 AM of R103's right arm and left leg, Licensed Practical Nurse (LPN) B said R103 has a circular bruise on the upper outside of her right arm and a bruise just below the left knee. LPN B said the bruise on the arm was purple and yellow. The knee bruise was purplish. R103 again reiterated that the CNA that assisted her getting dress this…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-08 · 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 maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting the facility's total census of 80 residents who receive meal services (3 nothing by mouth residents, or NPO) out of the facility's total census of 77 residents. Findings include: 1. On 8/7/24 at 10:44 AM, during a dietary tour of the kitchen, when asked the how the facility cleans and sanitizes work surfaces in this area, Dietary Manager, staff A, stated, we have our sanitizer buckets. At this time, staff A was asked to test a sanitizing bucket to verify its concentration. The testing of the sanitizer concentration by staff A via a test strip, and comparing its color to the test strip packaging revealed a concentration of zero. Upon observation staff A stated, This might be from this morning, it's a little cloudy. to which Cook, staff C, stated, it is, I was going to remake it now. On 8/7/24 at 10:48 AM, record review of the chemical sanitizing poster…

  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 · F2024-08-08 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to provide a safe, functional, and sanitary environment for the facilities census of 80 residents and its staff resulting in an increased potential for harm. Findings include: On 8/7/24 between 1:32 PM, and 2:18 PM, during an environmental tour of the facility the following observations were made: Cracked and damaged floor tiles with missing pieces were observed in the elevator, in the first floor soiled utility room, and in the laundry room near the washing machines. Three shaving razors with their protective caps removed, a squeeze bottle of soap, and two used shaving cream containers were observed on the outer rim of the second floor's shower rooms designated handwashing sink. One chemical spray bottle containing a yellow liquid, and one chemical spray bottle containing a purple liquid were observed unlabeled and available for use in the soiled holding portion of the laundry room. On 8/7/24 at 1:39 PM, upon interview with Maintenance Director, staff B, regarding the current state of the elevator flooring they stated, I'm not…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide 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 feeding assistance were provided timely for two Residents (R23 and R69) of three residents reviewed for activities of daily living (ADLs), resulting in the residents not eating meal timely and the potential for the residents food to be served at an inappropriate temperature. Findings include: R23 On 8/6/2024 at 12:27 p.m., R23 was observed lying in bed asleep with food tray covered undisturbed on the bedside table. Observed Multiple staff assisting with tray pass. On 8/6/2024 at 12:36 p.m., Certified Nursing Assistance (CNA) H was interviewed regarding R23's food tray. CNA H said the R23 can eat on her own, but you must wake the resident up and set the food tray up. CNA H said whoever passed R23' s food tray must not have known to wake the resident up and to set up the food tray. CNA H assisted the resident with the food tray set up. CNA H confirmed the food trays was on the unit about 12:00 noon. According to the electronic…

  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 · D2024-08-08 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for each 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 Based on observation, interview, and record review, the facility failed to follow-up with a dental recommendation for one resident with Medicaid benefits (R74) out of two residents reviewed for dental services resulting in R74 not having several broken/decayed teeth extracted and with complaints of tooth pain and tooth abscess and difficulty eating. Findings include: On 8/6/24 at 10:15 AM R74 was observed with several visible broken and decayed teeth. During an interview R74 pointed to his top teeth and said his teeth hurt, it is hard to eat. R74 said he saw a dentist and was supposed to get some teeth pulled, but nothing has happened since. According to the Electronic Health Record (EHR) R74 was admitted to the facility on [DATE] with diagnosis of convulsions, seizures and altered mental status. The Minimum Data Set (MDS) dated [DATE] indicated R74 had moderately impaired cognition with a BIMS (brief interview for mental status) score of 12/15. R74 was identified to require supervision and set up assistance 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-09-12 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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: MI00139241 and MI00139218. Based on interview and record review the facility failed to report an incident of elopement to the State Agency for one resident (R404) out of four residents reviewed for elopement risk, resulting in the potential for further incidents of unreported elopements. Findings include: On 9/12/2023 at 8:00 A.M. an investigation was conducted concerning R404 eloping from the facility. It was reported by (Local police department and community acute care facility) on 8/19/2023 R404 walked away from the facility around 9:00 A.M. and showed up at a local hospital that was approximately four miles from the facility where the resident lived. At 9:30 A.M. during an interview the Director of Nursing of Nursing (DON) stated R404 left the facility (time unknown) but estimated after the A.M. medication pass (Approximately 12:00 P.M.). The DON reported that around 1:45 P.M. she made round at the facility to check on the staff. Upon arrival, the DON was informed R404 left…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-09-12 · 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 intake MI00139241 and MI00139218. Based on interview and record review the facility failed to prevent an elopement for one resident (404) of four residents reviewed for elopement, resulting in R (404) exiting the facility without staff knowledge and the potential for injury and for other elopement risk residents. Findings include: On 9/12/2023 at 8:00 A.M. an investigation was conducted concerning R404 eloping from the facility. It was reported on 8/19/2023 R404 walked away from the facility around 9:00 A.M. and showed up at a local hospital that was approximately four miles from the facility where the resident lived. At 9:30 A.M. during an interview the Director of Nursing of Nursing (DON) stated R404 left the facility (time unknown) but estimated after the A.M. medication pass (Approximately 12:00 P.M.). The DON reported around 1:45 P.M. she made round at the facility to check on the staff, upon arrival the DON was informed R404 left the faciity on an unauthorized leave and refused to…

  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 · Fcited before2023-07-19 · 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 (1) effectively clean multiple surfaces in the kitchen, (2) properly date-label food in the cooler and freezer, and (3) test the dish machine operating temperature prior to use. These deficient practices have the potential to affect all residents who eat food out of the kitchen resulting in the increased potential for cross-contamination, bacterial harborage, and increase potential for resident foodborne illness. Findings include: During the initial tour of the kitchen on 7/17/2023 beginning at 8:54 AM with Dietary Manager (DM) D the following was observed: - The wall behind the dish tank was soiled with an accumulation of dirt and grime. The wall paneling behind the dish tank was not sealed where it contacts the wall, leaving a gap for water and food splash to enter. - Dietary Aide (DA) E was operating the high temperature dish machine. When queried if the dish machine sanitizing temperature was obtained prior to use, DA E said it was not. - Eight ladles of varying sizes were hanging from a rack bowl side…

  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

“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

$15,841 in federal fines across 1 penalty.

• $15,841 — penalty dated 2024-01-31

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 →

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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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