The Orchards at Wayne

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.

49.0% 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 68 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.4% 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 31 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 0.12 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

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.

29 citations, most serious first. The 11 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · J2024-10-03 · 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 number MI00147248. Based on interview and record review, the facility failed to initiate a Code [NAME] (Notification for a missing resident) in a timely manner for one resident (R703) that was missing from the facility, after identifying that the resident had left the faciity on 9/25/24, unbeknownst to staff, of five residents reviewed for elopement, resulting in the potential for serious injury or death from the resident being outside and unsupervised for an extended period of time. Findings include: The Immediate Jeopardy (IJ) started on 9/25/24 and was identified on 10/3/24. The Administrator was notified of the IJ on 10/3/24 at 3:18 PM, and was asked for a plan to remove the immediacy. The IJ was removed on 9/26/24, based on the facility's implementation of the removal plan as verified onsite on 10/3/24. Although the immediacy was removed, the facility's deficient practice was not corrected and remained isolated with the potential for actual harm that is not immediate…

  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 before2026-06-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 3039764. Based on observation, interview and record review, the facility failed to protect R103's right to be free from verbal abuse by staff. Findings include: Record review revealed the following: on 5/22/2026, a verbal altercation occurred between R103 and Nurse A within the facility. During this incident, Nurse A was overheard by Nurse E stating, I am not your wife, I will blow you out. According to R103, Nurse A said she had a pistol and was going to blow him away. The Police Department was called, and Nurse A was sent home. On 6/16/2026 at 1:15 PM, R103 was interviewed and stated, (Nurse A) threatened to shoot me with her pistol. When queried about how this made him feel, he stated, It made me feel challenged. R103 said he was an ex-marine and stated, I felt like I had to prepare to defend myself. R103 also said that he has nurses within his family, so he is familiar with appropriate behaviors expected of nurses. R103 stated, I know how staff should behave and (Nurse A) is…

  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 before2026-06-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 3017670.Based on observation, interview and record review the facility failed to administer medications as ordered and failed to notify the physician when missed medications were not administered for one resident (R902) out of three residents reviewed. Findings include:Record review of electronic medical records (EMR) revealed admission into facility on 10/4/25 with a pertinent diagnosis of Multiple Sclerosis (chronic autoimmune disease) and depression. Review of Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15 (intact cognition).An observation and interview were conducted on 6/4/26 at 10:03 AM with R902, The resident was observed lying in bed cleaned and groomed appropriately. it was reported that prescribed medications Duloxetine (antidepressant) were not administered as ordered by the physician. It was further reported that nursing staff told R902 it was not available at the facility, and they (staff) were waiting for it 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 · D2025-11-21 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 provide a comfortable homelike environment for one resident (R87) out of four residents reviewed for safe, clean, homelike environment resulting in R87's personal items getting wet.Findings include: On 9/22/2025 at 10:57 AM, R87 was observed in bed with an approximate two feet by four feet puddle on the floor at the head of bed. When R87 was asked about the puddle, R87 stated There is a leak in the window. It does that every time it rains. My stuff on the windowsill gets wet. When asked if R87 reported the leak, R87 stated, Yes, they are aware of it. It was actively raining during the interview.On 9/23/2025 at 3:29 PM, R87's roommate R82 was interviewed and said the window or air conditioning unit has been leaking for about a year when it rains.On 9/23/2025 at 3:44 PM, R87 was interviewed and said the staff mopped up the water yesterday.On 9/24/2025 at 9:03 AM, there was an active leak on R87's windowsill. It was raining.On 9/24/2025 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · 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 Based on interview and record review, the facility failed to ensure that an allegation of misappropriation of resident property for one (R35) of four residents reviewed for abuse was immediately reported to the State Agency. This failure resulted in the facility not reporting an allegation of missing funds, placing R35 at risk for further potential misappropriation and lack of external investigation.Finding include:On 9/23/2025 at 11:29 AM, R35 was interviewed and said they had missing personal items and missing money. R35 stated, I had clothing, personal items and $200 that went missing. R35 said they reported the missing items to a staff member whose name they could not recall.On 9/24/2025at 11:29 AM, R35's family member was interviewed by phone and said R35 told them about the missing money and they had reported it to staff. The family member said they had spoken with facility staff regarding the missing money and purchased a lock box to secure R35's belongings. The family member stated, I would have…

  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 before2025-11-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to update the care plan for one (R28) of four residents reviewed for behavior care plans to include R28's one on one sitter to monitor behaviors. Findings include:On 9/22/2025 at 10:44 AM, R28 was observed sleeping in bed with Certified Nursing Assistant (CNA) C sitting near R28's room's door. When CNA C was asked what she was observing CNA C stated, I'm here to watch R28, I don't know why though.On 9/23/25 at 8:40 AM, CNA C was observed sitting in R28's room. When asked what her job assignment was, CNA C was replied, I'm here for a one on one with R28. When asked the reason, CNA C replied, I'm not sure.On 9/23/2025 at 1:55 PM, Licensed Practical Nurse (LPN) H was interviewed and said R28 had a one-on-one for behavior issues, a history of drinking hand sanitizer, and using marijuana products. LPN H further said that she talked to CNA C upon shift change and let them know to look out for odd behaviors such as drinking hand sanitizer 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  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, interview and record review the facility failed to maintain the physical environment in the dish room in a safe sanitary manner and repair and replace a warming device. This deficient practice had the potential to affect 106 of the 111 residents in the facility. On 9/23/25 at approximately 12:00 P.M. and on 9/24/2025 at 1:28 P.M., during an observation in the dish room the following were observed: The ceiling vents and adjacent ceiling tiles were soiled with ash, lint and residue. Visible strings of lint were attached to the vent covers.The plate warmer used during meal service was broken and not heating plates.The caulking between the dish room table and wall was cracked and detached from the wall. Cracked crevices were noted the entire length of the scrape table.The back splash on the dirty end of the dish machine was not easily cleanable, and the perimeters of the panel had a mold-like substance adhering to the panel edges.Underneath the clean end of the dish machine table, a large hole was present in the wall. There was no excursion or covering to prevent…

  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 · D2025-07-02 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 that only authorized health care professionals administered medication for one resident (R102) out of two residents reviewed for medication administration. Findings include: On 7/2/25 at 10:37 AM, R102 was observed awake and lying in bed. A square shaped, undated patch was observed on the outer part of R102's right knee. Three sides of the square patch appeared smooth, but the fourth side appeared coarse and rough as if it had been cut in two. R102 said the knee patch was applied yesterday along with another one on the tailbone/lower back area. During an observation and interview on 7/2/25 at 11:07 AM of R102's knee with Licensed Practical Nurse/Unit Manager (LPN/UM) D, R102 stated, I was in pain yesterday, and (Therapy Director [TD] E) put patches on me. After exiting R102's room, LPN/UM D said any medication administered to a resident required a physician's order and should be administered by a nurse. On 7/2/25 at 11:13 AM, TD E…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-11-06 · tag F0802 — failed to prepare enough nourishing food — widespread
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  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 MI00147383 and MI00147811. Based on observation, interview, and record review, the facility failed to ensure enough kitchen staff were available to prepare and serve meals in a timely manner. Findings include: It was reported to the State Agency that meals were late because of staffing issues. On 11/6/24 at 8:35 AM, LPN A was observed in the 1000 Hall and said breakfast was normally served between 8:30 - 9:30 AM. On 11/6/24 at 8:37 AM, LPN C was observed in the 800 Hall and said breakfast was usually served about 8:00 AM. On 11/6/24 at 8:43 AM, R101 was observed awake, alert, lying in his bed, and able to answer questions. R101 had not been served breakfast at the time of this interview. R101 said that breakfast was served at 10:00 AM. R101's Minimum Data Set assessment dated [DATE] documented intact cognition. On 11/6/24 at 8:45 AM, breakfast meal carts were not observed on Unit 500, Unit 800, Unit 1000 or the large dining room. On 11/6/24 at 9:25 AM, R101 indicated he 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 MI00146507. Based on interview, and record review the facility failed to prevent a resident to resident physical abuse incident, for two sampled residents (R701 and R702) of three residents reviewed for abuse. Findings included: A review of the intake noted, It was reported there was a resident to resident incident that resulted in no injuries. On 10/2/2024 at 12:42 PM, R702 was asked about the incident with R701. R702 explained, R701 was over on 900 hall. R702 stated, I was with my boyfriend and [R701] was coming after him, then after me. R702 continued and explained that R701 hit them in the face and then pulled on their wheelchair. R702 stated, I put my hand up over my face. I guess I wasn't fast enough and [R701] got me in the face. A review of R702's medical record revealed, 8/22/24 20:38 Writer witnessed resident getting hit with close fist on left side of face, neck and shoulder by another resident. Resident denies pain or discomfort, no injuries noted at his time.…

  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 · Fcited before2024-08-01 · 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. Ensure kitchen sinks were in good repair and warm water was available for hand washing; 2. Properly date-label food stored in the walk-in cooler; 3. Ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, mixed vegetables; 4. Ensure pans were properly cleaned; 5. Effectively clean surfaces in the kitchen and commercial ice machine; 6. Maintain cleanable walls in the kitchen; and 7. Ensure used meal trays were not placed on a meal cart during meal pass. These deficient practices had the potential to affect all the residents who consumed food from the kitchen and consumed ice from the ice machine, resulting in the potential for food-borne illness. Findings include: On 7/30/24 at 8:40 AM, during an observation of the kitchen with Dietary Manager (DM) G the following was observed: 1. Caulking around the hand washing sink near the Dietary Manager's office was cracked and separated. DM G said water can get through the cracks. 2. The following food items, observed in 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.

  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

$8,991 in federal fines across 1 penalty.

• $8,991 — penalty dated 2024-10-03

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 $2.3M 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. 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