Federal inspection record · CMS data as of October 1, 2026
Orchard Manor
8800 Hwy 61, Lancaster, WI · (608) 723-2113
- CMS high-performer trophy
- Certified beds
- 74
- Residents per day
- 50
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1978
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Orchard Manor carries 10 inspection points. That is fewer than 90% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Everything else, by area of care
Quality of Life and Care3E
- E
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-12-16
0 health deficiencies · 9 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-15
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-05-17
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 40 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.
This home
4 h 40 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$22,425 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-15 | Fine | $22,425 |
| 2024-08-15 | Payment Denial · 1 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 99.5% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 95.8% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts worse | 5.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.4 pts better | 0.6% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 6.3% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts better | 13.9% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts better | 12.9% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.2 pts better | 5.8% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 11.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 1.6% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 2.3% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.2 pts better | 12.4% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 2.5% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 94.4% | 86.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| County Of Grant | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| County Of Grant | Operational/Managerial Control · Organization | 0% | 1 facilities |
| County Of Grant | Adp Of The SNF · Organization | 0% | 1 facilities |
| Erdenberger, Alesha | Corporate Director · Individual | 0% | 1 facilities |
| Erdenberger, Alesha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Erdenberger, Alesha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stader, Eric | Corporate Director · Individual | 0% | 1 facilities |
| Stader, Eric | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stader, Eric | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11E
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Construct fire resistant interior walls.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
- E
Install an approved automatic sprinkler system.
- D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4E
- E
Have power receptacles that are properly grounded.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous2F
- C
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress2E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
-
Lancaster Health Services
Lancaster, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Dove Healthcare - Fennimore
Fennimore, WI · Dove Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 56 min
- Fines
- $105,891
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Edenbrook of Platteville
Platteville, WI · Eden Senior Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0