3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Armada, MI
4-star overall rating with 4-star inspections with $15,887 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
22600 Armada Ridge Road, Armada, MI
(586) 784-5322
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
67
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Orchards Michigan
Operator or chain grouping
Approved since
2003-06-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 2 overall / 3 health / 1 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
9,178
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.62
Baseline 20.72% · Performance 21.15% · Measure score 0.62 · Achievement 0.62 · Improvement 0
Healthcare-associated infections
5.66
Baseline 5.91% · Performance 6.14% · Measure score 5.66 · Achievement 5.66 · Improvement 0
Total nurse turnover
3.20
Baseline 80.00% · Performance 59.57% · Measure score 3.20 · Achievement 1 · Improvement 3.20
Adjusted total nurse staffing
0.35
Baseline 2.69 hours · Performance 2.95 hours · Measure score 0.35 · Achievement 0 · Improvement 0.35
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.43% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 6.77% · Lower 95% interval 6.79% |
| Discharge to community | 50.7% |
50.57%
0.1 pts better
|
No Different than the National Rate · Eligible stays 125 · Observed rate 44.8% · Lower 95% interval 43.78% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 73 · Denominator 73 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 73 |
| Discharge self-care score | 64.41% |
53.69%
10.7 pts better
|
Numerator 38 · Denominator 59 |
| Discharge mobility score | 52.54% |
50.94%
1.6 pts better
|
Numerator 31 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 73 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 3.69% |
| Staff COVID-19 vaccination coverage | 9.64% |
8.2%
1.4 pts better
|
Numerator 8 · Denominator 83 |
| Staff flu vaccination coverage | 7.77% |
42%
34.2 pts worse
|
Numerator 8 · Denominator 103 |
| Discharge function score | 71.19% |
56.45%
14.7 pts better
|
Numerator 42 · Denominator 59 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 21.05% |
25.2%
4.1 pts worse
|
Numerator 8 · Denominator 38 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.7
0.5 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.1 |
1.5
1.4 pts better
|
1.8
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.1 · Observed 0.1 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
95.0%
3.1 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 98.1% · Q3 100.0% · Q4 100.0% · 4Q avg 98.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
95.0%
0.1 pts better
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.1%
1.7 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.7% |
4.1%
1.6 pts worse
|
11.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 14.0% · Q3 2.3% · Q4 2.3% · 4Q avg 5.7% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
5.5%
0.1 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.3% · Q3 9.5% · Q4 7.3% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
19.6%
7.8 pts worse
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 26.7% · Q3 20.9% · Q4 27.9% · 4Q avg 27.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.7% |
16.5%
5.2 pts worse
|
16.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 18.8% · Q3 18.4% · Q4 18.2% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.7% |
13.9%
5.8 pts worse
|
16.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.4% · Q2 18.6% · Q4 7.9% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.7% |
11.7%
3 pts better
|
14.9%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 11.1% · Q3 9.5% · Q4 7.3% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
1.7%
1.8 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 0.0% · Q3 2.1% · Q4 6.2% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
20.4%
7.5 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 38.5% · Q3 17.0% · Q4 32.6% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
5.6%
2.7 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.2% · Q3 2.5% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
82.8%
11.6 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.7% · Q2 96.2% · Q3 94.7% · Q4 94.1% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
11.5%
4.9 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 6.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.3%
0.7 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.8% · Q3 1.8% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.6% |
79.5%
10.9 pts worse
|
79.7%
11.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
24.2%
2.5 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 20.6% · Expected 22.7% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-27
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-06-27
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-06-14
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-14
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-14
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-06-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-06-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-06-14
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2024-06-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-14
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-06-14
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-14
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-06
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-27
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-06-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-14
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-14
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-14
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-14
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-06-14
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2024-06-14
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-26
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-28
Penalties and ownership
Fine · fine $15,887
Fine
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
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