Federal inspection record · CMS data as of October 1, 2026
The Orchards at Canterbury on the Lake
5601 Hatchery Road, Waterford, MI · (248) 674-9292
- Cited for abuse (CMS abuse icon)
- Certified beds
- 128
- Residents per day
- 115
- Ownership
- For-Profit
- Chain
- The Orchards Michigan
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1994
1
How this home got 1 star
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 Michigan.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Michigan homes
The Orchards at Canterbury on the Lake carries 192 inspection points. That is fewer than 10% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: 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★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan 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
72 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)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care14E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights11E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
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.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
Freedom from Abuse, Neglect, and Exploitation11E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 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.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service6E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration5F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nursing and Physician Services3F
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- C
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-07-31
28 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-07-17
25 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-07-20
19 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 30 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.2 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine26.9 pts worse | 68.5% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine31.9 pts worse | 63.6% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 5.1% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.2 pts worse | 10.7% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 7.6% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.9 pts better | 13.5% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.1 pts worse | 24.8% | 14.7% | 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 worsened8 pts worse | 19.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts worse | 12.1% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts worse | 22.7% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 5.4% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine42.9 pts worse | 40.5% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.2 pts better | 7.5% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine40 pts worse | 41.5% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts worse | 24.6% | 23.9% | 23.4% |
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Who owns and runs it
11 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 |
|---|---|---|---|
| Gutman, Isaac | Adp Of The SNF · Individual | 0% | 28 facilities |
| Hoffman, Alexander | Adp Of The SNF · Individual | 0% | 25 facilities |
| Hurst, Emily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hurst, Emily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kornfeld, Robert | Adp Of The SNF · Individual | 0% | 9 facilities |
| Mcleod, Leigh | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mcleod, Leigh | Adp Of The SNF · Individual | 0% | 2 facilities |
| Taub, Jacob | Managing Control - Governing Body · Individual | 0% | 26 facilities |
| Taub, Jacob | Adp Of The SNF · Individual | 0% | 26 facilities |
| White Lake Healthcare LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| White Lake Healthcare LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services3F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Provide a written emergency evacuation plan.
Emergency Preparedness1F
- F
Conduct risk assessment and an All-Hazards approach.
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Other homes nearby
-
Lourdes Rehabilitation and Healthcare Center
Waterford, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 53 min
- Fines
- $0
-
Regency at Waterford
Waterford, MI · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
Villa at Pine Place
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 28 min
- Fines
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