Federal inspection record · CMS data as of October 1, 2026
The Orchards at Douglas Cove
243 Wiley Road, Douglas, MI · (269) 857-2141
- Certified beds
- 51
- Residents per day
- 42
- Ownership
- For-Profit
- Chain
- The Orchards Michigan
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 18, 1986
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
-
Staffing
★★★★★−1 star
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.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
The Orchards at Douglas Cove carries 98 inspection points. That is fewer than 30% 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
31 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 (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- 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.
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights3D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Environmental2F
- D
Keep all essential equipment working safely.
- F
Keep all essential equipment working safely.
Pharmacy Service2D
- 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
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.
Nursing and Physician Services1D
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspection history
2025-07-17
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-07-18
17 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-06-07
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 40 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 71% 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
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 vaccine4.6 pts better | 100.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts worse | 95.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 0.7% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.7 pts better | 0.8% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 4.1% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.5 pts worse | 27.9% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts worse | 25.5% | 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 worsened7.7 pts worse | 18.8% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts better | 9.6% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.1% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts better | 11.8% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts worse | 6.6% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.9 pts better | 96.3% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 12.9% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.9 pts worse | 73.6% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.4 pts worse | 36.3% | 23.9% | 23.4% |
·
Who owns and runs it
21 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 |
|---|---|---|---|
| Douglas Cove Mi Opco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Gutman, Isaac | Direct Ownership Interest · Individual | 0% | 28 facilities |
| Gutman, Isaac | Managing Control - Governing Body · Individual | 0% | 28 facilities |
| Gutman, Isaac | Operational/Managerial Control · Individual | 0% | 28 facilities |
| Gutman, Isaac | Adp Of The SNF · Individual | 0% | 28 facilities |
| Hoffman, Alexander | Direct Ownership Interest · Individual | 0% | 25 facilities |
| Hoffman, Alexander | Managing Control - Governing Body · Individual | 0% | 25 facilities |
| Hoffman, Alexander | Adp Of The SNF · Individual | 0% | 25 facilities |
| Hooker, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hooker, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Israel, Robert | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Israel, Robert | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kornfeld, Robert | Managing Control - Governing Body · Individual | 0% | 9 facilities |
| Kornfeld, Robert | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Kornfeld, Robert | Adp Of The SNF · Individual | 0% | 9 facilities |
| Salyers, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Salyers, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Taub, Jacob | Managing Control - Governing Body · Individual | 0% | 26 facilities |
| Taub, Jacob | Individual Is An Owner, Partner Or Trustee Of Any 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
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3E
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
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.
Construction1E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
·
Other homes nearby
-
Resthaven Care Center
Holland, MI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 13 min
- Fines
- $0
-
The Inn at Freedom Village
Holland, MI · Healthpeak Properties, Inc.
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 35 min
- Fines
- $0
-
Medilodge of Holland
Holland, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0