13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Detroit, MI
2-star overall rating with 2-star inspections with abuse icon flag with 13 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
5555 Conner Avenue, Suite 4000, Detroit, MI
(313) 344-4100
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Orchards Michigan
Operator or chain grouping
Approved since
2007-08-28
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
9,907
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.09
Composite VBP score used to determine payment impact.
Payment multiplier
0.9828
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
1.84
Baseline 77.46% · Performance 65.15% · Measure score 1.84 · Achievement 0 · Improvement 1.84
Adjusted total nurse staffing
2.58
Baseline 4.10 hours · Performance 3.81 hours · Measure score 2.58 · Achievement 2.58 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.16% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 13.21% · Lower 95% interval 7.31% |
| Discharge to community | 40.53% |
50.57%
10 pts worse
|
No Different than the National Rate · Eligible stays 44 · Observed rate 27.27% · Lower 95% interval 27.24% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 88.1% |
95.27%
7.2 pts worse
|
Numerator 37 · Denominator 42 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 42 |
| Discharge self-care score | 29.63% |
53.69%
24.1 pts worse
|
Numerator 8 · Denominator 27 |
| Discharge mobility score | 22.22% |
50.94%
28.7 pts worse
|
Numerator 6 · Denominator 27 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 42 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 15% |
8.2%
6.8 pts better
|
Numerator 18 · Denominator 120 |
| Staff flu vaccination coverage | 33.33% |
42%
8.7 pts worse
|
Numerator 42 · Denominator 126 |
| Discharge function score | 33.33% |
56.45%
23.1 pts worse
|
Numerator 9 · Denominator 27 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.7
0.7 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 2.2 · 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 | 80.9% |
95.0%
14.1 pts worse
|
93.4%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 87.4% · Q3 73.7% · Q4 66.0% · 4Q avg 80.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
95.0%
2.2 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
3.1%
2.1 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.1%
4.1 pts better
|
11.4%
11.4 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 who lose too much weight | 5.7% |
5.5%
0.2 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.1% · Q3 6.6% · Q4 4.7% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.8% |
19.6%
10.8 pts better
|
19.6%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 8.1% · Q3 10.9% · Q4 6.8% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.4% |
16.5%
3.9 pts worse
|
16.7%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.8% · Q3 20.3% · Q4 20.3% · 4Q avg 20.4% · 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 | 14.7% |
13.9%
0.8 pts worse
|
16.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 23.4% · Q3 8.6% · Q4 4.3% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
11.7%
0.5 pts worse
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 15.6% · Q3 9.5% · Q4 10.0% · 4Q avg 12.2% · 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 0.9% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.2% |
20.4%
5.8 pts worse
|
19.8%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 27.2% · Q3 24.1% · Q4 22.5% · 4Q avg 26.2% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
5.6%
2.9 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.9% · Q3 2.0% · Q4 2.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.5% |
82.8%
52.3 pts worse
|
81.7%
51.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 43.0% · Q2 33.0% · Q3 25.8% · Q4 16.4% · 4Q avg 30.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
11.5%
11.5 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.3%
0.2 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.1% |
79.5%
26.4 pts worse
|
79.7%
26.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
24.2%
0.4 pts better
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 20.8% · Expected 20.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-04-25
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-04-25
Fire Safety
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.
Corrected 2025-04-25
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-04-25
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 2025-04-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-05
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-04-25
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-05
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-04-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-01
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-05-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-25
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-04-29
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-24
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-04-29
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2024-04-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-01-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-01-06
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-11
Fire Safety
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.
Corrected 2023-01-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-06
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-01-06
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-17
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-04-24
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-04-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-24
Health
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.
Corrected 2025-04-24
Health
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.
Corrected 2025-04-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-04-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-24
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-04-24
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-12
Health
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.
Corrected 2024-11-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-20
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-20
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-03-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-15
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-12-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-12-15
Health
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.
Corrected 2022-12-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
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