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Orchard Grove Health Campus

71150 Orchard Crossing Lane, Romeo, MI 48065 · Macomb County · (586) 336-0102

55 certified beds, about 53 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2017

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235721 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2026, inspectors cited 2 health deficiencies (the Michigan average is 9.9, the national average 9.2).

Of 7 health citations since April 2024, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.36 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.

35.7% of nursing staff left within the year CMS measured (Michigan average 44.1%).

CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
0E
1F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 21, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper food safety and equipment storage within the food service area, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to revise the care plan for three residents (R4, R62, R63) of three reviewed for timeliness of person-centered care plans.
August 20, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteThis citation pertains to Complaint #2587468Based on interview and record review the facility failed to ensure a resident with a known fall risk received necessary interventions to prevent falls, ensure the resident was properly lifted off the ground following the fall and transferred timely to the hospital following the fall for one (R701) of two residents reviewed for falls, resulting in R701 being transferred to the hospital and treated for a nondisplaced oblique fracture, pain and dehydration.
May 6, 2025Standard inspection, Complaint inspection · 2 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteThis citation pertains to Intake number MI00152757. Based on observation, interview, and record review, the facility failed to ensure residents were treated in a dignified manner for two (R293 and R143) out of two residents reviewed for dignity/respect.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen (02) was administered per the physician's order for one (R294) of one resident reviewed for respiratory/oxygen care.
April 4, 2024Standard inspection · 2 citations
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain infection control practices of multi-use equipment between resident use for two residents (R14, and R16) of two reviewed for infection control practices.
  2. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2024
    Inspectors wroteBased on interview and record review, the facility failed to monitor and justify the administration of an antibiotic for one resident (R6) of three residents reviewed for unnecessary medications.

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)4.363.993.86
Registered nurses0.990.780.69
All nursing staff on weekends3.723.503.42
Nurse aides1.91
Licensed practical nurses1.45
Nursing staff turnover (share who left in a year)35.7%44.1%45.8%
Registered nurse turnover35.7%39.2%42.9%
Administrators who left1

CMS expects 4.81 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.62 on weekdays and 3.72 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.98 in April to June 2025 to 4.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.360.994.623.72 0.0%0 of 9053
Oct to Dec 20254.171.034.363.69 0.0%0 of 9253
Jul to Sep 20254.101.004.293.62 0.0%0 of 9252
Apr to Jun 20253.981.014.143.56 0.0%0 of 9152
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Michigan, Jan to Mar 20263.950.704.143.453.3%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMichiganUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.310.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.812.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.15.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.014.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.624.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.711.712.0

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF ROMEO, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Griffin-American Healthcare Reit III, Inc.5% or greater indirect ownership interestOrganization10/01/2018
Griffin-American Healthcare Reit IV Holdings, LP5% or greater indirect ownership interestOrganization10/01/2018
Northstar Healthcare Income Inc5% or greater indirect ownership interestOrganization10/01/2018
Northstar Healthcare Income Operating Partnership LP5% or greater indirect ownership interestOrganization10/01/2018
Trilogy Holdings Nt-Hci, LLC5% or greater indirect ownership interestOrganization10/01/2018
Regions Bank5% or greater mortgage interestOrganization07/20/2018
Corbin, KathyW-2 managing employeeIndividual10/01/2016
Fightmaster, LisaW-2 managing employeeIndividual12/01/2015
Barber, RobinCorporate officerIndividual04/03/2018
Barney, LeighCorporate officerIndividual12/01/2015
Bryant, WilliamCorporate officerIndividual01/06/2016
Bufford, RandallCorporate officerIndividual12/01/2015
Davis, DavidCorporate officerIndividual08/21/2017
Prosky, DannyCorporate officerIndividual12/01/2015
Streiff, MathieuCorporate officerIndividual12/01/2015
Williamson, BradleyCorporate officerIndividual01/21/2014
Trilogy Health Services LLCOperational/managerial controlOrganization10/01/2016
Trilogy Management Services LLCOperational/managerial controlOrganization10/01/2016
Kesavan, NirmalOperational/managerial controlIndividual10/28/2016

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 20, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 4, 2024: "Provide and implement an infection prevention and control program."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 9, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 9, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Common questions

What is Orchard Grove Health Campus's Medicare star rating?
CMS rates Orchard Grove Health Campus 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Orchard Grove Health Campus get at its last inspection?
2 health deficiencies at the standard inspection on July 9, 2026. The Michigan average is 9.9.
Has Orchard Grove Health Campus been fined?
CMS lists no fines in the last three years.
Does Orchard Grove Health Campus accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Orchard Grove Health Campus?
CMS lists 19 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF ROMEO, LLC.

Sources

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