Orchard Rehabilitation & Healthcare Center
629 State Highway 21 South, Hayneville, AL 36040 · Lowndes County · (334) 548-5995
72 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015442 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 11, 2021, inspectors cited 0 health deficiencies (the Alabama average is 4, the national average 9.2).
Of 4 health citations since March 2018, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.03 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
31.3% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Ball Healthcare Services, an affiliated group of 9 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.
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 4 health citations on file.
April 11, 2021Standard inspection · 0 citations
January 31, 2019Standard inspection · 1 citation
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on record review, interviews, and review of a facility policy titled Diagnostic Testing Services, the facility failed to ensure Resident Identifier (RI) #5's lab orders for a Comprehensive Metabolic Profile (CMP), Liver Panel, Lipid Panel, Valproic Acid and Complete Blood Count (CBC) were collected and run in September as ordered by the physician. Further, the facility failed to ensure RI #5's Valproic Acid was collected in December as ordered by the physician. This affected 1 of 15 sampled residents for whom labwork was reviewed.
March 16, 2018Standard inspection · 3 citations
- J 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.
Inspectors wroteBased on interviews and review of Resident Identifier (RI) #215's medical record, the facility's investigation file, the (Name) AMBULANCE Patient Care Report and a complaint submitted the Alabama State Survey Agency, the facility failed to honor the wishes of RI #215, a resident with Full Code status. Code status describes what type of intervention a health care facility would conduct should a resident stop breathing and/or their heart stop beating. Full Code status means when a resident stops breathing and/or their heart stops beating, staff are to activate the emergency response system and initiate Cardiopulmonary Resuscitation (CPR) in an attempt to revive the resident. During the 11:00 PM to 7:00 AM shift that began on [DATE], Employee Identifier (EI) #4, a Certified Nursing Assistant (CNA) entered RI #215's room and found the resident unresponsive. [...]
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on interviews, review of Resident Identifier (RI) #215's medical record, the facility's policy with a subject of Advance Directives and Refusal of Treatment, the HIGHLIGHTS of the 2015 American Heart Association Guidelines Update for CPR (Cardiopulmonary Resuscitation) and ECC (Emergency Cardiovascular Care), the (Name) AMBULANCE Patient Care Report and a complaint submitted the Alabama State Survey Agency, Employee Identifier (EI) #3, a Registered Nurse (RN) failed to perform CPR on RI #215, a resident with Full Code status, who was found unresponsive, without a pulse or respiration, on [DATE]. Code status describes what type of intervention a health care facility would conduct should a resident stop breathing and/or their heart stops beating. [...]
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, review of the facility's policy with a subject of Abuse, Neglect, and Exploitation, a report submitted to the Alabama State Survey Agency and Resident Identifier (RI) #1's medical record, the facility failed to timely report an allegation of neglect to the Alabama State Survey Agency. This deficient practice affected RI #215, one of 21 sampled residents and involved one of five reportable allegations of abuse and/or neglect.
Fire safety inspections
2 fire safety citations on file: 1 on January 31, 2019, 1 on March 16, 2018.
Every fire safety citation2 citations
- D Provide properly protected cooking facilities.
- D Install corridor and hallway doors that block smoke.
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.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.03 | 3.88 | 3.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.58 | 3.26 | 3.42 |
| Nurse aides | 1.75 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 31.3% | 46.9% | 45.8% |
| Registered nurse turnover | 18.2% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.29 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 3.21 on weekdays and 2.58 on weekends, 20% 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 3.26 in April to June 2025 to 3.03 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.03 | 0.64 | 3.21 | 2.58 | 0.0% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.25 | 0.95 | 3.51 | 2.61 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 3.42 | 0.96 | 3.68 | 2.74 | 0.0% | 0 of 92 | 54 |
| Apr to Jun 2025 | 3.26 | 0.80 | 3.49 | 2.67 | 0.0% | 0 of 91 | 55 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Alabama
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.4 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 11.1 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.9 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.2 | 21.2 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Orchard Rehabilitation & Healthcare Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: BALL HEALTHCARE - LOWNDES, INC. CMS links this home to Ball Healthcare Services, a group of 9 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ball, Clarence | 5% or greater direct ownership interest | Individual | 100% | 01/22/1993 |
| Ball, Clarence | Corporate director | Individual | 01/22/1993 | |
| Hall, Matthew | Corporate officer | Individual | 10/01/2014 | |
| Cash, Cassandra | Operational/managerial control | Individual | 07/07/2023 | |
| Greene, Jacquelyn | Operational/managerial control | Individual | 07/29/2000 | |
| Holt, Thomas | Operational/managerial control | Individual | 05/01/2021 | |
| Ball Healthcare - Lowndes, LLC | Adp of the SNF | Organization | 03/19/1999 | |
| Ball Healthcare Service, Inc | Adp of the SNF | Organization | 04/09/2025 | |
| Cash, Cassandra | Adp of the SNF | Individual | 04/12/2012 | |
| Greene, Jacquelyn | Adp of the SNF | Individual | 07/29/2000 | |
| Hall, Matthew | Adp of the SNF | Individual | 10/01/2014 | |
| Holt, Thomas | Adp of the SNF | Individual | 05/01/2021 |
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.
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 31, 2019: "Provide timely, quality laboratory services/tests to meet the needs of residents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 16, 2018: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 16, 2018: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on March 16, 2018: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.58 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Father Purcell Memorial Exceptional Children's Ctr Montgomery, 18.1 mi · 1 of 5 stars · 10 citations
- John Knox Manor Inc I I Montgomery, 19.2 mi · 2 of 5 stars · 4 citations
- Capitol Hill Healthcare Center Montgomery, 20 mi · 4 of 5 stars · 3 citations
- Diversicare of Montgomery Montgomery, 20.7 mi · 2 of 5 stars · 14 citations
- Rivertown Health and Rehabilitation Center Montgomery, 21.3 mi · 1 of 5 stars · 29 citations
- Crowne Health Care of Montgomery Montgomery, 21.7 mi · 4 of 5 stars · 5 citations
- Prattville Health and Rehabilitation, LLC Prattville, 21.8 mi · 1 of 5 stars · 20 citations
- Hillview Terrace Montgomery, 23 mi · 2 of 5 stars · 16 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Orchard Rehabilitation & Healthcare Center's Medicare star rating?
- CMS rates Orchard Rehabilitation & Healthcare Center 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Orchard Rehabilitation & Healthcare Center get at its last inspection?
- 0 health deficiencies at the standard inspection on April 11, 2021. The Alabama average is 4.
- Has Orchard Rehabilitation & Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Orchard Rehabilitation & Healthcare Center 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 Rehabilitation & Healthcare Center?
- CMS lists 12 owners and managers, and links the home to Ball Healthcare Services. Legal business name: BALL HEALTHCARE - LOWNDES, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.