239 South Main Street, Lapeer, MI 48446 · Lapeer County · (248) 767-6351
87 certified beds, about 65 residents a day · For profit - Corporation · Medicare and Medicaid since 2011
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235654 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 4, 2026, inspectors cited 20 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 49 health citations since May 2024, 2 were 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 3.22 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
CMS links it to The Orchards Michigan, an affiliated group of 15 nursing homes.
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.
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 49 health citations on file.
Inspectors wroteThis citation pertains to intakes 3073775 and 3073809. Based on observation, interview and record review, the facility failed to implement procedures for skin management for two residents (R1, R9) of three residents reviewed for skin management, resulting in missed/inaccurate skin assessments and care plans not being updated.
Inspectors wroteThis citation pertains to intake Number 3046775. Based on interview and record review, the facility failed to implement procedures to prevent elopement for one resident (R4) of three residents reviewed for elopement, resulting in one resident exiting the building unsupervised.
Inspectors wroteThis citation pertains to Intake Numbers 2732659 and 2739632. Based on interview and record review, the facility failed to ensure that a wound to the ankle was assessed, monitored and provided treatment for, for one resident (Resident 73) of three reviewed for wounds, resulting in the resident's ankle wound worsening, and developing an infection that resulted in the amputation of the leg.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area, resulting in the potential to spread food borne illness to all residents who consume food from the kitchen. Findings Include:On 03/02/2026 at 9:17 AM observed an open bag of fresh cut salad with a no open date and a use by date of 2/28/26 in the walk-in cooler. Dietary Manager (DM) E removed the bag to be disposed of. On 03/02/2026 at 9:20 AM observed a container of fruit cocktail without a label or date in the kitchen two door refrigerator. DM E removed the container from the unit. On 03/02/2026 at 9:49 AM observation of the resident fridge located in the dining room found the following items: three lemons cut down the center in a plastic bag and lettuce in a plastic bag without date marking. [...]
Inspectors wroteBased on interview and record review, the facility failed to submit payroll-based, direct care staffing information to the CMS/Centers for Medicare and Medicaid Services for the 4th fiscal quarter (July 2025 - September 2025), as required by CMS. Findings Include: A review of the Payroll Based Journal Staffing Data Report for FY/Fiscal Year Quarter 4 2025 (July 1- September 30), indicated the following: This Staffing Data Report identifies areas of concern that will be triggered (e.g., requires follow-up during the survey). Failed to Submit Data for the Quarter: Result- Triggered; Definition- Triggered = No Data Submitted for Quarter. On 3/4/2026 at 1:15 PM the Administrator was interviewed about the PBJ direct care staffing information for the fourth fiscal quarter July 2025-September 2025 that was not submitted to CMS. [...]
Inspectors wroteThis Citation pertains to Intake Number 2739632. Based on observation, interview and record review, the facility failed to assist with meal service for one resident (Resident #40) and ensure dignified care for one resident (Resident 29), and a Confidential Group of Residents, of three residents reviewed for dignity.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a clean, sanitary, homelike environment with concerns of privacy curtains with stains, offensive odors in the rooms/hallways and ceiling tiles stained and not in good repair for one resident (Resident #37), of three residents reviewed for environment and for a Confidential Group of Residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure that grievances were addressed timely for a Group of Confidential Residents of seven residents that had concerns voiced during Resident Council meetings and the issues continued to recur.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that oxygen tanks were available for resident use for one resident (Resident #58) and a confidential group of residents, available on the crash cart for emergency use, and nebulizer equipment was stored appropriately for one resident (Resident #23) of three residents reviewed for oxygen use.
Inspectors wroteThis Citation Pertains to Intake Number 2656620. Based on observation, interview, and record review the facility failed to ensure there was 1.) adequate staff to meets the needs of the residents, resulting in resident verbalizations of waiting long periods of time to answer call lights timely; receive assistance with activities of daily living (ADL), including toileting and incontinence care, and showers and 2.) adequate nurses including RN's to care for the needs of the residents, from a census of 68 residents, resulting in resident dissatisfaction, frustration, and unmet care needs. Findings Include: Confidential Group of Residents: On 3/2/26 a Confidential Group of Residents were together for a group meeting at approximately 3:00 PM. The Group consisted of seven Residents, all who were able to answer questions and six engaged in conversations and discussions. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide fresh water for five residents (R11, R21, R23, R33, R37) of five reviewed for hydration and a confidential group of residents.
Inspectors wroteBased on observation, interview and record review, the facility failed to: 1). follow CDC guidelines for management of residents with Respiratory illness for 3 residents (#22, #38 and #60) of 3 residents reviewed for respiratory illness; 2). ensure prevention of cross contamination of ice scoopers and ice containers; 3). provide a workspace that prevents cross contamination of linen; 4). follow CDC guidelines for Transmission Based Precautions and Personal Protective Equipment/PPE use during wound care for 1 resident (#45), and 5) the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that recent State Surveys and Plans of Correction were readily accessible, affecting all residents in the facility of a census of 68, resulting in residents, resident representatives, visitors and staff being unable to review the survey results and plans of correction.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide Life Enrichment activities and care plan interventions for two residents (Resident #11, Resident 43) of two residents reviewed for activities, resulting in no activities provided.
Inspectors wroteBased on observation, interview and record review, the facility failed to implement interventions to prevent the development of a pressure injury for one resident (R29) of four residents reviewed, resulting in a blister developing and eventually opening.
Inspectors wroteBased on observation, interview and record review, the facility failed to properly assess and identify the need for podiatry services for one resident (Resident #10) of 1 resident reviewed for foot care, resulting in resident frustration, the development of long, curved toenails, discomfort and delay in needed treatment.
Inspectors wroteThis citation pertains to Intake Number 2679077. Based on observation, interview and record review, the facility failed to provide supervision for one resident (Resident #14) of three residents reviewed for accidents, resulting in a resident-to-resident altercation.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide necessary care of an indwelling urinary catheter for 1 resident (Resident #45) of 2 residents reviewed for urinary catheters, resulting in a lack of documentation of catheter care and an observation of the resident's catheter lying flat on the floor. Findings Include: Urinary CatheterResident #45:A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #45 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses: history of wound infection with multi-drug-resistant organisms, osteomyelitis (bone infection from a wound), sacral wound, respiratory failure, diabetes, and hypertension. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that residents received pain medication in a timely manner and as ordered for 1 resident (Resident #2) of 1 resident reviewed for pain management. Findings Include: Pain Management Resident #2:A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #2 was admitted to the facility on [DATE] with diagnoses: History of a stroke, Diabetes, hypothyroidism, hydronephrosis, urinary stents, history of digestive surgeries, GERD, chronic sinusitis, right foot drop, sacral pressure ulcer, history of urinary tract infections, bronchitis, and hypertension. The MDS assessment dated [DATE] revealed the resident had full cognitive abilities with a Brief Interview for Mental Status/BIMS score of 15/15 and needed assistance with some activities of daily living. [...]
Inspectors wroteBased on observation, the facility failed to provide an updated daily staffing report, resulting in a four-day old staff list and the inaccessibility for residents, visitors and staff to what staff was working.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide listed menu items to dining room residents, resulting in no bread offered for the lunch meal, and frustration voiced by a confidential resident group.
Inspectors wroteBased on interview, the facility failed to explain arbitration agreements in a manner that could be understood for four residents (R2, R27, R42, R70) of four residents reviewed for arbitration agreements, resulting in confusion about the agreements that were signed and feelings of regret for signing the agreement.
Inspectors wroteThis Citation Pertains to Intake Number 2719390. Based on interview and record review the facility to ensure that 1) resident code status was correctly identified, 2) Emergency Medical Services were notified in a timely manner and 3) an AED (automated external defibrillator) was used during an emergent situation when Resident #3 was found not breathing and his heart had stopped. Findings Include: Resident #3: A record review of the Face sheet and Minimum Data Set/MDS assessment for Resident #3 indicated an admission to the facility on [DATE] with diagnoses: Metabolic encephalopathy, history of falls with fractures- left side ribs, COPD, heart disease, peripheral vascular disease/PVD, epilepsy, Dementia, kidney failure, anemia, and aphasia/difficulty speaking. [...]
Inspectors wroteThis Citation Pertains to Intake Numbers 2707758 & 2711787. Based on interview and record review, the facility failed to ensure breakfast was offered, prior to leaving for dialysis, for one resident (Resident #6) and Food Acceptance was consistently monitored for one resident (Resident #1) of 3 residents reviewed for food and nutrition. Findings Include: Resident #1 A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #1 was admitted to the facility on [DATE] with diagnoses: history of a stroke, cervical disc degeneration, history of falls, depression, anxiety, hypothyroidism and overactive bladder. The MDS assessment dated [DATE] revealed the resident had severe memory loss with a Brief Interview for Mental Status/BIMS score of 5/15 and the resident needed assistance with all care. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to appropriately clean and store reusable medical equipment, store blood specimens and needles, perform hand hygiene and wear Personal Protective Equipment (PPE) during resident care for four of four residents reviewed for infection control practices, resulting in cross-contamination.
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents were treated in a respectful and dignified manner for a Confidential Group of residents, from a facility census of 54 residents, resulting in staff talking on personal cell phones while in the residents' rooms and while providing resident care. Findings Include: FACILITY Resident Council: On 3/19/2025 at 3:32 PM, during an interview with a Confidential Group of Residents, they said there was an issue with staff talking on their personal phones while providing care for the residents. The residents said some staff wear ear buds and the staff member will be talking to someone with the ear bud and the resident thinks they are talking to them. [...]
Inspectors wroteBased on interview and record review, the facility failed to accurately code a pressure ulcer on the Minimum Data Set (MDS) for one resident (R44) of one resident reviewed for MDS accuracy.
Inspectors wroteBased on interview and record review the facility failed to revise care plans timely for two residents (R30, R44) of 12 residents reviewed for care plan revision, resulting in inaccurate care plans.
Inspectors wroteThis Citation Pertains to Intake Number MI00151174. Based on observation, interview and record review, the facility failed to ensure 1) Accurate orders for a feeding tube that was not being used, 2) Maintenance of the feeding tube including water flushes and 3) Care of the feeding tube insertion site to prevent redness and bleeding for 1 Resident (#38) of 2 residents reviewed for feeding tubes. Findings Include: Resident #38: Tube Feeding A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #38 was admitted to the facility on [DATE] with diagnoses: debility, feeding tube, depression, hypothyroidism, arthritis, and heart disease. The MDS assessment dated [DATE] revealed the resident had full cognitive abilities with a Brief Interview for Mental Status/BIMS score of 15/15 and needed some assistance with all care. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to follow standards of practice for assessment, monitoring and dressing changes of a PICC (Peripherally Inserted Central Catheter inserted into a vein for the administration of intravenous (IV) medication and fluids) for one resident (Resident #39), of one resident reviewed for intravenous therapy.
Inspectors wroteBased on interview and record review, the facility failed to ensure the acquisition and administration of medications for two residents (Resident #34 and Resident #56) of eight residents reviewed for medication regimen review, resulting in seizures and hospitalization for Resident #34.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide meals per menu for four residents (Resident #1, Resident #17, Resident #24, Resident #26) of four residents reviewed during dining task, resulting in incomplete meals offered.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents were receiving fresh fluids at the bedside in a timely manner for one resident (Resident #11) of 18 residents reviewed including a Confidential Group of Residents, resulting in Residents having warm water with no ice. Findings Include: FACILITY A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #11 was admitted to the facility on [DATE] with diagnoses: Traumatic Brain Injury, Dementia, seizure disorder, schizophrenia and peripheral vascular disease. The resident needed some assistance with all care. On 3/19/2025 at 1:55 PM, several residents in the East hallway including Resident #11 did not have fresh water. Resident #11 had a Styrofoam cup on his bedside table dated 3/18/2025. The water was warm and there was no ice. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to label, date and dispose of expired foods provided by the facility and label, date and dispose of residents' food brought in by outside sources, resulting in the potential for food borne illness.
Inspectors wroteThis Citation Pertains to Intake Number MI00150900. Based on interview and record review, the facility failed to ensure that physician's orders were enacted for one resident (Resident #1) of 3 residents reviewed for a change of condition. Findings Include: Resident #1: A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #1 was admitted to the facility on [DATE] with diagnoses: enlarged heart, anxiety, depression, Barrett's Esophagus, GERD and debility. The MDS assessment dated [DATE] revealed the resident had full cognitive abilities with a Brief Interview for Mental Status/BIMS score of 14/15 and the resident needed some assistance with all care. [...]
Inspectors wroteThis Citation pertains to Intake Number MI00143170. Based on observation, interview and record review, the facility failed to ensure appropriate interventions were in place and supervision was provided to prevent a fall with injury for one resident (Resident #56) of 3 residents reviewed for falls, resulting in Resident #56 falling out of bed and suffering a femur fracture. Findings Include: Resident #56: Accidents On 4/29/2024 at 12:15 PM during a tour of the facility, Resident #56 was observed lying in bed, alert and talkative. Her bed was in a very low position near the floor. Her lunch tray was present and sitting on the bedside table, which was positioned much higher than the resident's height in the bed. Resident #56 was observed attempting to roll over in bed to reach her tray that was on the bedside table. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement comprehensive care plans for three residents (Resident #4, Resident #217, Resident #221) of 29 residents reviewed for comprehensive care plans resulting in the potential for unmet care needs, increased pain and pressure injury.
Inspectors wroteThis Citation Pertains to Intake Numbers MI00137112, MI00139663, MI00140315, and MI00143170. Based on observation, interview and record review, the facility failed to ensure sufficient nursing staff to meet the needs of six residents (Resident #2, Resident #24, Resident #59, Resident #60, Resident #118 and Resident #167), of 11 residents reviewed for staffing, and a Confidential Group of Residents, potentially effecting all 62 residents who reside in the facility, resulting in staff verbalization of being unable to adequately provide timely care and/or supervision, residents' voicing frustration with long call light response times, a lack of supervision for residents' safety and the potential of unmet care needs.
Inspectors wroteBased on observation, interview and record review, the facility failed to 1) Ensure proper labeling of medical supplies and eye drops, 2) Ensure that treatment carts contained dressing supplies, 3) Ensure that needles and prescription treatment medications were properly secured and 4) Ensure that narcotic medication was properly disposed of, in two of three medication carts, one of one medication rooms and two of two treatment carts reviewed for proper labeling of medications, storage and expired medication/supplies, resulting in the potential for a resident to receive medication or medical supplies with decreased efficacy, drug diversion, ingestion of medicated substances and inaccurate urinalysis results.
Inspectors wroteOn 04/30/24 at 04:32 PM, an interview with R44 was conducted about arbitration agreements at the facility. R44 was asked if they fully understood what an arbitration agreement was and if it was explained thoroughly to them before they signed it. R44 says they understand what arbitration agreements are and what they mean. R44 was asked if they knew that arbitration agreements were in every admission packet. R44 stated no and that most residents are not in the best shape (state of mind) when they come in to the facility and it should be explained better. R44 was asked if the arbitration agreement was thoroughly explained to them and R44 said no it wasn't. On 05/06/24 at 02:54 PM, an interview was conducted with R62. R62 was asked about the arbitration agreement they signed upon admission to the facility and if they understood what it was. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure Infection Prevention and Control standards of practice were followed for Transmission- Based Precautions (TBP), resulting in the potential for the spread of infection, which could cause serious illness. Findings Include: FACILITY Infection Control On [DATE] at 3:00 PM, during a tour of the facility with Infection Prevention and Control/IPC Nurse JJ, it was identified that several rooms with Enhance Barrier Precautions in place had expired hand sanitizer dated expired on 3/2024 and 11/2023 and one was empty. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that a safe environment was maintained, with call lights accessible to residents and that an oxygen tank was stored properly for four residents (Resident #4, Resident #12, Resident #24, and Resident #44) of five residents reviewed for safe and sanitary environment and four residents reviewed for respiratory care, resulting in residents' feeling of frustration, the inability to call for assistance, and the potential for unmet care needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure that an annual review for mental disorder, intellectual disability or a related condition was completed with Level II Evaluation documentation for one resident (Resident #4) of three residents reviewed for mental disorder screening, resulting in the potential for services and care planning of Level II determination and recommendations not being implemented and a lack of emotional or mental health needs not met.
Inspectors wroteBased on observation, interview and record review the facility failed to develop and implement a baseline care plan within 72 hours from admission for one resident (Resident #221) of 29 residents reviewed for baseline care plans, resulting in the potential for unmet care needs and social isolation.
Inspectors wroteThis Citation Pertains to Intake Number MI00143170. Based on observation, interview and record review, the facility failed to review and revise care plans with resident changes to ensure interventions necessary for care and services were provided for one resident (Resident # 56) of 29 residents reviewed for care plans, resulting in the potential for unmet care needs. Findings Include: Resident #56: Accidents On 4/29/2024 at 12:15 PM during a tour of the facility, Resident #56 was observed lying in bed, alert and talkative. Her bed was in a very low position near the floor. Her lunch tray was present and sitting on the bedside table, which was positioned much higher than the resident's height in the bed. Resident #56 was observed attempting to roll over in bed to reach her tray that was on the bedside table. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that interventions were in place to prevent facility-acquired pressure ulcers for one resident (Resident # 56) of four residents reviewed for pressure ulcers, resulting in Resident #56 developing two facility-acquired pressure ulcers. Findings Include: Resident #56: Pressure Ulcer/Injury On 4/29/2024 at 12:15 PM during a tour of the facility, Resident #56 was observed lying in bed, alert and talkative. Her bed was in a very low position near the floor. The resident was asked if she had any wounds and said yes and pointed at her feet. A record review of the Face sheet and Minimum Data Set (MDS) assessment indicated Resident #56 was admitted to the facility on [DATE] with diagnoses: heart failure, diabetes, atrial fibrillation, hypertension, depression, arthritis, obesity and history of falls. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the maintenance and removal of a Percutaneuous Endoscopic Gastrostomy (PEG) Tube for one resident (Resident #59) of one resident reviewed for PEG Tubes, resulting in unmet care needs and feelings of hopelessness.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure proper communication and documentation of hospice services for two residents (Resident #38, Resident #221) of three residents reviewed for hospice services, resulting in the absence of progress notes, assessments and care plans in the medical record.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that the required posting of daily nurse staffing was accurate and updated, resulting in a lack of accurate documentation of daily staffing and a lack of accurate accessible staffing information availability to all 62 residents residing in the facility, residents' representatives, staff, and visitors.
14 fire safety citations on file: 8 on March 4, 2026, 3 on March 20, 2025, 3 on May 7, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.22 | 3.99 | 3.86 |
| Registered nurses | 0.53 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.81 | 3.50 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.1% | 45.8% |
| Registered nurse turnover | not reported | 39.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.39 on weekdays and 2.81 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.22 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 | 3.22 | 0.53 | 3.39 | 2.81 | 0.4% | 2 of 90 | 65 |
| Oct to Dec 2025 | 3.03 | 0.43 | 3.14 | 2.74 | 0.3% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.39 | 0.57 | 3.56 | 2.98 | 0.2% | 1 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 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.
Staff pay reports
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. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| 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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.1 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.8 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.2 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.5 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.4 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Orchards at Lapeer's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.4% this home
No different from the national rate
US median of homes 51.5% · Michigan: 89 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 48 eligible stays.
9.6% this home
No different from the national rate
US median of homes 10.7% · Michigan: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 62 eligible stays.
7.1% this home
No different from the national rate
US median of homes 7.1% · Michigan: 1 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 36 eligible stays.
45.5% this home
Median of homes: Michigan57.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
0.0% this home
Median of homes: Michigan0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 43 residents counted.
0.0% this home
Median of homes: Michigan1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 43 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Michigan99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 residents counted.
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.
Legal business name: LAPEER MI OPCO LLC. CMS links this home to The Orchards Michigan, a group of 15 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| White Lake Healthcare LLC | Operational/managerial control | Organization | 12/31/2024 | |
| Applefield, Michael | Operational/managerial control | Individual | 12/31/2024 | |
| Gamble, Becky | Operational/managerial control | Individual | 12/31/2024 | |
| Signet Healthcare Consultants LLC | Adp of the SNF | Organization | 12/31/2024 | |
| White Lake Healthcare LLC | Adp of the SNF | Organization | 12/31/2024 | |
| Gutman, Isaac | Adp of the SNF | Individual | 12/31/2024 | |
| Hoffman, Alexander | Adp of the SNF | Individual | 12/31/2024 | |
| Kornfeld, Robert | Adp of the SNF | Individual | 12/31/2024 | |
| Taub, Jacob | Adp of the SNF | Individual | 12/31/2024 |
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.
Chosen from this home's own inspection record.
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