1333 Wells St., Niles, MI 49120 · Berrien County · (269) 684-1111
84 certified beds, about 77 residents a day · For profit - Corporation · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235598 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 27, 2025, inspectors cited 5 health deficiencies (the Michigan average is 9.9, the national average 9.2).
None of its 69 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.93 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
49.4% of nursing staff left within the year CMS measured (Michigan average 44.1%).
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 69 health citations on file.
Inspectors wroteThis citation pertains to intake: 2709637, 2718464Based on interview and record review, the facility licensed staff failed to follow professional standards of practice, communicate effectively with a provider for an acute change in condition for 1 (Resident #100) of 3 residents reviewed for change in condition, resulting in delay in care for blood in the stool, increased confusion, and leading to the potential of a decline in overall physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain best practices in accordance with professional standards of food service safety. The deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen. Findings Include:On 8/25/25 at 9:36 AM, An interview with Dietary Manager D found that items in the kitchen are held for three days before being discarded. Observation of the three door True Cooler found a bag of shredded lettuce dated 8/18 to 8/20 with a best by date of 8/23. Further review of the unit found a box of Nutritional Mighty Shakes with no date to indicate discard, item states they are good 14 days from thaw. An interview with DM D found that when the Shakes get delivered, they place them directly into the refrigeration unit and go by the date the item was delivered. [...]
Inspectors wroteBased on observation and interviews, the facility failed to maintain a safe, functional, sanitary, and comfortable environment. This resulted in an increased potential for contamination and a possible decrease in the satisfaction of living. Findings Include:On 8/25/25 at 2:08 PM, Observation of the Woods Spa room found chipping and bubbling of the wall surfaces behind the commode and along the wall leading to the sink. Further observations found portions of the wall had deteriorated and shown exposed drywall behind the commode with the vinyl coving coming off the wall. An interview with Maintenance Director (MD) I found that when the wall gets this way, she typically would scrape away the loose debris, skim coat the wall with plaster and repaint, but stated it comes right back overtime. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent the development of a pressure ulcer in 1 Resident (#10) of 5 residents reviewed for pressure ulcers resulting in Resident #10 developing a stage 2 (a partial-thickness loss of skin; open wound; bedsore) pressure ulcer on her right shoulder.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor dietary recommendations and swallowing precautions for one Resident (#59) of 18 residents reviewed for dietary orders/needs.
Inspectors wroteBased on interview and record review, the facility failed to track and offer the pneumococcal vaccine for 1 Resident (#4) of 5 residents reviewed for immunizations.
Inspectors wroteThis citation pertains to MI 1241872. Based on interview and record review, the facility failed to report a resident-to-resident physical incident to the State Agency for 2 (Resident #3, Resident #5) of 5 residents reviewed for abuse, resulting in the potential for continued resident to resident incidents, an incomplete investigation and residents not being protected from abusive individuals.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure a positioning device (a left resting hand splint) was applied per therapy recommendations for 1 (Resident #201) of 3 residents reviewed for therapy services, resulting in the potential for contracture progression (hardening of the muscles, tendons, and other tissues), pain, and decline in range of motion.
Inspectors wroteThis citation pertains to intake #MI00147923. Based on interview and record review, the facility failed to ensure adequate monitoring, assessment and care for 1 resident (Resident #202) of 3 residents, with an indwelling catheter, reviewed for urinary catheter/UTI (urinary tract infection) care, resulting in hospitalization due to severe UTI and Sepsis.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adaptive dining equipment was provided per physician's order for 1 (Resident #201) of 3 residents reviewed for food, resulting in the potential for difficulty with self-feeding and weight loss.
Inspectors wroteThis citation pertains to intake #MI00147923. Based on interview and record review, the facility failed to maintain complete and accurate medical records for 1 of 4 residents (Resident #202) reviewed for medical records, resulting in the lack of documentation pertaining to catheter care, test results, vital signs, and resident status, as it related to an impending UTI (urinary tract infection).
Inspectors wroteBased on interview and record review, the facility failed to ensure that Quality Assessment and Assurance (QAA) meetings were held at least quarterly and the required individuals attended the meetings resulting in the potential for quality deficiencies not being identified or corrected.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Infection Preventionist (IP) completed specialized training in infection prevention and control, resulting in the potential for knowledge deficits pertaining to current infection prevention and control standards.
Inspectors wroteBased on interview and record review, the facility failed to provide annual required abuse prevention education for all employees. This has the potential to affect all 79 residents residing in the facility at the time of the survey.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide consistent, meaningful and person-centered activities for 4 of 7 residents (Resident #16, #56, #60, #178) reviewed for activities provided by the facility, resulting in the potential for loss of interaction, joy, self-esteem, growth, sense of wellbeing, autonomy, connectedness, identity, creativity, independence, pleasure, and comfort. This has the potential to affect all 15 residents residing on the dementia care unit.
Inspectors wroteBased on interview and record review, the facility failed to employ a dietary manager with appropriate training and certifications to provide oversight of the kitchen increasing the potential for food service sanitation failures and food borne illness for all residents that consume food from the kitchen.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure proper label and dating of foods in the kitchen resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.
Inspectors wroteBased on interview and record review, the facility failed to ensure the provision of training for behavioral health care and services for 104 staff reviewed for behavioral health care training. This deficient practice had the potential to result in unmet behavioral health care needs and services for residents.
Inspectors wroteBased on interview and record review the facility failed to maintain the dignity of 1 (Resident #20) of 1 reviewed for dignity resulting in feelings of anger and frustration.
Inspectors wroteBased on observation and interview the facility failed to provide proper notification of a room change to 1 (Resident #20) of 1 resident reviewed for room change resulting in feelings of anger and frustration.
Inspectors wroteBased on interview and record review, the facility failed to ensure updated and accurate advanced directive information was in place for 2 (Resident #12 & #60) of 3 residents reviewed for advanced directives (legal documents that allow a person to identify decisions about end-of-life care ahead of time), resulting in the potential for a resident's preferences for medical care to not be followed by the facility, or other healthcare providers.
Inspectors wroteThis citation pertains to intake #MI00146430. Based on interview and record review, the facility failed to protect the resident's right to be free from physical abuse (corporal punishment) by staff in 1 (Resident #37) of 5 residents reviewed for abuse, when staff covered Resident #37's mouth and sprayed water in her face, to keep Resident #37 from being heard yelling during a shower. This deficient practice resulted in increased agitation and mental anguish.
Inspectors wroteBased on interview and record review, the facility failed to submit the investigation of an allegation to the State Agency for 1 resident (Resident #21) of 5 residents reviewed for abuse resulting in the potential for the allegation to not be thoroughly investigated and for the State Agency to not be notified of the status of the allegation.
Inspectors wroteBased on interview, and record review the facility failed to ensure PASSAR (Preadmission Screening/Annual Resident Review, 3877) documentation and OBRA Level II (3878) exemption criteria were completed appropriately for 2 (Resident #39 and #60) of 3 residents, resulting in the potential for unmet behavioral health needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure assistance with activities of daily living (ADL) care was provided for 3 (Resident #16, #61, #178) of 4 residents reviewed for ADL care, resulting in the potential for avoidable negative physical and psychosocial outcomes for resident's dependent on staff for assistance.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain professional standards in response to a change of condition in 1 (Resident #202) of 19 residents reviewed for quality of care, when facility staff failed to ensure a physician was notified of Resident #202's abnormal blood work results, and continued monitoring of the resident's condition was documented, resulting in the potential for delay in treatment of anemia (lack of healthy oxygenated blood).
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents received the necessary care and services to prevent the development of pressure ulcers in 1 (Resident #54) of 4 residents reviewed for pressure ulcers, resulting in not receiving preventative interventions and protective skin treatments per physician orders, based on a history of multiple pressure wounds, and the potential for the development of new pressure injuries.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1. facility staff followed the care plan for transfer techniques for 1 (Resident #29) of 5 residents reviewed for falls, resulting in the potential for a fall, and/or an injury.
Inspectors wroteBased on observation, interview, and record review, the 1. facility failed to develop person centered interventions and approaches for dementia care and implement a plan of care to engage and enrich the quality of life, 2. failed to provide qualified staff for dementia care for 1 (Resident #56) of 4 residents reviewed for dementia care, resulting in the potential for negatively affecting the residents' highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interview, and record review failed to maintain complete and accurate medical records in 3 (Resident #13, Resident #69, and Resident #21) of 19 residents reviewed for complete and accurate medical records resulting in an incomplete and inaccurate documented information in the medical records.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper use of personal protective equipment during care was used for residents in enhanced barrier precautions (EBP) in 2 (Resident #29 and Resident #41) of 2 reviewed for enhanced barrier precautions care resulting in the potential for the introduction of and/or the spread of infection.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were eligible for recommended Pneumococcal vaccines were offered the vaccinations in a timely manner for 2 residents (Resident #5& #14) out of 5 residents reviewed for immunizations resulting in the potential for developing vaccine preventable disease.
Inspectors wroteBased on interview and record review, the facility failed to maintain documentation related to staff COVID-19 vaccination to include, that staff were provided education regarding the benefits and potential risks associated with COVID-19 vaccine, that staff were offered the COVID-19 vaccine or information on obtaining COVID-19 vaccine, and maintain a record of current vaccination status of facility staff.
Inspectors wroteBased on interview and record review, the facility failed to ensure annual performance evaluations for certified nursing assistants were completed, resulting in the potential for the delivery of nursing and related services that does not support or maintain the residents highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteThis citation pertains to intake: MI00145073, MI00143691 Based on observation, interview, and record review, the facility failed to ensure clean and sanitary environment, resulting in the potential for cross contamination, infections, and bacterial harborage.
Inspectors wroteThis citation pertains to intake: MI00145073. Based on observation, interview, and record review the facility failed to maintain a safe and comfortable temperature in resident rooms in 2 of 17 residents (Resident #111, #114) reviewed for homelike environment, resulting in the potential for hyperthermia and dehydration.
Inspectors wroteThis citation pertains to intake: MI00143691 Based on observation, interview, and record review the facility failed to ensure proper infection control protocols and practices including enhanced barrier precautions (EBP) for 2 residents (#110, #114) of 5 residents, resulting in the increased potential for the spread of infection, bacterial harborage, cross contamination, and disease transmission for residents residing in the facility.
Inspectors wroteThis citation pertains to intakes: MI00145073, MI00144852, MI00145032. Based on observation, interview, and record review, the facility failed to provide an environment that promoted and enhanced resident dignity in 2 (Resident #111 and #101) of 17 residents reviewed for dignity, resulting in the potential of feelings of humiliation and embarrassment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement resident comprehensive care plans for 1 resident of 17 (Resident #113) reviewed for care planning resulting in a lack of service for residents to maintain their highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was provided daily personal hygiene care in 3 (Resident #110, #111, #113) of 17 residents reviewed for activities of daily living resulting in unmet personal hygiene needs.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain sufficient hydration in 1 (Resident #111) of 17 residents reviewed for hydration resulting in the potential for dehydration, unmet resident needs, and unnecessary negative physical, mental and psychosocial outcomes.
Inspectors wroteThis citation pertains to intake #MI00142839 Based on interview and record review, the facility failed to maintain ensure accurate medical records for 1 resident (Resident #101) of 9 sampled residents reviewed for accurate medical records, resulting in inaccurate documentation of allergies.
Inspectors wroteThis citation pertains to intake #MI00142839 Based on observation, interview, and record review, the facility failed to develop, implement, and update person centered care plans in 3 (Resident #101, Resident #104, and Resident #109) of 4 residents reviewed for care planning, resulting in the potential for unmet care needs and a potential for injury to resident.
Inspectors wroteThis citation pertains to intake #MI00142839 Based on observation, interview, and record review, the facility failed to ensure safe transfers of residents with gait belt use during transfer and two staff members during mechanical lift transfer in two (Resident #102 and Resident #109) of four residents reviewed for transfers, resulting in the potential for injury during transfer.
Inspectors wroteThis citation pertains to intake #MI00142839. Based on interview and record review the facility failed to ensure that (1) pre and post dialysis treatment assessment and monitoring communication between themselves (the facility) and the dialysis provider (Name Omitted) was maintained and (2) a physician order was in place for dialysis treatments in 2 (Resident #101 and Resident #104) of 2 residents reviewed for dialysis services, resulting in the potential for unrecognized adverse reactions or resident decline related to dialysis treatments and the disruption in the continuity of care.
Inspectors wroteBased on observation and interview, the facility failed to provide an environment that promoted a dignified dining experience for 5 residents (R#104, #108, #109, #110, #111, #112) of 13 residents reviewed for dignity, resulting in feelings of disappointment with the dining experiences.
Inspectors wroteBased on observation, interview, and record review, the failed to maintain accurate medical records for 1 of (Resident #100) of 12 residents reviewed for comprehensive and accurate medical records, resulting in an inaccurate reflection of the resident's medical treatments administered resulting in the potential for providers to not have an accurate picture of resident status and condition.
Inspectors wroteThis citation pertains to intake: MI00142287 Based on interview and record review, the facility failed to facilitate a resident initiated discharge per resident choice, in 1 of 1 residents (Resident #102) reviewed for resident initiated discharge, resulting in the resident's delay in discharge and the accumulation of a bill for services which were no longer required.
Inspectors wroteThis citation pertains to intake: MI00142287. Based on interview and record review, the facility failed to complete accurate assessments for 1 of 13 residents (Resident #102) reviewed for assessments, resulting in an inaccurate reflection of the resident's status and the potential for impaired medical and functional problems due to unidentified needs.
Inspectors wroteThis citation pertains to intake: MI00142287 Based on interview and record review, the facility failed to completely assess and establish a baseline care plan for 1 resident (Resident #102) of 13 residents reviewed for baseline care plans, that included measurable goals, and interventions to address priority risk factors and individual needs resulting in the potential for ineffective care and continuity of care to be provided to the resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement resident comprehensive care plans for 1 resident (Resident #108) of 9 residents reviewed for care planning, resulting in a lack of service for residents to maintain their highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteThis citation pertains to intake MI00142287. Based on observation, interview, and record review, the failed to follow professional standards of nursing practice in 1 (Resident #102) of 13 residents reviewed for standards of practice when the facility 1). failed to ensure orders were in place for catheter care and monitoring 2.) failed to ensure Resident #102's wound was assessed and treated and 3.) failed to ensure Resident #102 received follow up care with an orthopedic surgeon as recommended resulting in the potential for worsening of health conditions.
Inspectors wroteThis citation pertains to intake: MI00142287 Based on observation, interview and record review, the facility failed to ensure assistance with Activities for Daily Living (ADL) care was provided for 2 (Resident #102 and #108) of 9 residents reviewed for ADL care, resulting in the potential for avoidable negative physical and psychosocial outcomes for residents who are dependent on staff for assistance.
Inspectors wroteThis citation pertains to intake MI00142075 and MI00142287. Based on interview and record review, the failed to ensure quality of care for 2 (Resident #101 and #102) of 13 residents reviewed for quality of care when the facility failed to 1.) ensure assessment and treatment were completed for reported pain and elevated blood glucose levels for Resident #101 and 2.) ensure diabetic monitoring was in place for Resident #102 resulting in the lack of assessment, monitoring, and documentation and the potential for the worsening of a medical condition and the delay in treatment.
Inspectors wroteThis citation pertains to intake MI00138391 and MI00142287. Based on observation, interview, and record review, the facility failed to accurately assess, monitor, treat, and implement interventions for a residents with pressure ulcers for 2 (Resident #100 and Resident #102) of 6 residents reviewed for pressure ulcers resulting in the potential for worsening condition of a pressure ulcer.
Inspectors wroteThis citation pertains to intake MI00142075. Based on interview and record review, the facility failed to complete a medical evaluation of resident's condition, review the appropriateness of the resident's medical treatment, and implement orders for 1 (Resident #101) of 8 residents reviewed for physician orders and treatment resulting in Resident #101 experiencing unresolved pain and untreated high blood glucose levels.
Inspectors wroteBased on interview and record review, the facility failed to ensure timely physician visits for 1 resident (Resident #102) out of 9 residents reviewed, resulting in the potential for unmet medical needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Properly store raw animal product in order to reduce the risk of contamination; 2. Provide accurate test strips; 3. Ensure proper working order of the hot water sanitizing dish machine; 4. Ensure cleanliness of ice scoop holder; 5. Properly air-dry pots and pans; and 6. Ensure general cleanliness of kitchen exhaust ventilation. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 53 residents who consume food from the kitchen. Findings Include: 1. During the initial tour of the kitchen, starting at 11:35 AM on 7/17/23, observation of the two door True cooler found raw chicken thawing on the second to bottom shelf over pork loin and bacon. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow standards of infection control practices related to 1. hand hygiene while providing assistance with meals. 2. hand hygiene during medication admininstration. 3. Donning personal protective equipment before entering a resident's room who was on transmission based precautions. and 4. Ensuring resident shared equipment was sanitized after use, for 8 (Resident #23, #50, #51, #57, #3, #20, #412, and #313) out of 15 residents reviewed for infection control, resulting in the potential for the transmission/transfer of pathogenic organisms and cross contamination between residents.
Inspectors wroteThis citation pertians to intake: MI00132310. Based on observation, interview and record review the facility failed to 1. ensure a clean, comfortable and homelike environment 2. ensure proper storage of items underneath sinks/waste water lines, and contain open and dripping ventilation/pipes in laundry and dry storage were sealed and not leaking resulting in the potential for cross contamination, bacterial harborage and feelings of dissatisfaction for residents residing in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an environment that promoted and enhanced resident dignity in 1 (Resident #6) of 3 residents reviewed for dignity, resulting in the likelihood of feelings of humiliation, embarrassment, and a negative psychosocial outcome for the resident impacting their quality of life.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide residents with their preferred practice to maintain hygiene for 1 of 3 residents (Resident #25) reviewed for self-determination, resulting in feelings of frustration, feeling dirty and the potential for the residents to not meet their highest practicable well-being.
Inspectors wroteBased on interview and record review, the facility failed to ensure a Minimum Data Set (MDS) discharge assessment was transmitted to the Centers for Medicare and Medicaid Services (CMS) for 1 (Resident #54) of 15 sampled residents, resulting in the potential for inaccurate tracking of the resident's assessment and discharge status.
Inspectors wroteBased on interview, and record review, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 of 3 residents (Resident #60) reviewed for closed records, resulting in an inaccurate reflection of the resident's disposition upon discharge from the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow professional standards of practice for administering a subcutaneous injection of insulin in 1 of 1 resident (Resident #412) reviewed for standards of practice, resulting in the potential for inaccurate dose administration.
Inspectors wroteThis citation pertains to intake: MI00132310 Based on interview and record review, the facility failed to ensure a resident was consistently provided with showers/bathing for 1 of 4 residents (Resident #18) reviewed for activities of daily living, resulting in unmet personal hygiene needs with the potential for isolation, psychosocial harm, skin breakdown, harboring infection, and decreased self-esteem.
Inspectors wroteBased on interview and record review, the facility failed to ensure a timely, comprehensive nutritional assessment and follow-up was completed for 1 (Resident #20) of 1 newly admitted resident reviewed nutritional status, resulting in a newly admited resident with indicators of significant nutritional risk not being comprehensively assessed, and the potential for unidentified nutritional status decline.
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents diagnosed with Post Traumatic Stress Disorder (PTSD) received trauma informed care for 2 (Resident #7 and Resident #26) of 15 sampled residents resulting in the potential for exposure to trauma triggers and re-traumatization.
Inspectors wroteBased on interview and record review, the facility failed to track and offer the pneumococcal vaccine for 1 (Resident #40) of 5 residents reviewed for immunizations, resulting in a delay in Resident #40 being given the opportunity to receive or decline the pneumococcal vaccination.
26 fire safety citations on file: 7 on August 27, 2025, 13 on September 13, 2024, 1 on July 16, 2024, 5 on July 19, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| September 13, 2024 | Payment Denial | 77 days from October 25, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.93 | 3.99 | 3.86 |
| Registered nurses | 0.55 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.54 | 3.50 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 49.4% | 44.1% | 45.8% |
| Registered nurse turnover | 46.2% | 39.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.27 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 4.08 on weekdays and 3.54 on weekends, 13% 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 3.54 in April to June 2025 to 3.93 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 | 3.93 | 0.55 | 4.08 | 3.54 | 0.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.46 | 0.52 | 3.57 | 3.18 | 0.1% | 1 of 92 | 79 |
| Jul to Sep 2025 | 3.55 | 0.65 | 3.71 | 3.13 | 0.0% | 0 of 92 | 77 |
| Apr to Jun 2025 | 3.54 | 0.61 | 3.66 | 3.23 | 0.0% | 0 of 91 | 76 |
| 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 | 4.4 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 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 | 6.9 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.2 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.0 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.9 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Orchards at Niles's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (40.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
40.8% this home
Worse than 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. 62 eligible stays.
9.7% 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. 69 eligible stays.
6.9% 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. 45 eligible stays.
63.0% 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. 27 residents counted.
3.1% 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. 32 residents counted.
3.5% 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. 32 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. 12 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: RIVERIDGE 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 |
|---|---|---|---|---|
| Gutman, Isaac | Direct ownership interest | Individual | 11/01/2025 | |
| Hoffman, Alexander | Direct ownership interest | Individual | 11/01/2025 | |
| Kornfeld, Robert | Direct ownership interest | Individual | 11/01/2025 | |
| Taub, Jacob | Direct ownership interest | Individual | 11/01/2025 | |
| Gutman, Isaac | Managing control - governing body | Individual | 11/01/2025 | |
| Hoffman, Alexander | Managing control - governing body | Individual | 11/01/2025 | |
| Kornfeld, Robert | Managing control - governing body | Individual | 11/01/2025 | |
| Taub, Jacob | Managing control - governing body | Individual | 11/01/2025 | |
| White Lake Healthcare LLC | Operational/managerial control | Organization | 11/01/2025 | |
| Franco, Rayann | Operational/managerial control | Individual | 11/01/2025 | |
| Gutman, Isaac | Operational/managerial control | Individual | 11/01/2025 | |
| Kornfeld, Robert | Operational/managerial control | Individual | 11/01/2025 | |
| Sanborn, Lisa | Operational/managerial control | Individual | 11/01/2025 | |
| Taub, Jacob | Operational/managerial control | Individual | 11/01/2025 | |
| Ziboh, Maureen | Operational/managerial control | Individual | 11/01/2025 | |
| Taub, Jacob | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/28/2026 | |
| White Lake Healthcare LLC | Adp of the SNF | Organization | 11/01/2025 | |
| Franco, Rayann | Adp of the SNF | Individual | 11/01/2025 | |
| Gutman, Isaac | Adp of the SNF | Individual | 11/01/2025 | |
| Hoffman, Alexander | Adp of the SNF | Individual | 11/01/2025 | |
| Kornfeld, Robert | Adp of the SNF | Individual | 11/01/2025 | |
| Sanborn, Lisa | Adp of the SNF | Individual | 11/01/2025 | |
| Taub, Jacob | Adp of the SNF | Individual | 11/01/2025 | |
| Ziboh, Maureen | Adp of the SNF | Individual | 11/01/2025 |
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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