Starfile

Starfile / Michigan

The Orchards at Three Rivers

55378 Wilbur Rd, Three Rivers, MI 49093 · CCN 235354

SFF Candidate

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Limited Liability company
Certified beds
87
Avg residents/day
78.5
Phone
2692797441

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMichigan avgNational avgvs state
12024-11-15499.99.5+39.1 worse
22023-10-04811.49.8-3.4 better
32022-07-14512.09.3-7.0 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Quality of life and care13
Resident assessment and care planning6
Nursing and physician services3
Resident rights4
Nutrition and dietary5
Pharmacy service1
Environmental1
Administration6
Infection control5

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.7237.5%
RN staffing (reported)0.6640.0%
Total nurse staffing (adjusted)4.15

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (62)1 immediate jeopardy2 actual harm

  1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  2. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  3. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  5. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  6. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  7. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  8. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  9. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-12-23 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  10. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-11-25 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  11. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-25 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  12. EF0610Respond appropriately to all alleged violations.2025-11-25 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-25 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-25 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  15. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-25 · Health · corrected 2025-11-26

    Actual harm

  16. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-11-25 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  17. DF0558Reasonably accommodate the needs and preferences of each resident.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  18. JF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-10-30 · Health · corrected 2025-10-31

    Immediate jeopardy

  19. DF0679Provide activities to meet all resident's needs.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  20. FF0730Observe each nurse aide's job performance and give regular training.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  21. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  23. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  24. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  25. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  26. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-10-30 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  27. EF0659Provide care by qualified persons according to each resident's written plan of care.2025-08-04 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-04 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  29. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-08-04 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  30. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-08-04 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  31. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-08-04 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  32. DF0880Provide and implement an infection prevention and control program.2025-08-04 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  35. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  37. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  38. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  39. DF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  40. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-04-03 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  41. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  43. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  45. FF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  46. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  47. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  48. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  49. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

  50. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-13 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  51. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-13 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  52. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-13 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  53. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-21 · Health · corrected 2024-04-09

    Actual harm

  54. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-04 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  55. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-04 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  56. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-04 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  57. DF0880Provide and implement an infection prevention and control program.2023-10-04 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  58. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-07-14 · Health · corrected 2022-08-11

    Potential for more than minimal harm

  59. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-14 · Health · corrected 2022-08-11

    Potential for more than minimal harm

  60. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-07-14 · Health · corrected 2022-08-11

    Potential for more than minimal harm

  61. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-07-14 · Health · corrected 2022-08-11

    Potential for more than minimal harm

  62. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-07-14 · Health · corrected 2022-08-11

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in Three Rivers

NameOverallBeds
Optalis Health and Rehabilitation of Three Rivers★★☆☆☆100

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.