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.
| Cycle | Inspection date | This facility | Michigan avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-15 | 49 | 9.9 | 9.5 | +39.1 worse |
| 2 | 2023-10-04 | 8 | 11.4 | 9.8 | -3.4 better |
| 3 | 2022-07-14 | 5 | 12.0 | 9.3 | -7.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 5 |
| Quality of life and care | 13 |
| Resident assessment and care planning | 6 |
| Nursing and physician services | 3 |
| Resident rights | 4 |
| Nutrition and dietary | 5 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Administration | 6 |
| Infection control | 5 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.72 | 37.5% |
| RN staffing (reported) | 0.66 | 40.0% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2025-11-25 · Health · corrected 2025-11-26
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-10-30 · Health · corrected 2025-11-20
Potential for more than minimal harm
- 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
- DF0679Provide activities to meet all resident's needs.2025-10-30 · Health · corrected 2025-11-20
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-08-04 · Health · corrected 2025-08-29
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-04-18
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-21 · Health · corrected 2024-04-09
Actual harm
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-10-04 · Health · corrected 2023-10-30
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
| Name | Overall | Beds |
|---|---|---|
| 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.