Lapeer County, Michigan · Nursing home
The Orchards at Lapeer
2 of 5 overall from CMS
239 South Main Street, Lapeer, MI 48446
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.22 hours Below the state average of 3.99
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 49 2 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 74.6% of 87 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Orchards at Lapeer is a 87-bed nursing home in Lapeer, Michigan (Lapeer County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.22 nurse staffing hours per resident per day, below the Michigan average of 3.99. CMS lists no fines in the past three years.
- Certified beds
- 87
- Residents per day (average)
- 64.9
- Certified since
- 2011 (15 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Orchards Michigan (15 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Orchards at Lapeer
Chosen from this home's public data.
- CMS counts 24 health deficiencies in the latest inspection cycle (the standard inspection on Mar 4, 2026 plus complaint and infection-control inspections); the Michigan average is 9.9. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.81 hours per resident on weekends against 3.22 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 74.6% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Michigan average 3.1
- Health inspections 1 of 5 Michigan average 2.8
- Staffing 1 of 5 Michigan average 3.6
- Quality measures 5 of 5 Michigan average 3.9
The vertical line marks the Michigan average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.22 h Michigan average 3.99
- Nurse aides 1.94 h Michigan average 2.33
- Licensed practical nurses 0.75 h Michigan average 0.88
- Registered nurses 0.53 h Michigan average 0.78
- All staff, weekends 2.81 h Michigan average 3.50
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Michigan average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Michigan average44.1%
- Registered nurse turnoverNot reported
- Michigan average39.2%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Michigan and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Michigan | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 2.1% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.0% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 4.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.3% | 95.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 7.8% | 12.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.7% | 19.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 5.1% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.6% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.2% | 14.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.47 | 1.84 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.81 | 1.64 | 1.78 |
Short-stay residents
| Measure | This home | Michigan | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.0% | 83.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.1% | 79.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.5% | 24.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.4% | 11.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 49 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 18 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 4, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 4, 2026 | 24 | 8 |
| Mar 20, 2025 | 11 | 3 |
| May 7, 2024 | 14 | 3 |
Michigan homes averaged 9.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (49)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 11, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 11, 2026)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 24, 2026)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 24, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2026)
-
EPotential for more than minimal harm, pattern
Honor 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.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2026)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 24, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 24, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Ensure 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.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Mar 24, 2026)
-
DPotential for more than minimal harm, isolated
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 13, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Mar 26, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 26, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 26, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 26, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 26, 2025)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 26, 2025)
Showing the 30 most recent of 49.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Michigan homes averaged 0.7 fines and $29,376 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Michigan
- Size265 of 422 by certified beds
- Michigan average residents per day85.9
- ChainThe Orchards Michigan
- Chain average overall rating1.9 of 5
- Resident or family councilResident
- Homes in Lapeer4
- Homes in Lapeer County4
Common questions
What is the CMS star rating for The Orchards at Lapeer?
The Orchards at Lapeer has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 5.
How many beds does The Orchards at Lapeer have?
The Orchards at Lapeer has 87 certified beds. It averages 64.9 residents per day, about 74.6% of its certified beds.
How much nursing care do residents get at The Orchards at Lapeer?
The home reports 3.22 hours of nurse staffing per resident per day, including 0.53 hours from registered nurses. The Michigan average is 3.99 hours and 0.78 hours from registered nurses.
Has The Orchards at Lapeer been fined?
CMS lists no fines for this home in the past three years.
Does The Orchards at Lapeer accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Stonegate Health Campus 80beds 93.2%in use 4.50nurse hours a day
- 5 of 5 McLaren Lapeer Region 19beds 90.0%in use 6.81nurse hours a day
- 2 of 5 Lapeer County Medical Care Facility 202beds 82.0%in use 3.72nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lapeer County
Who to call in Michigan
These offices serve residents of every nursing home in Michigan.
- Long-term care ombudsman Michigan Long Term Care Ombudsman Program (MLTCOP) 1-866-485-9393 (Toll-free line to reach a local ombudsman. Program office: 517-827-8040; email MLTCOP@meji.org.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 800-882-6006 (Toll-free Complaint Hotline. Complaints can also be filed with the online form (https://apps.lara.state.mi.us/BscComplaintIntakeForm) or by mail: LARA, Bureau of Survey and Certification-Complaint Intake Section, PO Box 30838, Lansing, MI 48909.) The state agency that inspects nursing homes.
Michigan staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 235654. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.