Orchard Creek Skilled Nursing
9731 East Cherry Bend Road · Traverse City, MI · 49684 · 2319329272
22 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 6.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.51 | 0.55–0.75 |
| Weekend hours / resident-day | 5.94 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Actual harm · G September 4, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 4, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 10, 2025 · Resident Rights
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Potential for harm · F September 4, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 10, 2025 · Nursing and Physician Services
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Potential for harm · D September 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 10, 2025 · Pharmacy Service
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Potential for harm · F September 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 10, 2025 · Nutrition and Dietary
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Potential for harm · F September 4, 2025
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected October 10, 2025 · Administration
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Potential for harm · D September 4, 2025
Provide and implement an infection prevention and control program.
Corrected October 10, 2025 · Infection Control
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Potential for harm · D September 4, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 2, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 1, 2024 · Pharmacy Service
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Actual harm · G October 25, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 16, 2023 · Quality of Life and Care
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Potential for harm · F October 25, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected November 16, 2023 · Resident Rights
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Potential for harm · D October 25, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 25, 2023
Respond appropriately to all alleged violations.
Corrected November 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 25, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 25, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 25, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 16, 2023 · Quality of Life and Care
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Potential for harm · F October 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 16, 2023 · Nutrition and Dietary
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No harm found · C October 25, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C October 25, 2023
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected November 16, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 4, 2025 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235611 · certified since October 20, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.