Orchard Rehabilitation & Nursing Center
600 Bates Road · Medina, NY · 14103 · 5857984100
160 certified beds For profit - Limited Liability company Chain: Personal Healthcare Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 2.54 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Potential for harm · F September 2, 2025 · found via complaint
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 28, 2025 · Nursing and Physician Services
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Potential for harm · E September 2, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 28, 2025 · Nutrition and Dietary
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Potential for harm · D April 16, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 6, 2024 · Quality of Life and Care
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Potential for harm · D April 16, 2024
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected June 6, 2024 · Nursing and Physician Services
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Potential for harm · E April 16, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 6, 2024 · Nutrition and Dietary
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Potential for harm · E April 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 6, 2024 · Nutrition and Dietary
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No harm found · B April 16, 2024
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected June 6, 2024 · Administration
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Potential for harm · D April 25, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 15, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 15, 2022 · Quality of Life and Care
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Potential for harm · D June 21, 2019
Respond appropriately to all alleged violations.
Corrected August 9, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 21, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 9, 2019 · Quality of Life and Care
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Potential for harm · D June 21, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2019 · Quality of Life and Care
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Potential for harm · D June 21, 2019
Assist a resident in gaining access to vision and hearing services.
Corrected August 9, 2019 · Quality of Life and Care
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Potential for harm · D June 21, 2019
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 9, 2019 · Quality of Life and Care
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Potential for harm · E June 21, 2019
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 9, 2019 · Pharmacy Service
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Potential for harm · E June 21, 2019
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 August 9, 2019 · Pharmacy Service
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Potential for harm · E June 21, 2019
Ensure 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.
Corrected August 9, 2019 · Pharmacy Service
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Potential for harm · E June 21, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 9, 2019 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335397 · certified since November 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.