The Orchards at Douglas Cove

243 Wiley Road · Douglas, MI · 49406 · 2698572141

51 certified beds For profit - Individual

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 100
Staffing 20% 61
Federal penalties 15% 100
Trend 10% 67
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.633.48 min · 4.1 strong
RN hours / resident-day0.330.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D March 5, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 17, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 17, 2026 · Quality of Life and Care

  • Potential for harm · D September 5, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 29, 2025 · Quality of Life and Care

  • Potential for harm · D September 5, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 29, 2025 · Quality of Life and Care

  • Potential for harm · D September 5, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 29, 2025 · Quality of Life and Care

  • Potential for harm · D July 17, 2025

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected August 25, 2025 · Resident Rights

  • Potential for harm · D July 17, 2025

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 17, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 17, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 17, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 25, 2025 · Quality of Life and Care

  • Potential for harm · F July 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 25, 2025 · Nutrition and Dietary

  • Potential for harm · F July 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 25, 2025 · Infection Control

  • Potential for harm · D May 21, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected June 16, 2025 · Environmental

  • Potential for harm · D March 12, 2025 · found via complaint

    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 April 9, 2025 · Nursing and Physician Services

  • Potential for harm · F March 12, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected April 15, 2025 · Environmental

  • Potential for harm · D July 18, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 21, 2024 · Resident Rights

  • Potential for harm · D July 18, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 21, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    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 21, 2024 · Pharmacy Service

  • Potential for harm · D July 18, 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 August 21, 2024 · Pharmacy Service

  • Potential for harm · F July 18, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 21, 2024 · Nutrition and Dietary

  • Potential for harm · F July 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 21, 2024 · Infection Control

  • Potential for harm · D July 18, 2024

    Educate 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.

    Corrected August 21, 2024 · Infection Control

  • Potential for harm · D July 18, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 21, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 235447 · certified since March 18, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.