The Orchards at Harper Woods

19840 Harper Avenue · Harper Woods, MI · 48225 · 3138819556

151 certified beds For profit - Corporation Chain: The Orchards Michigan

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 80
Context 5% 75

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-day3.523.48 min · 4.1 strong
RN hours / resident-day0.210.55–0.75
Weekend hours / resident-day3.17≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (50 in the current record)

  • Potential for harm · D December 18, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 25, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected April 15, 2025 · Environmental

  • Potential for harm · D March 25, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 25, 2025 · found via complaint

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 25, 2025 · found via complaint

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 25, 2025 · found via complaint

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 25, 2025 · found via complaint

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · F March 25, 2025 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected April 15, 2025 · Nursing and Physician Services

  • Potential for harm · F March 25, 2025 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected April 15, 2025 · Nursing and Physician Services

  • Potential for harm · D March 25, 2025 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 15, 2025 · Nutrition and Dietary

  • Potential for harm · D March 25, 2025 · found via complaint

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected April 15, 2025 · Infection Control

  • Potential for harm · D March 25, 2025 · found via complaint

    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 April 15, 2025 · Infection Control

  • Potential for harm · D December 12, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 30, 2024 · Resident Rights

  • Potential for harm · D November 6, 2024 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected November 19, 2024 · Resident Rights

  • Potential for harm · D October 9, 2024 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected October 25, 2024 · Resident Rights

  • Potential for harm · E October 9, 2024 · found via complaint

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

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D October 9, 2024 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected October 25, 2024 · Environmental

  • Potential for harm · D September 5, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 23, 2024 · Quality of Life and Care

  • Potential for harm · D September 5, 2024 · found via complaint

    Provide appropriate foot care.

    Corrected September 23, 2024 · Quality of Life and Care

  • Potential for harm · E September 5, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected September 23, 2024 · Environmental

  • Potential for harm · D March 7, 2024

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

    Corrected April 5, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 5, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

    Provide appropriate foot care.

    Corrected April 5, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

    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 April 5, 2024 · Pharmacy Service

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 235480 · certified since January 6, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.