The Orchards at Northwest
16181 Hubbell St · Detroit, MI · 48235 · 3132738764
154 certified beds For profit - Corporation Chain: The Orchards Michigan
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $15,889 |
Inspection citations (41 in the current record)
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Actual harm · G January 23, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 24, 2026 · Quality of Life and Care
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Actual harm · G January 23, 2026 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 24, 2026 · Nursing and Physician Services
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Potential for harm · D January 8, 2025
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 February 8, 2025 · Resident Rights
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Potential for harm · D January 8, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 8, 2025 · Resident Rights
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Potential for harm · D January 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 8, 2025 · Quality of Life and Care
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Potential for harm · D January 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 8, 2025 · Quality of Life and Care
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Potential for harm · D January 8, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected February 8, 2025 · Quality of Life and Care
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Potential for harm · D January 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 8, 2025 · Quality of Life and Care
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Potential for harm · E January 8, 2025
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 February 8, 2025 · Nursing and Physician Services
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Potential for harm · D January 8, 2025
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 February 8, 2025 · Pharmacy Service
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Potential for harm · F January 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 8, 2025 · Nutrition and Dietary
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Potential for harm · F January 8, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected February 8, 2025 · Administration
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Potential for harm · F January 8, 2025
Provide and implement an infection prevention and control program.
Corrected February 8, 2025 · Infection Control
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Potential for harm · F January 8, 2025
Implement a program that monitors antibiotic use.
Corrected February 8, 2025 · Infection Control
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Potential for harm · F January 8, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected February 8, 2025 · Infection Control
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Potential for harm · F January 8, 2025
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 February 8, 2025 · Infection Control
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Potential for harm · E January 8, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 8, 2025 · Environmental
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Potential for harm · E January 8, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected February 8, 2025 · Nursing and Physician Services
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Potential for harm · D January 8, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 8, 2025 · Resident Rights
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Potential for harm · D January 8, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2025 · found via complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected February 8, 2025 · Environmental
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Potential for harm · D March 21, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 22, 2024 · Infection Control
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Immediate jeopardy · J February 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 2, 2024 · Quality of Life and Care
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Potential for harm · D November 28, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 30, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 21, 2024 | Fine | $15,889 |
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 235539 · certified since September 2, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.