The Orchards at Three Rivers
55378 Wilbur Rd · Three Rivers, MI · 49093 · 2692797441
87 certified beds For profit - Limited Liability company Chain: The Orchards Michigan
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- 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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (64 in the current record)
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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 30, 2026 · Resident Rights
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Potential for harm · E March 5, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 30, 2026 · Resident Rights
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Potential for harm · D December 23, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · E December 23, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · E December 23, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · E December 23, 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 January 20, 2026 · Nursing and Physician Services
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Potential for harm · E December 23, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · E December 23, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · F December 23, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · F December 23, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 20, 2026 · Administration
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Actual harm · G November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 26, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 25, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 25, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · E November 25, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected November 26, 2025 · Quality of Life and Care
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Immediate jeopardy · J October 30, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 30, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 20, 2025 · Resident Rights
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Potential for harm · D October 30, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · F October 30, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected November 20, 2025 · Nursing and Physician Services
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Potential for harm · D October 30, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 20, 2025 · Quality of Life and Care
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Potential for harm · D October 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · F October 30, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected November 20, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 30, 2025 | Payment Denial | 48 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 235354 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.