The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
ORCHARD MANOR
LANCASTER, WI · Medicare-certified · 74 beds
Needs attention
Government-run
5 of 5 overall
ORCHARD MANOR (LANCASTER, WI) has an overall 5 of 5 stars, with 5-star health inspection and staffing ratings and a 3-star quality measures rating. Reported nurse staffing is 4.29 hours per resident per day, slightly above the federal benchmark of 4.1, but the facility also had $22,425 in fines over the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.2896 hrs/resident/day
Quality measures
Last inspection: December 16, 2025Penalties, last 24 months: $22,425recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2896.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 0.23
- Nurse aides
- 3.18
- Weekend nursing
- 3.86
Hours per resident per day.
Total staff turnover: 26%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.1%11.8%Worsening
Residents with a fall causing major injury
2.3%8.7%Worsening
Residents with pressure ulcers (bedsores)
3.8%6.5%Worsening
Residents with a urinary tract infection
0%2.3%Worsening
Residents who lost too much weight
5.1%2.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27%15.8%Improving
Residents whose ability to walk got worse
15.4%9.9%Improving
Long-stay residents on antianxiety or sleep medication
17.5%14.6%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.2%2.3%No change
Residents with new or worsening incontinence
22.5%8.3%Improving
Residents with depressive symptoms
4.8%2.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide appropriate foot care for residents. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $22,425 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $22,425 in total fines · 1 payment denial.
- 1 days
Medicare/Medicaid payment denial
Aug 15, 2024
- $22,425
Federal fine
Aug 15, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 48.5 residents on an average day (66% of 74 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.