The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
ORCHARD REHABILITATION & NURSING CENTER
MEDINA, NY · Medicare-certified · 160 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
ORCHARD REHABILITATION & NURSING CENTER has an overall rating of 3 out of 5 stars, with a 2-star staffing rating and reported nurse staffing below the federal benchmark (3.15 vs. 4.1 hours per resident per day). It has had no fines in the last 24 months, but recent inspection citations included staffing and food service concerns.
Facility ratings
Health inspections
Staffing
3.1534 hrs/resident/day
Quality measures
Last inspection: September 2, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1534.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.09
- Weekend nursing
- 2.50
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 26%
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
12.8%16.2%Worsening
Residents with a fall causing major injury
3.3%2.2%Improving
Residents with pressure ulcers (bedsores)
4.9%5.3%No change
Residents with a urinary tract infection
0%1.5%Worsening
Residents who lost too much weight
5.7%8.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.3%16.5%Improving
Residents whose ability to walk got worse
16.9%11.5%Improving
Long-stay residents on antianxiety or sleep medication
14.2%13.1%Improving
Short-stay residents newly given an antipsychotic
2.3%0%Improving
Residents with a long-term catheter
0.8%1%No change
Residents with new or worsening incontinence
34.2%23.5%Improving
Residents with depressive symptoms
0%0%No change
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
—94.4%—
Long-stay residents given the pneumonia vaccine
64.2%56.8%Worsening
Short-stay residents given the seasonal flu vaccine
—56.2%—
Short-stay residents given the pneumonia vaccine
23.3%14.5%Worsening
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited June 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PERSONAL HEALTHCARE MANAGEMENT · 21 homes · 3 stars avg
- Occupancy
- 150.3 residents on an average day (94% of 160 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
The most recent standard health inspection was more than two years ago.
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.