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
3 of 5 overall
ORCHARD REHABILITATION & NURSING CENTER in Medina, NY has an overall 3-star rating. Staffing is a weak point at 2 stars, with reported nurse staffing of 2.99 hours per resident per day versus the 4.1-hour federal benchmark; there were no fines in the last 24 months, and recent inspection citations included nursing coverage and food service concerns.
Facility ratings
Health inspections
Staffing
2.9938 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 2.9938.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.54
- Nurse aides
- 1.98
- Weekend nursing
- 2.54
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.5%Worsening
Residents with a fall causing major injury
1.9%Improving
Residents with pressure ulcers (bedsores)
7.2%Worsening
Residents with a urinary tract infection
0.6%Worsening
Residents who lost too much weight
7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.2%Improving
Residents whose ability to walk got worse
19.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.1%Improving
Short-stay residents newly given an antipsychotic
3.8%Worsening
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
32.3%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
94.4%Steady
Long-stay residents given the pneumonia vaccine
65.2%Worsening
Short-stay residents given the seasonal flu vaccine
56.2%Steady
Short-stay residents given the pneumonia vaccine
25.9%Steady
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
- 151.4 residents on an average day (95% 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.