The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Altercare of Big Rapids
Registered name: The Orchards at Big Rapids
Big Rapids, MI · Medicare-certified · 100 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Altercare of Big Rapids has an overall rating of 3 out of 5 stars, with 3-star health inspection and quality ratings but a lower 2-star staffing rating. Reported nurse staffing is 3.31 hours per resident per day versus the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months; recent inspection concerns included pressure ulcer care, food safety, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.3064 hrs/resident/day
Quality measures
Last inspection: April 22, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3064.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.10
- Weekend nursing
- 2.88
Hours per resident per day.
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
27.3%34.1%Worsening
Residents with a fall causing major injury
1.9%3.2%Worsening
Residents with pressure ulcers (bedsores)
1.8%5.3%Worsening
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
5.1%6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.4%3.9%Improving
Residents whose ability to walk got worse
28.9%10.5%Improving
Long-stay residents on antianxiety or sleep medication
7.1%9.4%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.3%0%Improving
Residents with new or worsening incontinence
24.3%25.4%Worsening
Residents with depressive symptoms
0%3.3%Worsening
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
—98.3%—
Long-stay residents given the pneumonia vaccine
98.1%100%Improving
Short-stay residents given the seasonal flu vaccine
—90.2%—
Short-stay residents given the pneumonia vaccine
100%97.3%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — 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 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $55,711 in total fines · 1 payment denial.
- 4 days
Medicare/Medicaid payment denial
Mar 13, 2024
- $55,711
Federal fine
Mar 13, 2024
Operator & ownership
Recent ownership change · Apr 1, 2025
Now operated by Big Rapids Mi Opco LLC, previously Altercare of Big Rapids Center for Rehabilitation & Nursing Care, INC..
- Ownership
- For profit - Corporation
- Chain
- Part of THE ORCHARDS MICHIGAN · 15 homes · 1.9 stars avg
- Occupancy
- 78.8 residents on an average day (79% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.