Nursing home report
Registered name: The Orchards at Big Rapids
Big Rapids, MI · Medicare-certified · 100 beds
Altercare of Big Rapids has a 3-star overall rating, with a 2-star staffing rating and reported nurse staffing of 3.31 hours per resident per day below the 4.1-hour federal benchmark. It has had no fines in the last 24 months, and recent inspection issues included accident hazards/supervision, pressure ulcer care, and following treatment and care orders.
Health inspections
Staffing
3.3064 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3064.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
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.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2023 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2023 — isolated incident, actual harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited February 2023 — isolated incident, actual harm.
F-Tag 867 — 42 CFR §483.75 — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 5 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 8 health deficiencies.
Health inspection found 3 health deficiencies.
On record with Medicare: 1 fine · $55,711 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Mar 13, 2024
Federal fine
Mar 13, 2024
Now operated by Big Rapids Mi Opco LLC, previously Altercare of Big Rapids Center for Rehabilitation & Nursing Care, INC..
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.
