The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
The Orchards at Canterbury on the Lake
Waterford, MI · Medicare-certified · 128 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
The Orchards at Canterbury on the Lake in Waterford, MI has a 1-star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It reports 3.78 nursing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.776 hrs/resident/day
Quality measures
Last inspection: January 20, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.776.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.34
- Nurse aides
- 2.08
- Weekend nursing
- 3.26
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
18.2%23.4%Worsening
Residents with a fall causing major injury
4%5.2%Worsening
Residents with pressure ulcers (bedsores)
9.9%6.4%Improving
Residents with a urinary tract infection
2.8%4.1%Worsening
Residents who lost too much weight
10.6%10.3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.9%15.2%Improving
Residents whose ability to walk got worse
42.9%20.8%Improving
Long-stay residents on antianxiety or sleep medication
8.6%18.1%Worsening
Short-stay residents newly given an antipsychotic
1.5%2.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.9%30.7%Worsening
Residents with depressive symptoms
6.8%5.6%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
—72.9%—
Long-stay residents given the pneumonia vaccine
78.7%75.3%Worsening
Short-stay residents given the seasonal flu vaccine
—42.7%—
Short-stay residents given the pneumonia vaccine
48.8%41.5%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
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 June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $97,916 in total fines · 1 payment denial.
- 2 days
Medicare/Medicaid payment denial
Sep 7, 2023
- $45,461
Federal fine
Sep 7, 2023
- $52,455
Federal fine
Jun 29, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ORCHARDS MICHIGAN · 14 homes · 2 stars avg
- Occupancy
- 107.8 residents on an average day (84% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.