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
Registered name: The Orchards at Canterbury on the Lake
Waterford, MI · Medicare-certified · 128 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Orchards at Canterbury-on-the-Lake in Waterford, MI has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It has a recent abuse citation, no fines in the last 24 months, and reported nurse staffing of 3.50 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.5021 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 3.5021.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.31
- Nurse aides
- 1.84
- Weekend nursing
- 2.96
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
23.6%24.6%Worsening
Residents with a fall causing major injury
2.9%5.1%Worsening
Residents with pressure ulcers (bedsores)
8.3%4%Improving
Residents with a urinary tract infection
5.8%0%Improving
Residents who lost too much weight
11.5%7.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.8%13.4%Improving
Residents whose ability to walk got worse
17.9%20.2%Worsening
Long-stay residents on antianxiety or sleep medication
4.8%15.7%Worsening
Short-stay residents newly given an antipsychotic
1.4%0%Improving
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
26.5%19.8%Improving
Residents with depressive symptoms
1.6%7.4%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
—72.9%—
Long-stay residents given the pneumonia vaccine
75.7%64.1%Worsening
Short-stay residents given the seasonal flu vaccine
—42.7%—
Short-stay residents given the pneumonia vaccine
47.9%35.2%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 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
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — 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: 1 fine · $45,461 in total fines · 1 payment denial.
- 2 days
Medicare/Medicaid payment denial
Sep 7, 2023
- $45,461
Federal fine
Sep 7, 2023
Operator & ownership
Recent ownership change · Nov 1, 2024
Now operated by The Orchards at Canterbury on the Lake, previously Canterbury On-the-lake.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ORCHARDS MICHIGAN · 14 homes · 1.9 stars avg
- Occupancy
- 107.8 residents on an average day (84% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.