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
Nursing home report
The Orchards at Douglas Cove
Douglas, MI · Medicare-certified · 51 beds
Needs attention
For-profit
1 of 5 overall
1 out of 5 stars overall. The Orchards at Douglas Cove has the lowest overall rating, with 1 star for staffing, 2 stars for health inspections, and 3 stars for quality measures; reported nurse staffing is 3.63 hours per resident per day, below the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6319 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6319.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.05
- Nurse aides
- 2.25
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 67%
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
19%25%Worsening
Residents with a fall causing major injury
2.7%0%Improving
Residents with pressure ulcers (bedsores)
12.8%6.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
17.9%3.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.7%14.3%Worsening
Residents whose ability to walk got worse
—18.8%—
Long-stay residents on antianxiety or sleep medication
37.9%24.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.8%Worsening
Residents with new or worsening incontinence
30.6%28.3%Improving
Residents with depressive symptoms
6.1%0%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
—93.2%—
Long-stay residents given the pneumonia vaccine
94.6%100%Improving
Short-stay residents given the seasonal flu vaccine
—89.2%—
Short-stay residents given the pneumonia vaccine
98.4%96.2%Worsening
What the inspectors found
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 July 2025 — 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 keep essential equipment working safely. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
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 July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 41.2 residents on an average day (81% of 51 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.