The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 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
Riveridge Rehabilitation and Healthcare Center
Registered name: The Orchards at Niles
Niles, MI · Medicare-certified · 84 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Riveridge Rehabilitation and Healthcare Center in Niles, MI has a 1-star overall rating and a 1-star health inspection rating, with an attention flag for the lowest overall rating. Staffing and quality measures are rated 4 stars, reported nurse staffing is 3.93 hours per resident per day versus the 4.1 federal benchmark, there were no fines in the last 24 months, and recent inspection citations included food safety, quality assurance, and infection prevention requirements.
Facility ratings
Health inspections
Staffing
3.9276 hrs/resident/day
Quality measures
Last inspection: January 23, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9276.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.58
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 46%
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
19.6%15.4%Improving
Residents with a fall causing major injury
2.9%4.2%Worsening
Residents with pressure ulcers (bedsores)
3.4%3.1%No change
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
1.6%4.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.5%3.3%Improving
Residents whose ability to walk got worse
6.3%7.4%Worsening
Long-stay residents on antianxiety or sleep medication
17.7%20.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.8%23.5%Worsening
Residents with depressive symptoms
3.2%3.1%No change
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
—96.1%—
Long-stay residents given the pneumonia vaccine
95.7%98.6%Improving
Short-stay residents given the seasonal flu vaccine
—69%—
Short-stay residents given the pneumonia vaccine
80%88.3%Improving
What the inspectors found
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 943 — 42 CFR §483.95 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 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 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 77 days
Medicare/Medicaid payment denial
Sep 13, 2024
Operator & ownership
Recent ownership change · Nov 1, 2025
Now operated by The Orchards at Niles, previously Riveridge Rehabilitation and Healthcare Center.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ORCHARDS MICHIGAN · 14 homes · 1.9 stars avg
- Occupancy
- 76.5 residents on an average day (91% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.