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
The Orchards at Niles
Niles, MI · Medicare-certified · 84 beds
Needs attention
For-profitChain member
1 of 5 overall
The Orchards at Niles in Niles, MI has a 1-out-of-5 overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. It is flagged for the lowest overall rating; reported nurse staffing is 3.46 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4589 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 3.4589.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.24
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 57%
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
22.2%13.7%Improving
Residents with a fall causing major injury
1.4%2.9%Worsening
Residents with pressure ulcers (bedsores)
3.2%5.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.1%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.7%1.8%No change
Residents whose ability to walk got worse
13.6%7.2%Improving
Long-stay residents on antianxiety or sleep medication
21%23%Worsening
Short-stay residents newly given an antipsychotic
2.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22%21.6%No change
Residents with depressive symptoms
1.5%3.1%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
—96.1%—
Long-stay residents given the pneumonia vaccine
94.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—69%—
Short-stay residents given the pneumonia vaccine
69.6%73.7%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
- Ownership
- For profit - Corporation
- Chain
- Part of THE ORCHARDS MICHIGAN · 14 homes · 2 stars avg
- Occupancy
- 78.8 residents on an average day (94% 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.