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Nursing home report

The Orchards at Three Rivers

Three Rivers, MI · Medicare-certified · 87 beds

Needs attention
Special Focus candidateFor-profitChain member
1 of 5 overall

The Orchards at Three Rivers has an overall 1-star rating, with a 1-star health inspection rating and staffing below the federal benchmark (3.63 vs 4.1 hours per resident day). It is listed as a Special Focus Facility candidate/attention flag, and recent cited concerns included psychotropic medication use, accident hazards/supervision, and following care orders; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.6278 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $0special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6278.

Staffing detail

Registered nurses
0.46
Licensed practical nurses
1.04
Nurse aides
2.13
Weekend nursing
3.35

Hours per resident per day.

Total staff turnover: 45%
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

18.8%34.2%Worsening

Residents with a fall causing major injury

1.9%3.2%Worsening

Residents with pressure ulcers (bedsores)

8.3%4.5%Improving

Residents with a urinary tract infection

3.8%3.2%Improving

Residents who lost too much weight

11.6%8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15%17.4%Worsening

Residents whose ability to walk got worse

45.7%27.9%Improving

Long-stay residents on antianxiety or sleep medication

18.2%26%Worsening

Short-stay residents newly given an antipsychotic

2.2%0%Improving

Residents with a long-term catheter

0%1.5%Worsening

Residents with new or worsening incontinence

26.1%24%Improving

Residents with depressive symptoms

0%9.4%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

98.4%

Long-stay residents given the pneumonia vaccine

100%88.7%Worsening

Short-stay residents given the seasonal flu vaccine

84.2%

Short-stay residents given the pneumonia vaccine

85.6%47.4%Worsening

What the inspectors found

The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 605 — 42 CFR §483.12 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — 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 appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 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 run its operations effectively and efficiently using its available resources. Cited December 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

Penalties & enforcement

On record with Medicare: 1 payment denial.

  • Medicare/Medicaid payment denial

    Oct 30, 2025

    48 days

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of THE ORCHARDS MICHIGAN · 14 homes · 2 stars avg
Occupancy
76.6 residents on an average day (88% of 87 beds)
Resident voice
Resident council
Medicare history
Certified for 48 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.