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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
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 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
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.