The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
The Orchards at Warren
Warren, MI · Medicare-certified · 134 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
The Orchards at Warren has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It is flagged as the lowest overall rating, has no fines in the last 24 months, and reported staffing of 3.35 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3537 hrs/resident/day
Quality measures
Last inspection: April 16, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3537.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 1.13
- Nurse aides
- 1.95
- Weekend nursing
- 3.07
Hours per resident per day.
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
13.4%16.9%Worsening
Residents with a fall causing major injury
0.9%2.8%Worsening
Residents with pressure ulcers (bedsores)
7.4%4.6%Improving
Residents with a urinary tract infection
0.9%0.9%No change
Residents who lost too much weight
16.8%4.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28%22.7%Improving
Residents whose ability to walk got worse
24.5%22.1%Improving
Long-stay residents on antianxiety or sleep medication
14.4%14.6%No change
Short-stay residents newly given an antipsychotic
1.6%3.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.7%38.5%Worsening
Residents with depressive symptoms
2.2%5.5%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
—82.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—54.3%—
Short-stay residents given the pneumonia vaccine
78%64.1%Worsening
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — 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
- 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $21,273 in total fines.
- $21,273
Federal fine
Aug 2, 2023
Operator & ownership
Recent ownership change · Jun 1, 2022
Now operated by The Orchards at Warren, previously Advantage Living Center Warren.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ORCHARDS MICHIGAN · 14 homes · 1.9 stars avg
- Occupancy
- 122.5 residents on an average day (91% of 134 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.