The Villa at Green Lake Estates in Orchard Lake, MI has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing rating. It also had a recent federal penalty, $307,836 in fines over the last 24 months, and reported nurse staffing of 3.54 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: October 8, 2025Penalties, last 24 months: $307,836recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5352.
Staffing detail
Registered nurses
0.38
Licensed practical nurses
1.01
Nurse aides
2.14
Weekend nursing
3.15
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 83%
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
17.1%13.3%Improving
Residents with a fall causing major injury
1.5%1.5%No change
Residents with pressure ulcers (bedsores)
2.6%6.1%Worsening
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
3.4%6.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.5%0%Improving
Residents whose ability to walk got worse
9.2%2.9%Improving
Long-stay residents on antianxiety or sleep medication
26.7%31.7%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
33%21.4%Improving
Residents with depressive symptoms
63.3%96.7%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
—96%—
Long-stay residents given the pneumonia vaccine
69.2%76.5%Improving
Short-stay residents given the seasonal flu vaccine
—56.6%—
Short-stay residents given the pneumonia vaccine
32.8%35.5%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to plan the resident’s discharge to meet the resident’s goals and needs. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 660 — 42 CFR §483.21 — S/S: G
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — 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
PENALTY
A federal fine of $267,910 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $39,926 was recorded.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $528,432 in total fines · 1 payment denial.
Federal fine
Sep 4, 2025
$267,910
Medicare/Medicaid payment denial
Jul 2, 2025
8 days
Federal fine
Jul 2, 2025
$39,926
Federal fine
Dec 21, 2023
$205,003
Federal fine
Oct 10, 2023
$15,593
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of VILLA HEALTHCARE · 18 homes · 2.8 stars avg
Occupancy
75.2 residents on an average day (88% of 85 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.