The Orchards at Big Rapids
805 West Avenue · Big Rapids, MI · 49307 · 2317963185
100 certified beds For profit - Corporation Chain: The Orchards Michigan
Why this verdict
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.67 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $55,711 |
Inspection citations (33 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 11, 2026 · Quality of Life and Care
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Potential for harm · D April 22, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 11, 2026 · Quality of Life and Care
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Potential for harm · D April 22, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected May 11, 2026 · Pharmacy Service
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Potential for harm · F April 22, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 11, 2026 · Infection Control
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Potential for harm · D March 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · E March 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 7, 2025 · Nutrition and Dietary
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Actual harm · G March 13, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · D March 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 17, 2024 · Resident Rights
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Potential for harm · E March 13, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · D March 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · E March 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2024 · Nutrition and Dietary
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Potential for harm · D March 13, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · E December 7, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 12, 2024 · Resident Rights
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Potential for harm · D December 7, 2023 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected January 12, 2024 · Resident Rights
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Potential for harm · E December 7, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 12, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J February 17, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2023 · Quality of Life and Care
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Actual harm · G February 17, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 14, 2023 · Resident Assessment and Care Planning
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Actual harm · G February 17, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 14, 2023 · Quality of Life and Care
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Actual harm · G February 17, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 14, 2023 · Administration
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Potential for harm · F February 17, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 14, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 13, 2024 | Fine | $55,711 |
| March 13, 2024 | Payment Denial | 4 days |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235459 · certified since January 15, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.