The Orchards at Canterbury on the Lake
5601 Hatchery Road · Waterford, MI · 48329 · 2486749292
128 certified beds For profit - Corporation Chain: The Orchards Michigan Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.26 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $97,916 |
Inspection citations (76 in the current record)
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Potential for harm · D January 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 16, 2025 · Quality of Life and Care
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Potential for harm · D October 24, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 25, 2025 · Resident Rights
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Potential for harm · D October 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 25, 2025 · Quality of Life and Care
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Potential for harm · D October 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 25, 2025 · Nursing and Physician Services
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Potential for harm · D October 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 25, 2025 · Infection Control
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Actual harm · G July 31, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D July 31, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D July 31, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025
Ensure each resident receives an accurate assessment.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · E July 31, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · F July 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 15, 2025 · Nutrition and Dietary
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Potential for harm · D July 31, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected August 15, 2025 · Administration
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Potential for harm · F July 31, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 15, 2025 · Administration
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Potential for harm · E July 31, 2025
Implement a program that monitors antibiotic use.
Corrected August 15, 2025 · Infection Control
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Potential for harm · D July 31, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D July 31, 2025 · found via complaint
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 August 15, 2025 · Resident Rights
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Potential for harm · D July 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 15, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 7, 2023 | Fine | $45,461 |
| September 7, 2023 | Payment Denial | 2 days |
| June 29, 2023 | Fine | $52,455 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235555 · certified since July 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.