The Orchards at Douglas Cove
243 Wiley Road · Douglas, MI · 49406 · 2698572141
51 certified beds For profit - Individual
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D March 5, 2026 · 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 March 17, 2026 · Resident Rights
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Potential for harm · D March 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · D September 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D September 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D September 5, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D July 17, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected August 25, 2025 · Resident Rights
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Potential for harm · D July 17, 2025
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 17, 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 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2025 · Quality of Life and Care
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Potential for harm · F July 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 25, 2025 · Nutrition and Dietary
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Potential for harm · F July 17, 2025
Provide and implement an infection prevention and control program.
Corrected August 25, 2025 · Infection Control
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Potential for harm · D May 21, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected June 16, 2025 · Environmental
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Potential for harm · D March 12, 2025 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected April 9, 2025 · Nursing and Physician Services
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Potential for harm · F March 12, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected April 15, 2025 · Environmental
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Potential for harm · D July 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 21, 2024 · Resident Rights
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Potential for harm · D July 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 21, 2024 · Quality of Life and Care
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Potential for harm · D July 18, 2024
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 21, 2024 · Pharmacy Service
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Potential for harm · D July 18, 2024
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 August 21, 2024 · Pharmacy Service
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Potential for harm · F July 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 21, 2024 · Nutrition and Dietary
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Potential for harm · F July 18, 2024
Provide and implement an infection prevention and control program.
Corrected August 21, 2024 · Infection Control
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Potential for harm · D July 18, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected August 21, 2024 · Infection Control
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Potential for harm · D July 18, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235447 · certified since March 18, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.