The Orchards at Lapeer
239 South Main Street · Lapeer, MI · 48446 · 8106646611
87 certified beds For profit - Corporation Chain: The Orchards Michigan
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (47 in the current record)
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Actual harm · G March 4, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · E March 4, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · E March 4, 2026
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 24, 2026 · Resident Rights
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Potential for harm · E March 4, 2026
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
Provide activities to meet all resident's needs.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide appropriate foot care.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · E March 4, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 24, 2026 · Nutrition and Dietary
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Potential for harm · E March 4, 2026
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected March 24, 2026 · Nutrition and Dietary
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Potential for harm · F March 4, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2026 · Nutrition and Dietary
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Potential for harm · D March 4, 2026
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected March 24, 2026 · Administration
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Potential for harm · E March 4, 2026
Provide and implement an infection prevention and control program.
Corrected March 24, 2026 · Infection Control
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Potential for harm · E March 4, 2026 · 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 March 24, 2026 · Nursing and Physician Services
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Potential for harm · D March 4, 2026 · found via complaint
Post nurse staffing information every day.
Corrected March 24, 2026 · Nursing and Physician Services
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Potential for harm · F March 4, 2026 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 24, 2026 · Administration
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Potential for harm · D January 28, 2026 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D January 28, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 26, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Ensure each resident receives an accurate assessment.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 26, 2025 · Quality of Life and Care
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
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 235654 · certified since July 28, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.