The Orchards at Niles
1333 Wells St · Niles, MI · 49120 · 2696841111
84 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 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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (69 in the current record)
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Potential for harm · D January 23, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 10, 2026 · Quality of Life and Care
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Potential for harm · D August 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · F August 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · D August 27, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 26, 2025 · Infection Control
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Potential for harm · E August 27, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 26, 2025 · Environmental
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Potential for harm · D July 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2024 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024 · found via complaint
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 January 10, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024 · found via complaint
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected December 3, 2024 · Nutrition and Dietary
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Potential for harm · D November 14, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 23, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected October 23, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
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 October 28, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Provide activities to meet all resident's needs.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 23, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 13, 2024 · Nutrition and Dietary
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Potential for harm · E September 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2025 · Nutrition and Dietary
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Potential for harm · D September 13, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · F September 13, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected October 18, 2024 · Administration
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Potential for harm · D September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 18, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 13, 2024 | Payment Denial | 77 days |
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 235598 · certified since February 1, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.