Orchard Rehabilitation & Nursing Center
Medina, New York · CCN 335397
20 surveys since 2010. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 106
- Surveys
- 20
- Harm or worse
- 6
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 160
- Ownership
- For profit - Limited Liability company
- Chain
- PERSONAL HEALTHCARE MANAGEMENT
- County
- Orleans
- Medicare-certified since
- 1973
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=11, floor 20).
Last survey on record
Sep 2, 2025
433 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.15 | 3.37 |
| Registered-nurse hours per resident day | 0.52 | — |
| Annual nurse turnover | 53.8% | 33.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D950.0% | E738.9% | F15.6% |
| No harm, potential for minimal | A— | B15.6% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8043×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F6101×
Respond appropriately to all alleged violations.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6771×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6841×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Orchard Rehabilitation & Nursing Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF725Sep 2, 2025
Based on interview and record review conducted during a Complaint investigation (NY00358687-745392) completed on 09/02/2025, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, the facility did not ensure there was sufficient nurse staffing to meet the needs of the residents in accordance with their preferences and plans of care. The finding is:Review of the Dear Administrator letter 23-11 dated 06/30/23 sent to the nursing home administrators informing them that starting 04/01/2022 nursing homes were required to have an average daily staffing of 3.5 hours of care per resident per day with 2.2 hours for Certified Nurse Aides and 1.1 hours for Licensed Practical Nurses… […]
- No harm, potential for more than minimal, patternF804Sep 2, 2025
Based on observation, interview, and record review conducted during a Complaint investigation (NY00358687- 745392) the facility did not ensure food and drink were provided/served at a safe and appetizing temperatures. Specifically, food and beverages during the lunch meal were served at suboptimal temperatures and were not palatable.Residents #1, #4, #5, #6, and #7 involved. The finding is: The policy Safe Food Temperature and Danger Zone Compliance dated 04/2025 documented the facility will maintain strict control of food temperatures to prevent the growth of harmful bacteria. […]
- No harm, potential for more than minimal, patternF804Apr 16, 2024
Based on observation, interview, and record review conducted during the Standard survey completed on 4/16/24, the facility did not provide food and drink that was at a safe and appetizing temperature for four (Main Dining Room, Unit 1, Unit 2, and Unit 3) of four test trays. Specifically, food and beverages during meals were served at suboptimal temperatures. Residents #85, #74, #51, #4, and #1, were involved. The findings are: The policy and procedure titled Dietary Food Preparation and Service dated 5/2/23, documented that food and nutrition service employees prepare and serve food in a manner that complies with safe food handling practices. The danger zone for food temperatures is between 41 degrees Fahrenheit and 135 degrees Fahrenheit. […]
- No harm, potential for more than minimal, patternF812Apr 16, 2024
Based on observation, interview, and record review conducted during a Standard survey completed on [DATE], the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, three (Unit 1, Unit 2, and Unit 3) of three-unit nourishment refrigerators, one of one main kitchen, and one (Main dining room and Unit 3 Dining Room) of two serveries observed had issues. The nourishment room refrigerators contained undated, unlabeled, and out of date food and drink items. […]
- No harm, potential for more than minimal, patternF880Feb 2, 2021
Based on observation, interview and record review during the COVID-19 Focused Infection Control Survey conducted on 2/2/2021, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of COVID-19. Specifically, the facility failed to ensure that staff donned (applied) and doffed (removed) appropriate Personal Protective Equipment (PPE) on one of three Units (Unit 3-designated COVID-19 unit). […]
Read 26 findings in full →The most serious and the most recent: 26 of 106 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 2, 2025Complaint2 findings
- Apr 16, 2024Standard5 findings
- Apr 25, 2022Standard2 findings
- Apr 7, 2021Complaint1 finding
- Feb 2, 2021Infection control1 finding
- Jun 21, 2019Standard and complaint9 findings
- Mar 5, 2018Standard and complaint7 findings
- Jan 10, 2017Standard and complaint7 findings
Show the 12 earlier surveys
- Apr 25, 2016Complaint1 finding · 1 harm
- Feb 24, 2016Complaint2 findings
- Feb 9, 2016Standard and complaint11 findings
- Sep 22, 2015Complaint1 finding
- Jun 30, 2015Complaint4 findings
- May 5, 2015Standard3 findings
- May 1, 2015Complaint2 findings
- Feb 19, 2015Standard and complaint24 findings · 5 harm
- Jan 14, 2014—10 findings
- Nov 13, 2012—6 findings
- Nov 10, 2011—3 findings
- Oct 29, 2010—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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