The Orchards at Northwest

In the surveyor’s words

From the most serious findings on record at The Orchards at Northwest, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 21, 2024

  Based on interview and record review the facility failed to provide adequate supervision to a cognitively impaired resident (R501) who eloped from the facility unbeknownst to staff for two hours resulting in the likelihood for serious harm, injury, impairment, or death. Findings Include: According to the Facility Reported Incident dated 2/2/24, R501 was unable to be located in the facility during midnight rounds on 2/2/24 at approximately 12:30 AM. A facility campus wide search was conducted and R501 was not located. The Facility's Investigation summary dated 2/7/24 concluded that on 2/1/24 at approximately 10:45 PM R501 had walked out the facility's front door that was unattended and triggered the front door alarm. […]

• Actual harm, isolatedF689Jan 23, 2026

  This citation pertains to intake number 2715345. Based on observation, interview, and record review, the facility failed to provide two staff during a shower and failed to reposition in a safe manner one dependent resident (R400) of three residents reviewed for accidents, resulting in a fall from the shower bed to the floor with subsequent pain and a facial laceration requiring sutures.Findings include: On 01/22/2026 at 09:12 AM, R400 was observed in bed on their back. R400's right knee was bent upwards and lying against the mattress. R400 was wearing glasses, a hospital style gown, and watching television. Observation of R400 revealed a right forehead/eyebrow scar. The sutures were removed. R400 was queried about the scar/laceration on their face. […]

• Actual harm, isolatedF726Jan 23, 2026

  This citation pertains to intake number 2715345.Based on observation, interview and record review, the facility failed to ensure Certified Nursing Assistants were trained on repositioning techniques and implementing appropriate care when providing resident showers, resulting in one resident (R400) rolling off of the shower bed to the floor sustaining injuries. Findings include:On 01/22/2026 at 09:12 AM, R400 was observed in bed, on their back. R400's right knee was bent upwards and lying against the mattress. R400 had a right forehead/eyebrow scar from a laceration. R400 was queried about the laceration on their face. R400's speech was somewhat slurred, however, R400 was able to answer simple questions with incomplete, slow responses. […]

• Actual harm, isolatedF684Mar 23, 2021

  This citation pertains to MI 664. Based on interview and record review, the facility failed to ensure timely assessment and medical intervention for one resident (#801) reviewed for injury of unknown origin. Resulting in a delay in diagnosing a fracture and obtaining medical treatment and transfer to a hospital emergency room . Findings include: The facility self-reported that Resident #801 (R801) sustained an injury of unknown source. A review of the clinical record for R801 revealed an admitted [DATE] and discharged date of 3/11/2021. R801's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Minimum Data Set, dated dated dated [DATE] documented severe cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 03/08/2026 at 8:40 AM a tour of the kitchen was conducted with cook F who was serving as the acting manager for the day.On 03/08/2026 at 8:57 AM observed a plastic tube running from the ice machine drain line into the floor drain in the kitchen. The plastic drain line extended below the flood level rim of the drain, creating an improper air gap.On 03/08/2026 at 9:33 AM observed a black corrugated tube connected to the juice gun drain line leading into the floor drain in the kitchen. […]