Show Inspection Reports
Total health inspections
4
State average N/A
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Orchard Rehabilitation & Nursing Center
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Orchard Rehabilitation & Nursing Center
Orchard Rehabilitation & Nursing Center is located in Medina, NY. It offers short-term rehabilitation and post-acute care, focusing on building a community of respect and meaningful relationships. The facility is committed to providing compassionate and dignified care to promote the physical and emotional well-being of its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
160
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.9%
Residents per day (avg)
137
Occupancy rate
90.9%
Residents per day (avg)
137
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
56% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
27% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$25.0M
Profit
$1.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$25.0M
Profit
$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$23.8M
160-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
Facility TypeNursing Home
StatusActive
CountyOrleans
License Number3622304N
CMS Certification Number335397
Owner NameORRNC Holdings, LLC (For Profit)
Rehabilitation Services
Nursing Services
Licensed Nurses/CNAs
Specific ProgramsServices, Amenities, Community, Gallery, Contact, Residents, Information, PAY ONLINE, Careers
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
2 inspections
2 with citations, 0 without citations
New York average: 9 inspections (5 with citations)
135 complaints
84.4 complaints per 100 occupied beds
New York average: 49.9 complaints per 100 occupied beds
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
New York average: 79 complaints
Latest inspection
Date
September 2, 2025
Complaint Investigation10 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
3
enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
February 2, 2021: Stipulation & Order #: NH-21-089
A formal agreement with the state to correct serious or repeated issues.
April 25, 2016: Stipulation & Order #: NH-16-180
A formal agreement with the state to correct serious or repeated issues.
April 19, 2015: Stipulation & Order #: NH-16-052
A formal agreement with the state to correct serious or repeated issues.
Health Inspection History
Inspections
Total health citations
18
State average N/A
Citations per inspection
4.5
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 18 citations resulted from standard inspections; and 2 of 18 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
17 moderate citations
1 minor citation
Citations history (last 3 years)
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 02, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Sep 02, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 02, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 02, 2025
Corrected
Administration minor citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 16, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 16, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 16, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 16, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.
Filter by care type
Orchard Rehabilitation & Nursing Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Medina
-
160
-
-
-
Anton’s Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Boerne
-
10
-
-
-
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
-
40
-
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
-
16
-
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Conroe
-
12
-
8
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
169
Employees
169
Contractors
0
Staff to resident ratio
1.25:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
68
Average shift
8.1 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
50,184
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
99
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 99 | 0 | 99 | 27,695 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 22 | 0 | 22 | 6,905 | 91 | 100% | 10.2 |
| Registered Nurse | 18 | 0 | 18 | 6,155 | 91 | 100% | 8.4 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,579 | 67 | 74% | 7.8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,511 | 65 | 71% | 7.8 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,309 | 85 | 93% | 7.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 915 | 66 | 73% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 899 | 63 | 69% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 865 | 64 | 70% | 7.6 |
| Occupational Therapy Aide | 2 | 0 | 2 | 515 | 76 | 84% | 6 |
| Dietitian | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Qualified Social Worker | 1 | 0 | 1 | 465 | 60 | 66% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 460 | 61 | 67% | 7.5 |
| Administrator | 2 | 0 | 2 | 407 | 55 | 60% | 7.4 |
99 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
18 Registered Nurse
% of Days
100%
4 Speech Language Pathologist
% of Days
74%
4 Respiratory Therapy Technician
% of Days
71%
7 Other Dietary Services Staff
% of Days
93%
4 Physical Therapy Assistant
% of Days
73%
2 Physical Therapy Aide
% of Days
69%
2 Mental Health Service Worker
% of Days
70%
2 Occupational Therapy Aide
% of Days
84%
1 Dietitian
% of Days
70%
1 Qualified Social Worker
% of Days
66%
1 Nurse Practitioner
% of Days
67%
2 Administrator
% of Days
60%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
135 residents
Residents by payment source
Medicare
6 residents (4.4%)
Medicaid
121 residents (89.6%)
Private pay or other
8 residents (5.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.5
27% worse than State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
42% worse than State averageState average: 18.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
Percent of long-stay residents whose need for help with daily activities has increased
22.2%
35% worse than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.6%
Percent of long-stay residents whose ability to move independently worsened
23.6%
43% worse than State averageState average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
47% worse than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
12% worse than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
36% better than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.2%
Percent of long-stay residents with a urinary tract infection
0.2%
86% better than State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.5%
Percent of long-stay residents who lose too much weight
8.5%
40% worse than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.7%
Percent of long-stay residents who received an antipsychotic medication
10.7%
15% better than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
73.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
73.0%
20% worse than State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with State averageState average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.3%
61% worse than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
56% better than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.3%
29% worse than State averageState average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Orchard Rehabilitation & Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
90.9%
↑ 11.5pp vs 2022
Net Income
$1.2M
↑ ~$562.0K vs 2022
Total Payroll
$8.4M
↑ ~$836.8K vs 2022
Profit Margin
4.8%
↑ 1.9pp vs 2022
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