Orchard Rehabilitation & Nursing Center

Orchard Rehabilitation & Nursing Center

Medina, NY 14103 View Map

Orchard Rehabilitation & Nursing Center is an Assisted Living Home in New York

Orchard Rehabilitation & Nursing… is an Assisted Living Home in New York

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Overview of 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

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.56/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5

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.

Similar demand to the state average
Occupancy rate 90.9%
Residents per day (avg) 137
Occupancy rate
90.9%
Residents per day (avg)
137

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

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

Proprietary home
Corporation
Home revenue
$25.0M
Profit
$1.2M
Proprietary home Corporation
Home revenue
$25,030,737.00
Profit
$1,196,699.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.0M
27.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.9M
Total costs $23.8M
Bed community size
160-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

License Status
Active
Facility Type
Nursing Home

Additional licensing details

License number: 3622304N
CMS Certification Number: 335397
County: Orleans

Ownership & operating entity

Owner name: ORRNC Holdings, LLC (For Profit)

Care Services

Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs

Amenities & Lifestyle

Programs & Activities

Specific Programs
Services, 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

135 complaints

84.4 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.

10 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

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.

Comparison Chart

The information below is reported by the New York State Department of Health.
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Orchard Rehabilitation & Nursing Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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160
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-
ORRNC HOLDINGS LLC
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Places of interest near Orchard Rehabilitation & Nursing Center

Address 0.0 miles from city center

Address Medina, NY 14103

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

169
Total Staff
169
Employees
0
Contractors
50,184
Total Hours (Quarter)
68
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse188.4 No
Licensed Practical Nurse2210.2 No
Certified Nursing Assistant997.9 No
Staff by Category
Administration
2 staff
7.4hs shift avg
Nursing Staff
139 staff
8.3hs shift avg
Physicians & Practitioners
1 staff
7.5hs shift avg
Therapy Services
16 staff
7.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
7.7hs shift avg
Dietary Services
8 staff
7.6hs shift avg
Other Services
2 staff
7.6hs shift avg
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant9909927,69591100%7.9
Licensed Practical Nurse220226,90591100%10.2
Registered Nurse180186,15591100%8.4
Speech Language Pathologist4041,5796774%7.8
Respiratory Therapy Technician4041,5116571%7.8
Other Dietary Services Staff7071,3098593%7.5
Physical Therapy Assistant4049156673%7.5
Physical Therapy Aide2028996369%7.8
Mental Health Service Worker2028656470%7.6
Occupational Therapy Aide2025157684%6
Dietitian1015046470%7.9
Qualified Social Worker1014656066%7.7
Nurse Practitioner1014606167%7.5
Administrator2024075560%7.4

Health Inspection History

Source: CMS Health Citations (Jun 2019 – Sep 2025)

4
Inspections
18
Total Citations
0
Critical (J-L)
0
Serious (G-I)
4.5
Citations/Inspection
Sep 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
1
Moderate (D-F)
17
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
6
33% of total
Pharmacy Services
3
17% of total
Administration
1
6% of total
Abuse, Neglect & Exploitation
1
6% of total
Citation Sources
Standard Inspections 16
Complaint Investigations 2
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Sep 02, 2025 F Nursing ServicesF0725 Corrected
Sep 02, 2025 E NutritionF0804 Corrected
Apr 16, 2024 B AdministrationF0848 Corrected
Apr 16, 2024 D Nursing ServicesF0728 Corrected
Apr 16, 2024 E NutritionF0804 Corrected
Apr 16, 2024 E NutritionF0812 Corrected
Apr 16, 2024 D Quality of CareF0689 Corrected
Apr 25, 2022 D Quality of CareF0686 Corrected
Apr 25, 2022 D Care PlanningF0656 Corrected
Jun 21, 2019 D Abuse/NeglectF0610 Corrected
Jun 21, 2019 E NutritionF0804 Corrected
Jun 21, 2019 E PharmacyF0756 Corrected
Jun 21, 2019 E PharmacyF0758 Corrected
Jun 21, 2019 E PharmacyF0761 Corrected
Jun 21, 2019 D Quality of CareF0677 Corrected
Jun 21, 2019 D Quality of CareF0684 Corrected
Jun 21, 2019 D Quality of CareF0685 Corrected
Jun 21, 2019 D Quality of CareF0695 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Resident Census by Payment Source
135 Total Residents
Medicare 6 (4.4%)
Medicaid 121 (89.6%)
Private Pay/Other 8 (5.9%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
12.5 Score
27% worse than avg avg: 9.8

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
25.8 Score
42% worse than avg avg: 18.1

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
22.2%
Lost Too Much Weight
8.5%
Urinary Tract Infection
0.2%
Depressive Symptoms
0.0%
Falls with Major Injury
3.4%
Pneumococcal Vaccine
73.0%
Antipsychotic Use
10.7%
Walking Ability Worsened
23.6%
Influenza Vaccine
94.4%
High Risk Residents with Pressure Ulcers
4.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
31.5%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
30.3% 61% worse than avg : 76.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.6% 56% better than avg : 1.3%
Influenza Vaccine
56.3% 29% worse than avg : 78.8%

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