Facility type
Nursing Home
Status
Active
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Assisted Living Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
$25,030,737.00
Profit
$1,196,699.00
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
License details
County:
Orleans
Additional licensing details
License number:
3622304N
CMS Certification Number:
335397
Ownership & operating entity
Owner name:
ORRNC Holdings, LLC (For Profit)
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
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
New York average: 9 inspections (5 with citations)
Show Inspection Reports
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: 93 complaints
Latest inspection
Date:September 2, 2025
Type:Complaint Investigation
10 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.
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 inspections
4
State average N/A
Last Health inspection on Sep 2025
Total health citations
18
Citations per inspection
4.5
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
Sep 02, 2025
Corrected
Nutrition moderate citation
Sep 02, 2025
Corrected
Administration minor citation
Apr 16, 2024
Corrected
Nursing Services moderate citation
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.
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.
NY 14103
160
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HC
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SNF
Nursing Homes 24/7 care needed
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Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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16
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AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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-
Places of interest near Orchard Rehabilitation & Nursing Center
0.0 miles from city center
Medina, NY 14103
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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 Nurse | 18 | 8.4 | No |
| Licensed Practical Nurse | 22 | 10.2 | No |
| Certified Nursing Assistant | 99 | 7.9 | 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 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 |
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
$1,196,699
↑ ~$562K vs 2022
Total Payroll
$8,432,574
↑ ~$837K vs 2022
Profit Margin
4.8%
↑ 1.9pp vs 2022
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