Orchard Rehabilitation & Nursing Center

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Medina, NY

CMS overall rating

600 Bates Road, Medina, NY 14103 View map

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Orchard Rehabilitation & Nursing Center accepts Medicare, Medicaid, and private pay.

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Orchard Rehabilitation & Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Orchard Rehabilitation & Nursing Center

Located on Bates Road in Medina, New York, Orchard Rehabilitation & Nursing Center is a skilled nursing facility operated by ORRNC Holdings, LLC. The160-bed community accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

The facility has 89% occupancy, with residents staying an average of 171 days. The population is a mix of people recovering after hospitalization and those receiving ongoing skilled nursing care. Rehabilitation is the facility’s primary focus. Daily nurse staffing averages 3 hours and 34 minutes per resident. Residents are supported by registered nurses, nurse aides, and licensed practical nurses.

State inspections have identified issues related to food service practices, nursing adequacy, facility maintenance, and safety systems. The center has addressed identified deficiencies promptly. Corrections were completed within 2 months of the inspection findings. No life safety code violations have been cited.

The neighborhood has a Walk Score of 76, making it very walkable. Visiting family members can easily reach the facility and many nearby services while walking.

Facility Direct Line (585) 798-4100 info@orchardrnc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New York state averages

Total nursing care / resident

3h 34m per day

This facility New York avg (3h 35m per day)

vs New York avg

-1%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	28m per day	▼ 33% State avg: 42m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	32m per day	▼ 30% State avg: 46m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 59m per day	▼ 9% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 33m per day	▼ 20% State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	6m per day	▼ 16% State avg: 7m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 50% State avg: 28m per day · National avg: 28m per day

Capacity and availability

171 days

160-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 76 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

89%

Similar to the New York average: 88.3%

Occupied beds

142 / 160

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountyOrleans

License Number3622304N

CMS Certification Number335397

Orchard Rehabilitation & Nursing Center is legally operated by ORRNC Holdings, LLC (For Profit).

Owner NameOrrnc Holdings, LLC (For Profit)

Rehabilitation Services

Since 2016 · 10 years of data 2 enforcement actions 31 citations 151 complaints 19 inspections 24 complaint investigations

Inspection Score

10 points below the New York State average for nursing homes (83/100)

Enforcement Actions Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2016

2 enforcement actions

This facility has 2 enforcement actions. 33% of New York State nursing homes have zero, and the statewide average is 1.6.

February 2, 2021 Quality of Care #NH-21-089
April 25, 2016 Quality of Care #NH-16-180

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. New York State state average

Overall vs. NY average

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	31	13	This facility has 138% more total citations than a typical New York State nursing home (31 vs. NY avg 13).↑ 138% worse
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	27	20	This facility has 35% more health citations than a typical New York State nursing home (27 vs. NY avg 20).↑ 35% worse
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	4	4	This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg
Citations per inspection Average citations per inspection.	1.6	1.4	This facility has 14% more citations per inspection than a typical New York State nursing home (1.6 vs. NY avg 1.4).↑ 14% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NY Average	vs. NY Avg
Total inspections Combined count of all inspections conducted at this facility.	19	9	This facility has had 111% more total inspections than the New York State average (19 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↑ 111% more
Inspections with citations Inspections that resulted in at least one regulatory citation.	3	4	This facility has 25% fewer inspections with citations than a typical New York State nursing home (3 vs. NY avg 4).↓ 25% better
Inspection citation rate Percentage of inspections that resulted in at least one citation.	16%	44%	This facility has 28 percentage points lower inspection citation rate than a typical New York State nursing home (16% vs. NY avg 44%).↓ 28% better

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	151	79	This facility has 91% more total complaints than a typical New York State nursing home (151 vs. NY avg 79).↑ 91% worse
Complaints per year Average complaints per year since 2019.	21.6	11.3	This facility has 91% more complaints per year than a typical New York State nursing home (21.6 vs. NY avg 11.3).↑ 91% worse
Complaints per bed Size-adjusted complaint rate based on occupied beds.	1.01	0.50	This facility has 102% more complaints per bed than a typical New York State nursing home (1.01 vs. NY avg 0.5).↑ 102% worse
Complaint investigations On-site investigations triggered by complaints filed with New York State regulators.	24	15	This facility has 60% more complaint investigations than a typical New York State nursing home (24 vs. NY avg 15).↑ 60% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 2, 2025 inspection found two standard health deficiencies in food nutritive value and nursing staff sufficiency, with no life safety code issues.
April 16, 2024 inspection cited seven deficiencies including nurse aide hiring, food sanitation, accident hazards, and electrical and fire alarm system maintenance.
All deficiencies from April 16, 2024 and April 25, 2022 inspections were corrected within two months of the surveys.

Show Inspection Reports

Inspections since 2019

Total health inspections 4

New York State average 3.6

Last Health inspection on Sep 2025

Total health citations

New York State average 18.5

Citations per inspection

4.5

New York State average 5.05

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 7 years)

Critical health citations

100% better than New York State average

New York State average: 0.2

Serious health citations

100% better than New York State average

New York State average: 0.2

0 critical citations New York State average: 0.2

0 serious citations New York State average: 0.2

17 moderate citations New York State average: 17.4

1 minor citation New York State average: 0.7

Citations history (last 7 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

Employee Flu Vaccination Rate: 98%

Percentage of facility employees vaccinated against influenza.

Total Cases 4

Active Cases 1

Closed 3

Since 2020

Most Recent 2024

Next Court Date Apr 23, 2026

View full lawsuit report

Total staff 162

Employees 162

Contractors 0

Staff to resident ratio 1.20 : 1

585% more staff per resident than New York average

Avg staff/day 67

Average shift 8.2 hours

6% better than New York average

Total staff hours (quarter) 50,304

Nursing staff breakdown

8.3 hours

9.1 hours

8 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	93	93	27,614	92	100%	8
Licensed Practical Nurse	21	21	7,526	92	100%	9.1
Registered Nurse	20	20	6,076	92	100%	8.3
Other Dietary Services Staff	6	6	1,698	92	100%	7.4
Speech Language Pathologist	4	4	1,615	66	72%	8
Respiratory Therapy Technician	4	4	1,364	66	72%	7.7
Physical Therapy Assistant	5	5	1,027	65	71%	7.6
Mental Health Service Worker	2	2	851	62	67%	7.8
Qualified Social Worker	2	2	560	60	65%	7.8
Occupational Therapy Aide	2	2	526	82	89%	5.7
Nurse Practitioner	1	1	490	64	70%	7.7
Dietitian	1	1	484	60	65%	8.1
Administrator	1	1	473	63	68%	7.5

93 Certified Nursing Assistant

% of Days 100%

21 Licensed Practical Nurse

% of Days 100%

20 Registered Nurse

% of Days 100%

6 Other Dietary Services Staff

% of Days 100%

4 Speech Language Pathologist

% of Days 72%

4 Respiratory Therapy Technician

% of Days 72%

5 Physical Therapy Assistant

% of Days 71%

2 Mental Health Service Worker

% of Days 67%

2 Qualified Social Worker

% of Days 65%

2 Occupational Therapy Aide

% of Days 89%

1 Nurse Practitioner

% of Days 70%

1 Dietitian

% of Days 65%

1 Administrator

% of Days 68%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 12.5

27% worse than New York State average

New York State average: 9.8

Functional decline score 25.8

42% worse than New York State average

New York State average: 18.1

Long-stay resident measures

Above average New York State avg: 4.0

Need for Help with Daily Activities Increased 22.2%

35% worse than New York State average

New York State average: 16.4%

Walking Ability Worsened 23.6%

43% worse than New York State average

New York State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 31.5%

47% worse than New York State average

New York State average: 21.4%

Falls with Major Injury 3.4%

12% worse than New York State average

New York State average: 3.0%

High Risk Residents with Pressure Ulcers 4.6%

36% better than New York State average

New York State average: 7.2%

Urinary Tract Infection 0.2%

86% better than New York State average

New York State average: 1.4%

Lost Too Much Weight 8.5%

40% worse than New York State average

New York State average: 6.1%

Depressive Symptoms 0.0%

100% better than New York State average

New York State average: 18.1%

Antipsychotic Use 10.7%

15% better than New York State average

New York State average: 12.6%

Pneumococcal Vaccine 73.0%

20% worse than New York State average

New York State average: 91.4%

Influenza Vaccine 94.4%

In line with New York State average

New York State average: 95.2%

Hospitalizations per 1,000 days 1.44

16% better than New York State average

New York State average: 1.71

ED visits per 1,000 days 1.34

In line with New York State average

New York State average: 1.35

Short-stay resident measures

Average New York State avg: 3.5

Pneumococcal Vaccine 30.3%

61% worse than New York State average

New York State average: 76.6%

Antipsychotic medication increase 0.6%

56% better than New York State average

New York State average: 1.3%

Influenza Vaccine 56.3%

29% worse than New York State average

New York State average: 78.8%

Re-hospitalized after SNF stay 21.0%

In line with New York State average

New York State average: 20.6%

Emergency department visits 12.1%

25% worse than New York State average

New York State average: 9.7%

Falls with major injury 2.2%

182% worse than New York State average

New York State average: 0.8%

Ability to care for self at discharge 78.1%

46% better than New York State average

New York State average: 53.7%

Successful return to home or community 36.4%

28% worse than New York State average

New York State average: 50.6%

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

Total residents 135

Medicare

4.4% of residents

Medicaid

121

89.6% of residents

Private pay or other

5.9% of residents

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.

Financial Trends

Historical financial and operational data for Orchard Rehabilitation & Nursing Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 90.9% ↑ 11.5pp vs 2022

Net Patient Income $1.0M ↑ ~$616.9K vs 2022

Payroll Costs $7.7M ↑ ~$1.3M vs 2022

Operating Margin 6.6% ↑ 3.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	92.2%	93.1%	89.4%	95.1%	92.3%	90.8%	93.2%	89.9%	82.8%	76.3%	79.4%	90.9%
Beds	160	160	160	160	160	160	160	160	160	160	160	160
Net Income	-$57,080	-$185,530	-$276,718	-$42,498	-$12,067	-$201,852	$5,313,095	$2,998,350	-$67,172	-$3,988,259	$634,742	$1,196,699
Gross Revenue	$14,591,968	$15,074,556	$16,073,104	$18,007,265	$17,865,567	$17,448,128	$20,257,525	$18,783,436	$18,861,412	$19,412,083	$22,013,033	$24,880,075
Operating Expenses	$9,071,002	$9,644,063	$11,640,310	$13,286,591	$14,262,041	$14,356,703	$11,266,300	$12,307,379	$14,158,867	$17,933,434	$13,075,323	$14,912,565
Net Patient Income	-$112,155	-$116,226	-$281,890	-$46,229	-$16,421	-$545,919	$3,045,871	$2,933,076	-$1,098,828	-$6,367,848	$429,197	$1,046,048
Net Patient Revenue	$8,958,847	$9,527,837	$11,358,420	$13,240,362	$14,245,620	$13,810,784	$14,312,171	$15,240,455	$13,060,039	$11,565,586	$13,504,520	$15,958,613
Payroll Costs	$6,185,893	$6,530,265	$6,460,361	$7,397,288	$7,513,191	$7,470,348	$7,205,293	$6,067,435	$6,102,609	$5,591,409	$6,425,065	$7,698,075
Operating Margin %	-1.3%	-1.2%	-2.5%	-0.4%	-0.1%	-4.0%	21.3%	19.3%	-8.4%	-55.1%	3.2%	6.6%
Medicare %	4.6%	3.3%	9.6%	13.3%	13.0%	11.2%	10.6%	6.8%	7.3%	7.3%	6.9%	4.6%
Medicaid %	77.6%	78.3%	0.0%	0.0%	0.0%	0.0%	57.9%	51.3%	58.2%	72.7%	73.6%	72.5%
Private %	17.9%	18.4%	90.4%	86.7%	87.0%	88.8%	31.5%	41.9%	34.5%	20.0%	19.5%	22.8%
Net Patient Revenue/Day	$166	$175	$218	$238	$264	$260	$263	$290	$269	$260	$291	$301
Cost/Day	$168	$177	$223	$239	$265	$270	$207	$235	$292	$403	$282	$281
Avg Length of Stay	267.9 days	293.2 days	191.3 days	148.5 days	131.1 days	142.9 days	124.3 days	139.2 days	135.1 days	154.7 days	142.2 days	171.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$16.0M

Net patient income

$1.0M

For-profit Operated by a single business entity.

Net patient revenue

$16.0M

Net patient income

$1.0M

Other income

$150.7K

Payroll costs

$7.7M 48.2% of net patient revenue

Other operating costs

$7.2M

Total costs

$14.9M

TYPE OF STAY

Mostly long-term care residents

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

Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 17%

Private pay 56%

Medicaid 27%

Coverage residents most often leave under.

Medicare 8%

Private pay 57%

Medicaid 35%

0.0 miles from city center Estimated distance in miles from Medina's city center to Orchard Rehabilitation & Nursing Center's address, calculated via Google Maps.

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Nursing Home Explorer

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled

General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $30,182 individual, higher due to NY Medicaid expansion

Higher asset limit; urban density increases demand.

Benefits

Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+

General New York resident, at risk of decline but not nursing home level.

Income Limits ~$2,500/month individual, varies

Asset Limits $15,000 individual

Cost-sharing required above certain income; urban/rural balance.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Who is the owner of Orchard Rehabilitation & Nursing Center?

Orchard Rehabilitation & Nursing Center is legally operated by ORRNC Holdings, LLC (For Profit).

Is Orchard Rehabilitation & Nursing Center in a walkable area?

Orchard Rehabilitation & Nursing Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Orchard Rehabilitation & Nursing Center?

According to NY state health department records, Orchard Rehabilitation & Nursing Center's license number is 3622304N.

What is the occupancy rate at Orchard Rehabilitation & Nursing Center?

Orchard Rehabilitation & Nursing Center's occupancy is 89%.

Are pets allowed at Orchard Rehabilitation & Nursing Center?

No, Orchard Rehabilitation & Nursing Center has a no-pet policy.

Does Orchard Rehabilitation & Nursing Center operate as a for-profit or non-profit?

Orchard Rehabilitation & Nursing Center is registered as a for-profit in NY.

How many beds does Orchard Rehabilitation & Nursing Center have?

Orchard Rehabilitation & Nursing Center has 160 beds.

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Orchard Rehabilitation & Nursing Center

Overview of Orchard Rehabilitation & Nursing Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Orchard Rehabilitation & Nursing Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Complaints & Investigations Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Infection Prevention & Vaccination

Lawsuit overview for Orchard Rehabilitation & Nursing Center

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

93 Certified Nursing Assistant

21 Licensed Practical Nurse

20 Registered Nurse

6 Other Dietary Services Staff

4 Speech Language Pathologist

4 Respiratory Therapy Technician

5 Physical Therapy Assistant

2 Mental Health Service Worker

2 Qualified Social Worker

2 Occupational Therapy Aide

1 Nurse Practitioner

1 Dietitian

1 Administrator

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Orchard Rehabilitation & Nursing Center

Calculate Travel Distance to Orchard Rehabilitation & Nursing Center

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Financial Assistance for Nursing Home in New York

Community First Choice Option

Expanded In-Home Services for the Elderly Program (EISEP)

Guides for Better Senior Living

Financial Assistance for
Nursing Home in New York