1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Be the best version of yourself with the help of The Orchards at Northwest, a premiere community in Detroit, MI, offering skilled nursing, rehabilitation, long-term care, and memory care. They go above and beyond in providing residents with everything they need to maintain their well-being, including daily living assistance, 24/7 physician services, and access to various therapy services. To ensure residents are well-cared for even in the final stages of their lives, the community provides compassionate hospice care to guide them and their families throughout their end-of-life journey.
With an array of daily activities, social events, and exercise programs to engage in, residents can easily maintain an active and well-connected lifestyle. Fresh, nutritious meals are also available to residents with accommodations for special diets. The community also features a wide array of convenient amenities, including a salon, access to podiatry services, and housekeeping services for residents’ comfort. Whether you’re seeking comfort, fun, or recreational opportunities, The Orchards at Northwest is the place to be.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 94th out of 140 homes in Michigan for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 15m per day | ▼ 68% State avg: 46m 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.
| 1h 25m per day | ▲ 59% State avg: 53m 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 | ▼ 15% State avg: 2h 20m 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.
| 3h 11m per day | ▼ 9% State avg: 3h 31m per day · National avg: 3h 27m 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.
| 4m per day | ■ Avg State avg: 4m 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.
| 7m per day | ▼ 76% State avg: 29m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident than Michigan average
0% compared with Michigan average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursAssists with medical care and medications.
All 44 LPN Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 82 CNA Staff are full-time employees. No contractors work on this role.
82
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
192 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 82 | 0 | 82 | 20,535 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 44 | 0 | 44 | 13,013 | 92 | 100% | 8.8 |
| RN Director of Nursing | 5 | 0 | 5 | 1,638 | 70 | 76% | 7.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,257 | 92 | 100% | 8.2 |
| Registered Nurse | 7 | 0 | 7 | 1,203 | 88 | 96% | 6.8 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,051 | 81 | 88% | 6.6 |
| Speech Language Pathologist | 3 | 0 | 3 | 902 | 88 | 96% | 6.2 |
| Clinical Nurse Specialist | 2 | 3 | 5 | 868 | 64 | 70% | 8.3 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 715 | 89 | 97% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 497 | 82 | 89% | 5.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 456 | 58 | 63% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 455 | 59 | 64% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 376 | 47 | 51% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 260 | 42 | 46% | 5.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 3 | 3% | 11.5 |
| Medical Director | 0 | 1 | 1 | 33 | 19 | 21% | 1.7 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
79% lower than Michigan averageMichigan average: $76K
51% fewer fines than Michigan averageMichigan average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Michigan averageMichigan average: 0.8
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 21, 2024 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 21, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
16% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
8% worse than Michigan averageMichigan average: 16.3
Percent of long-stay residents whose need for help with daily activities has increased
12.4%
In line with Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
18.3%
19% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.4%
6% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
26% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.3%
7% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
1.4%
17% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
10.4%
83% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
0.3%
93% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
12.1%
19% better than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
12% worse than Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Michigan averageMichigan average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.1%
32% worse than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
38% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
61.5%
23% worse than Michigan averageMichigan average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
38% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
121Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for The Orchards at Northwest from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #86 / 141Payroll — State benchmarkedThis home is ranked 86th out of 141 homes in Michigan for Payroll. Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #53 / 141Payroll % — State benchmarkedThis home is ranked 53rd out of 141 homes in Michigan for Payroll %. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 48–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Michigan that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
Health Programs
Parking Available
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (42% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
9.4 miles from city center
Estimated distance in miles from Detroit's city center to The Orchards at Northwest's address, calculated via Google Maps.
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The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| West Oaks Senior Care & Rehab Center | NH SNF | W Detroit (Berg-Lahser) | 102
Facility
102
MI AVG
74
Rank
#117 / 431 |
96.9%
Facility
96.9%
MI AVG
73.9
Rank
#7 / 126 | +31% | 4.39
Facility
4.39
MI AVG
4.30
Rank
#40 / 140 | -26% | +2% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 143 | 16
Facility
16
MI AVG
33.5
Rank
#28 / 142 | 2.0
Facility
2.0
MI AVG
5.2
Rank
#5 / 142 | - | 99 | - |
59
Facility
59
MI AVG
39
Rank
#137 / 703 | Rosemary Gardner | $10.5MFiscal year ending 12/2023
Facility
$10.5MFiscal year ending 12/2023
MI AVG
$15.8M
Rank
#91 / 141 | $6.6MFiscal year ending 12/2023
Facility
$6.6MFiscal year ending 12/2023
MI AVG
$5.6M
Rank
#71 / 141 | 62.8%Fiscal year ending 12/2023
Facility
62.8%Fiscal year ending 12/2023
MI AVG
39%
Rank
#33 / 141 | 235374 | ||||
| OakPointe Senior Care & Rehab Center | NH SNF | Detroit (Schulze) | 106
Facility
106
MI AVG
74
Rank
#104 / 431 |
92.4%
Facility
92.4%
MI AVG
73.9
Rank
#30 / 126 | +25% | 4.36
Facility
4.36
MI AVG
4.30
Rank
#40 / 140 | -17% | +1% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 143 | 14
Facility
14
MI AVG
33.5
Rank
#21 / 142 | 4.7
Facility
4.7
MI AVG
5.2
Rank
#63 / 142 | - | 98 | - |
67
Facility
67
MI AVG
39
Rank
#88 / 703 | Thomas Ensign | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
MI AVG
$15.8M
Rank
#64 / 141 | $8.0MFiscal year ending 12/2023
Facility
$8.0MFiscal year ending 12/2023
MI AVG
$5.6M
Rank
#51 / 141 | 60.3%Fiscal year ending 12/2023
Facility
60.3%Fiscal year ending 12/2023
MI AVG
39%
Rank
#60 / 141 | 235207 | ||||
| Allegria Village | NH AL IL MC SNF | Dearborn | 132
Facility
132
MI AVG
74
Rank
#52 / 431 |
53.0%
Facility
53.0%
MI AVG
73.9
Rank
#100 / 126 | -28% | 4.72
Facility
4.72
MI AVG
4.30
Rank
#32 / 140 | -20% | +10% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 143 | 16
Facility
16
MI AVG
33.5
Rank
#28 / 142 | 3.2
Facility
3.2
MI AVG
5.2
Rank
#27 / 142 | 1 | 70 | D- |
52
Facility
52
MI AVG
39
Rank
#201 / 703 | Firo Operator LLC | $30.4MFiscal year ending 12/2023
Facility
$30.4MFiscal year ending 12/2023
MI AVG
$15.8M
Rank
#8 / 141 | $17.0MFiscal year ending 12/2023
Facility
$17.0MFiscal year ending 12/2023
MI AVG
$5.6M
Rank
#9 / 141 | 56%Fiscal year ending 12/2023
Facility
56%Fiscal year ending 12/2023
MI AVG
39%
Rank
#48 / 141 | 235593 | ||||
| Boulevard Temple Care Center | NH HOS RC SNF | Detroit (Henry Ford) | 124
Facility
124
MI AVG
74
Rank
#66 / 431 |
92.3%
Facility
92.3%
MI AVG
73.9
Rank
#32 / 126 | +25% | 4.49
Facility
4.49
MI AVG
4.30
Rank
#37 / 140 | -60% | +5% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 143 | 19
Facility
19
MI AVG
33.5
Rank
#35 / 142 | 3.8
Facility
3.8
MI AVG
5.2
Rank
#39 / 142 | 1 | 114 | - |
76
Facility
76
MI AVG
39
Rank
#47 / 703 | Lisa Dimitrie | $13.2MFiscal year ending 12/2023
Facility
$13.2MFiscal year ending 12/2023
MI AVG
$15.8M
Rank
#45 / 141 | $7.6MFiscal year ending 12/2023
Facility
$7.6MFiscal year ending 12/2023
MI AVG
$5.6M
Rank
#52 / 141 | 57.7%Fiscal year ending 12/2023
Facility
57.7%Fiscal year ending 12/2023
MI AVG
39%
Rank
#99 / 141 | 235498 | ||||
| The Orchards at Northwest | NH AL MC RC | Detroit (Hubbell-Puritan) | 154
Facility
154
MI AVG
74
Rank
#26 / 431 |
73.2%
Facility
73.2%
MI AVG
73.9
Rank
#77 / 126 | -1% | 3.79
Facility
3.79
MI AVG
4.30
Rank
#94 / 140 | -61% | -12% | $15.9k
Facility
$15.9k
MI AVG
$87.6k
Rank
#96 / 143 | 39
Facility
39
MI AVG
33.5
Rank
#92 / 142 | 6.5
Facility
6.5
MI AVG
5.2
Rank
#101 / 142 | 1 | 113 | - |
51
Facility
51
MI AVG
39
Rank
#208 / 703 | Northwest Opco Holdco LLC | $12.9MFiscal year ending 12/2023
Facility
$12.9MFiscal year ending 12/2023
MI AVG
$15.8M
Rank
#95 / 141 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
MI AVG
$5.6M
Rank
#86 / 141 | 48.1%Fiscal year ending 12/2023
Facility
48.1%Fiscal year ending 12/2023
MI AVG
39%
Rank
#53 / 141 | 235539 |
The Orchards at Northwest is located in Detroit, Michigan.
Here are the financial assistance programs available to residents in Michigan.
The Orchards at Northwest is in the Hubbell-Puritan neighborhood of Detroit.
The Orchards at Northwest has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
The Orchards at Northwest's occupancy is 83.3%.
The Orchards at Northwest is registered as a for-profit in MI.
Yes — there are 4 photos of The Orchards at Northwest in the photo gallery on this page.
The Orchards at Northwest is located at 16181 Hubbell Street, Detroit, MI 48235.
(313) 273-8764 will put you in contact with the team at The Orchards at Northwest.
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