Total staff
174
Employees
169
Contractors
5
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Orchards at Northwest
Nursing Home, Assisted Living & Respite Care · Detroit, MI
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 Orchards at Northwest
Nursing Home, Assisted Living & Respite Care · Detroit, MI
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 Orchards at Northwest accepts Medicare, Medicaid, and private pay.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 90th out of 133 homes in Michigan. 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.
This home is ranked 90th out of 133 homes in Michigan. 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.
3h 47m per day
Rank #90 / 133Nurse hours — State benchmarkedThis home is ranked 90th out of 133 homes in Michigan. Shows adjusted nurse hours per resident per day benchmarked to the Michigan average, with a ranking across 133 Michigan SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Michigan avg
-12%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 19m per day | ▼ 6% State avg: 3h 32m per day · National avg: 3h 25m per day |
Types of Care at The Orchards at Northwest
Nursing Home
Assisted Living
Respite Care
Capacity and availability
This home usually has availability
Occupancy rate
83.3%
Rank #58 / 386Occupancy rate — State benchmarkedThis home is ranked 58th out of 386 homes in Michigan. Shows this facility's occupancy rate versus the Michigan average, with its Statewide rank out of 386. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
175 days
Walk Score: 51 / 100 Rank #208 / 703Walk Score — State benchmarkedThis home is ranked 208th out of 703 homes in Michigan. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Michigan SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.44:1
15% worse than Michigan average
Avg staff/day
64
Average shift
7.6 hours
0% compared with Michigan average
Total staff hours (quarter)
44,701
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
82
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.4%
192 contractor hours this quarter
Clinical Nurse Specialist: 3
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
82 Certified Nursing Assistant
% of Days
100%
44 Licensed Practical Nurse
% of Days
100%
5 RN Director of Nursing
% of Days
76%
4 Other Dietary Services Staff
% of Days
100%
7 Registered Nurse
% of Days
96%
5 Physical Therapy Aide
% of Days
88%
3 Speech Language Pathologist
% of Days
96%
5 Clinical Nurse Specialist
% of Days
70%
4 Respiratory Therapy Technician
% of Days
97%
3 Physical Therapy Assistant
% of Days
89%
1 Occupational Therapy Aide
% of Days
66%
1 Nurse Practitioner
% of Days
64%
1 Administrator
% of Days
63%
1 Dental Services Staff
% of Days
64%
1 Mental Health Service Worker
% of Days
61%
1 Dietitian
% of Days
51%
4 Qualified Social Worker
% of Days
46%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
21%
Penalties and fines
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)
Total fines amount
$16K Rank #86 / 136Federal fines — State benchmarkedThis home is ranked 86th out of 136 homes in Michigan. Shows this facility's cumulative CMS federal fine dollars versus the Michigan average among facilities with fines, and where it ranks among 136 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
79% lower than Michigan averageMichigan average: $76K
Number of fines
1
51% fewer fines than Michigan averageMichigan average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$16K
Michigan average
$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 21, 2024 · $16K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 21, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 21, 2024
$16K
Last updated: Jan 2026
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.
9.8
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
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
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
12.4%
Percent of long-stay residents whose need for help with daily activities has increased
12.4%
In line with Michigan averageMichigan average: 12.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.3%
Percent of long-stay residents whose ability to move independently worsened
18.3%
19% worse than Michigan averageMichigan average: 15.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.4%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
26% better than Michigan averageMichigan average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
7% better than Michigan averageMichigan average: 5.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
17% better than Michigan averageMichigan average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.4%
Percent of long-stay residents who lose too much weight
10.4%
83% worse than Michigan averageMichigan average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.3%
Percent of long-stay residents who have depressive symptoms
0.3%
93% better than Michigan averageMichigan average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.1%
Percent of long-stay residents who received an antipsychotic medication
12.1%
19% better than Michigan averageMichigan average: 15.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
12% worse than Michigan averageMichigan average: 94.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Michigan averageMichigan average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
56.1%
32% worse than Michigan averageMichigan average: 82.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
38% better than Michigan averageMichigan average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
61.5%
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.
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
42% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
38% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
121
Medicare
4
3.3% of residents
Medicaid
88
72.7% of residents
Private pay or other
29
24% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
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.
Financial Trends
Historical financial and operational data for The Orchards at Northwest based on CMS SNF Cost Reports.
Occupancy Rate
83.3%
↑ 8.3pp vs 2022
Net Income
$201.7K
↑ ~$67.0K vs 2022
Total Payroll
$6.2M
↑ ~$3.7M vs 2022
Profit Margin
1.6%
↓ 1.4pp vs 2022
Finances and operations
Privately-owned community
Operated by a single business entity.
Home revenue
$13.5M
Profit
$201.7K
Privately-owned community
Operated by a single business entity.
Home revenue
$13.5M Rank #86 / 134Revenue — State benchmarkedThis home is ranked 86th out of 134 homes in Michigan. Shows this facility's annual revenue compared to the Michigan SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$201.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #79 / 134Payroll — State benchmarkedThis home is ranked 79th out of 134 homes in Michigan. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #79 / 134Payroll — State benchmarkedThis home is ranked 79th out of 134 homes in Michigan. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.3M
What does this home offer?
Pets Allowed
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
Health Programs
Parking Available
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Orchards at Northwest
11.1 miles from city center
Estimated distance in miles from Detroit's city center to The Orchards at Northwest's address, calculated via Google Maps.
Calculate Travel Distance to The Orchards at Northwest
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Financial Assistance for
Nursing Home in Michigan
The Orchards at Northwest is located in Detroit, Michigan.
Here are the financial assistance programs available to residents in Michigan.
Compare Nursing Home around Detroit
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Filter by care type
| West Oaks Senior Care & Rehab 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). | Detroit (Berg-Lahser) | 102 | 81.5% | +8% | 4.39 | -26% | +2% | $0 | 16 | 2.0 | - | 97 | - | 59 | Rosemary Gardner | $13.9M | $7.1M | 51.6% | 235374 | ||||
| Qualicare Nursing Home |
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. | Detroit (Islandview) | 96 | 94.1% | +24% | 3.26 | -14% | -24% | $0 | 15 | 2.5 | 1 | 96 | A+ | 48 | Carney Bradford | $19.3M | $6.6M | 34.4% | 235622 | ||||
| Westwood 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). | Detroit (Harmony Village) | 121 | 65.1% | -14% | 3.15 | -27% | -27% | $68.8k | 44 | 4.9 | - | 113 | - | 76 | Amee Patel | $17.9M | $5.3M | 29.7% | 235444 | ||||
| Allegria Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Dearborn | 132 | 53.0% | -30% | 4.72 | -20% | +10% | $0 | 16 | 3.2 | 1 | 75 | F | 52 | Firo Operator LLC | $35.3M | $17.0M | 48.2% | 235593 | ||||
| The Orchards at Northwest |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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. | Detroit (Hubbell-Puritan) | 140 | 83.3% | +10% | 3.79 | -61% | -12% | $15.9k | 39 | 6.5 | 1 | 115 | - | 51 | Northwest Opco Holdco LLC | $13.5M | $6.2M | 46.3% | 235539 |
Frequently Asked Questions about The Orchards at Northwest
What neighborhood is The Orchards at Northwest in?
The Orchards at Northwest is in the Hubbell-Puritan neighborhood of Detroit.
Is The Orchards at Northwest in a walkable area?
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.
What is the occupancy rate at The Orchards at Northwest?
The Orchards at Northwest's occupancy is 83.3%.
What is the address of The Orchards at Northwest?
The Orchards at Northwest is located at 16181 Hubbell Street, Detroit, MI 48235.
What is the phone number of The Orchards at Northwest?
(313) 273-8764 will put you in contact with the team at The Orchards at Northwest.
Is The Orchards at Northwest Medicare or Medicaid certified?
Yes — The Orchards at Northwest is a CMS-certified provider of Medicare and Medicaid.
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