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.
Nestled in Warren, Michigan, The Orchards of Michigan is dedicated to delivering compassionate and expert care, ensuring a life of comfort and fulfillment for senior residents. This assisted living community offers assisted living, short-term stays, skilled nursing care/post-surgical recovery, memory care, long-term care, and respite care.
Their dedicated team also assists in coordinating hospice and additional care services. Rigorous inspections of the skilled nursing facilities are conducted by both the federal government under Medicare (CMS) and Michigan’s Licensing and Regulatory Affairs (LARA) on an annual basis.
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 142 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.
| 18m per day | ▼ 61% 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 10m per day | ▲ 32% 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 53m per day | ▼ 21% State avg: 2h 23m per day · National avg: 2h 21m 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 1m per day | ▼ 14% State avg: 3h 31m 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.
| 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.
| 11m per day | ▼ 62% State avg: 29m per day · National avg: 29m per day |
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 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 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.
9 hoursHelps with daily care and mobility.
All 75 CNA Staff are full-time employees. No contractors work on this role.
75
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
481 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 75 | 0 | 75 | 21,147 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 44 | 0 | 44 | 12,970 | 92 | 100% | 9 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,020 | 92 | 100% | 7.1 |
| Registered Nurse | 9 | 0 | 9 | 1,618 | 90 | 98% | 8.1 |
| Clinical Nurse Specialist | 3 | 3 | 6 | 1,302 | 72 | 78% | 7.8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,042 | 79 | 86% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 965 | 63 | 68% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 937 | 71 | 77% | 7.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 754 | 71 | 77% | 5.7 |
| Qualified Social Worker | 4 | 0 | 4 | 587 | 72 | 78% | 6.5 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 485 | 63 | 68% | 7.7 |
| Mental Health Service Worker | 1 | 1 | 2 | 479 | 57 | 62% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Medical Director | 0 | 1 | 1 | 218 | 29 | 32% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 40 | 5 | 5% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 37 | 3 | 3% | 12.4 |
Includes penalties issued in 2023
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)
72% 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
Aug 2, 2023 · $21K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 2, 2023Last 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.
12.2
45% worse than Michigan averageMichigan average: 8.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.1
42% worse than Michigan averageMichigan average: 16.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.5%
72% worse than Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
23.2%
51% worse than Michigan averageMichigan average: 15.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.7%
17% worse than Michigan averageMichigan average: 21.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
70% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.3%
26% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
0.5%
72% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
10.8%
91% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
1.1%
71% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
16.4%
9% worse than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
In line with Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.2%
13% worse than Michigan averageMichigan average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.22
30% better than Michigan averageMichigan average: 1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.90
42% better than Michigan averageMichigan average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.2%
31% worse than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
178% worse than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
54.3%
32% worse than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.6%
23% better than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.9%
66% better than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.5%
26% worse than Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
28% of new residents, usually for short-term rehab.
46% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
119Residents 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 Michigan – Warren from 2012–2023, based on CMS SNF Cost Reports.
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 #78 / 143Payroll — State benchmarkedThis home is ranked 78th out of 143 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.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 #64 / 143Payroll % — State benchmarkedThis home is ranked 64th out of 143 homes in Michigan. Shows payroll as a percentage of revenue versus the Michigan average. Well-run Michigan facilities typically land around 49–59% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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).
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 (46% 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.
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
| St. Anthony Healthcare Center | NH HC MC NC PC RC | Warren | 142
Facility
142
MI AVG
75
Rank
#40 / 435 |
91.8%
Facility
91.8%
MI AVG
75.8%
Rank
#22 / 395 | +21% | 3.94
Facility
3.94
MI AVG
4.30
Rank
#77 / 142 | -55% | -8% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 18
Facility
18
MI AVG
33.5
Rank
#34 / 144 | 3.0
Facility
3.0
MI AVG
5.2
Rank
#16 / 144 | 2 | 130 | - |
61
Facility
61
MI AVG
39
Rank
#125 / 703 | Erin Ledington | $19.3M
Facility
$19.3M
MI AVG
$15.8M
Rank
#9 / 143 | $9.8M
Facility
$9.8M
MI AVG
$5.6M
Rank
#24 / 143 | 50.7%
Facility
50.7%
MI AVG
39%
Rank
#124 / 143 | 235408 | ||||
| Villa at City Center | NH MC PC | Warren | 152
Facility
152
MI AVG
75
Rank
#31 / 435 |
90.6%
Facility
90.6%
MI AVG
75.8%
Rank
#29 / 395 | +20% | 3.77
Facility
3.77
MI AVG
4.30
Rank
#94 / 142 | -53% | -12% | $8.5k
Facility
$8.5k
MI AVG
$87.6k
Rank
#87 / 145 | 45
Facility
45
MI AVG
33.5
Rank
#102 / 144 | 5.6
Facility
5.6
MI AVG
5.2
Rank
#85 / 144 | 4 | 144 | - |
59
Facility
59
MI AVG
39
Rank
#137 / 703 | - | $17.3M
Facility
$17.3M
MI AVG
$15.8M
Rank
#41 / 143 | $7.6M
Facility
$7.6M
MI AVG
$5.6M
Rank
#57 / 143 | 44.1%
Facility
44.1%
MI AVG
39%
Rank
#126 / 143 | 235325 | ||||
| Windemere Park of Warren | NH AL HC IL MC RC | Warren | 92
Facility
92
MI AVG
75
Rank
#156 / 435 |
53.3%
Facility
53.3%
MI AVG
75.8%
Rank
#184 / 395 | -30% | 4.30
Facility
4.30
MI AVG
4.30
Rank
#46 / 142 | -40% | 0% | $0
Facility
$0
MI AVG
$87.6k
Rank
#1 / 145 | 22
Facility
22
MI AVG
33.5
Rank
#50 / 144 | 4.4
Facility
4.4
MI AVG
5.2
Rank
#55 / 144 | - | 55 | A+ |
48
Facility
48
MI AVG
39
Rank
#232 / 703 | Windemere Group LLC | $9.1M
Facility
$9.1M
MI AVG
$15.8M
Rank
#104 / 143 | $4.3M
Facility
$4.3M
MI AVG
$5.6M
Rank
#112 / 143 | 47.9%
Facility
47.9%
MI AVG
39%
Rank
#93 / 143 | 235714 | ||||
| The Orchards Michigan – Warren | NH AL | Warren | 134
Facility
134
MI AVG
75
Rank
#51 / 435 |
89.5%
Facility
89.5%
MI AVG
75.8%
Rank
#36 / 395 | +18% | 3.78
Facility
3.78
MI AVG
4.30
Rank
#94 / 142 | -48% | -12% | $21.3k
Facility
$21.3k
MI AVG
$87.6k
Rank
#97 / 145 | 36
Facility
36
MI AVG
33.5
Rank
#84 / 144 | 5.1
Facility
5.1
MI AVG
5.2
Rank
#76 / 144 | 3 | 122 | - |
49
Facility
49
MI AVG
39
Rank
#223 / 703 | Warren Snf Holdco LLC | $14.6M
Facility
$14.6M
MI AVG
$15.8M
Rank
#77 / 143 | $5.8M
Facility
$5.8M
MI AVG
$5.6M
Rank
#78 / 143 | 39.7%
Facility
39.7%
MI AVG
39%
Rank
#64 / 143 | 235509 |
The Orchards Michigan – Warren is located in Warren, Michigan.
Here are the financial assistance programs available to residents in Michigan.
The Orchards Michigan – Warren has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
The Orchards Michigan – Warren's occupancy is 89.5%.
The Orchards Michigan – Warren is registered as a for-profit.
Yes — there are 24 photos of The Orchards Michigan – Warren in the photo gallery on this page.
(586) 751-6200 will put you in contact with the team at The Orchards Michigan – Warren.
Yes — The Orchards Michigan – Warren is a CMS-certified provider of Medicare and Medicaid.
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