Wisconsin › Grant County › Lancaster
Orchard Manor
8800 Hwy 61, Lancaster, WI 53813
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 74 beds, Orchard Manor serves Lancaster in Grant County, Wisconsin and has taken Medicare and Medicaid residents since 1978.
CMS gives it 5 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 5, staffing 5 and quality measures 3.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (0, 5, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 12.2 per 100 beds, fewer than the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $22K and 1 payment denial.
Reported nurse staffing is 4.5 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 26.8%.
Compared with county, state and nation
| Measure | This facility | Grant Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 18 | 21 | 28.7 |
| Citations per 100 beds | 12.2 | 36.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.5 | 3.8 | 4.0 | 3.9 |
| RN hours per resident day | 1.0 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 26.8% | 45.2% | 46.2% | 45.8% |
| Fines listed | $22,425 | $104,515 | $0 | — |
County and state figures are medians across facilities (7 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Dec 2025, 15 Aug 2024.
Severity mix: G ×2 D ×5 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 28 Aug 2024 |
| 15 Aug 2024 | F0687 | Provide appropriate foot care. | E | Standard survey | 11 Sep 2024 |
| 15 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 11 Sep 2024 |
| 15 Aug 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 11 Sep 2024 |
| 15 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Sep 2024 |
| 17 May 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard survey | 15 Jun 2023 |
| 17 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Jun 2023 |
| 17 May 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 15 Jun 2023 |
| 17 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Aug 2024 | Payment denial | — | 1 days |
| 15 Aug 2024 | Fine | $22,425 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 26.8%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.4% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: County Of Grant.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Grant | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/1976 |
| County of Grant | Operational/managerial control | NOT APPLICABLE | 01/01/1976 |
| County of Grant | Adp of the snf | NOT APPLICABLE | 01/01/1976 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Grant County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Care and Rehab - Boscobel | Boscobel | 50 | 4 | 4 | 4 | 3 | 6.0 | $158K | 30 Jan 2025 |
| Edenbrook of Platteville | Platteville | 80 | 4 | 4 | 4 | 9 | 11.3 | — | 11 Jun 2026 |
| Dove Healthcare - Fennimore | Fennimore | 50 | 2 | 2 | 4 | 29 | 58.0 | $105K | 2 Dec 2025 |
| Lancaster Health Services | Lancaster | 50 | 2 | 2 | 4 | 18 | 36.0 | — | 19 Aug 2025 |
| St Dominic Villa | Hazel Green | 62 | 2 | 1 | 5 | 34 | 54.8 | $129K | 22 Dec 2025 |
| Rivers Edge Nursing and Rehab | Muscoda | 58 | 1 | 1 | 2 | 111 | 191.4 | $407K | 16 Jun 2026 |
All 7 facilities in Grant County
Questions and answers
How many deficiencies has Orchard Manor been cited for?
9 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Orchard Manor been fined?
Yes. CMS lists fines totalling $22K in the period covered, plus 1 payment denial.
How does staffing at Orchard Manor compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Orchard Manor?
Ownership type is government, county. Organisations in the CMS ownership record include County of Grant and County of Grant. Individual owners and managers are not listed on this site.
When was Orchard Manor last inspected?
The most recent survey or investigation in the CMS record is dated 15 Aug 2024; the most recent standard health survey was 16 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.