New York › Orleans County › Medina
Orchard Rehabilitation & Nursing Center
600 Bates Road, Medina, NY 14103
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 160 beds, Orchard Rehabilitation & Nursing Center serves Medina in Orleans County, New York and has taken Medicare and Medicaid residents since 1973.
CMS gives it 3 of 5 stars overall, equal to the New York median; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (7, 2, 9 by cycle, most recent first), none at the actual-harm level. That is 11.3 per 100 beds, about the same as the state median of 11.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the New York median of 3.5; nursing staff turnover is 53.8%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Orleans Co. median | New York median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 17 | 28.7 |
| Citations per 100 beds | 11.3 | 21.7 | 11.0 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 53.8% | 53.8% | 38.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 593 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: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2024, 25 Apr 2022.
Severity mix: D ×9 E ×7 F ×1 B ×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 |
|---|---|---|---|---|---|
| 2 Sep 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 28 Oct 2025 |
| 2 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 28 Oct 2025 |
| 16 Apr 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 Jun 2024 |
| 16 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Jun 2024 |
| 16 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Jun 2024 |
| 16 Apr 2024 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard survey | 6 Jun 2024 |
| 16 Apr 2024 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | B | Standard survey | 6 Jun 2024 |
| 25 Apr 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Jun 2022 |
| 25 Apr 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 15 Jun 2022 |
| 21 Jun 2019 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 9 Aug 2019 |
| 21 Jun 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 Aug 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 53.8%, RNs 26.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.3% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.6% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.7% | 12.4% | 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: for-profit, limited liability company. Legal business name: Orrnc Operating Llc. Chain: Personal Healthcare Management (21 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Orrnc Holdings LLC | 5% or greater direct ownership interest | 100% | 09/06/2016 |
| Orrnc Realty LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
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 Orleans County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Medina Memorial Hospital SNF | Medina | 30 | 4 | 5 | 4 | 8 | 26.7 | — | 24 May 2024 |
| The Villages of Orleans Health and Rehabilitation | Albion | 120 | 1 | 1 | 2 | 26 | 21.7 | $71K | 17 Nov 2025 |
All 3 facilities in Orleans County
Questions and answers
How many deficiencies has Orchard Rehabilitation & Nursing Center been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.
Has Orchard Rehabilitation & Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Orchard Rehabilitation & Nursing Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a New York median of 3.5 and a national average of 3.9.
Who operates Orchard Rehabilitation & Nursing Center?
It is part of the Personal Healthcare Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Orrnc Holdings LLC. Individual owners and managers are not listed on this site.
When was Orchard Rehabilitation & Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Sep 2025; the most recent standard health survey was 16 Apr 2024.
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.