Elder Care Record

Michigan › Allegan County › Douglas

The Orchards At Douglas Cove

243 Wiley Road, Douglas, MI 49406

CCN 235447 · For-profit, individual · 51 certified beds · chain The Orchards Michigan

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 51 beds, The Orchards At Douglas Cove serves Douglas in Allegan County, Michigan and has taken Medicare and Medicaid residents since 1986.

CMS gives it 2 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.

Inspectors recorded 29 health deficiencies across the three most recent survey cycles (12, 14, 3 by cycle, most recent first), none at the actual-harm level. That is 56.9 per 100 beds, more than the state median of 29.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the Michigan median of 3.8; nursing staff turnover is 48.8%.

29health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.8
86%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityAllegan Co. medianMichigan medianUS average
Overall star rating2333.0
Health citations, 3 cycles29342928.7
Citations per 100 beds56.956.929.426.8
Total nurse hours per resident day3.63.63.83.9
RN hours per resident day0.40.90.70.7
Nursing staff turnover48.8%46.5%44.6%45.8%
Fines listed$0$14,020$0—

County and state figures are medians across facilities (6 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)12
Cycle 214
Cycle 33

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jul 2025, 18 Jul 2024.

Severity mix: D ×21 E ×2 F ×6

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
5 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation17 Mar 2026
5 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Mar 2026
5 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 Sep 2025
5 Sep 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation29 Sep 2025
5 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation29 Sep 2025
17 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Aug 2025
17 Jul 2025F0880Provide and implement an infection prevention and control program.FStandard survey25 Aug 2025
17 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey25 Aug 2025
17 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey25 Aug 2025
17 Jul 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey25 Aug 2025
17 Jul 2025F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DStandard survey25 Aug 2025
17 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey25 Aug 2025
21 May 2025F0908Keep all essential equipment working safely.DComplaint investigation16 Jun 2025
12 Mar 2025F0908Keep all essential equipment working safely.FComplaint investigation15 Apr 2025
12 Mar 2025F0728Ensure 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.DComplaint investigation9 Apr 2025
18 Jul 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint investigation21 Aug 2024
18 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Aug 2024
18 Jul 2024F0880Provide and implement an infection prevention and control program.FStandard survey21 Aug 2024
18 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey21 Aug 2024
18 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Aug 2024
18 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey21 Aug 2024
18 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey21 Aug 2024
18 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey21 Aug 2024
18 Jul 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey21 Aug 2024
18 Jul 2024F0758Implement 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.DStandard survey21 Aug 2024
18 Jul 2024F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey21 Aug 2024
7 Jun 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey6 Jul 2023
7 Jun 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey6 Jul 2023
7 Jun 2023F0679Provide activities to meet all resident's needs.DStandard survey6 Jul 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.58 h
Nurse aides2.14 h
LPN1.05 h
RN0.39 h
Weekend total3.08 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 48.8%, RNs 66.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.6%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.7%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.7%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.8%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.3%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.6%13.5%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, individual. Chain: The Orchards Michigan (15 facilities).

OrganisationRole in the CMS recordInterestSince
White Lake Healthcare LLCOperational/managerial controlNOT APPLICABLE11/01/2025
Douglas Cove Mi Opco LLCAdp of the snfNOT APPLICABLE11/01/2025
White Lake Healthcare LLCAdp of the snfNOT APPLICABLE11/01/2025

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 Allegan County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Allegan County Medical Care FacilityAllegan395551128.2—20 Feb 2026
Resthaven Care CenterHolland1453342920.0—5 Aug 2025
The Laurels of Sandy Creekabuse iconWayland993233434.3$14K26 Mar 2026
Ely Manorabuse iconSFF CandidateAllegan1011146362.4$158K30 Jun 2026
Life Care Center of PlainwellPlainwell1191148571.4$172K9 Apr 2026

All 6 facilities in Allegan County

Questions and answers

How many deficiencies has The Orchards At Douglas Cove been cited for?

29 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has The Orchards At Douglas Cove been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at The Orchards At Douglas Cove compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates The Orchards At Douglas Cove?

It is part of the The Orchards Michigan chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include White Lake Healthcare LLC. Individual owners and managers are not listed on this site.

When was The Orchards At Douglas Cove last inspected?

The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 17 Jul 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.