Michigan › St. Joseph County › Three Rivers
The Orchards At Three Rivers
55378 Wilbur Rd, Three Rivers, MI 49093
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.
The Orchards At Three Rivers, in Three Rivers, Michigan, is certified for 87 beds under for-profit, corporation ownership and belongs to the The Orchards Michigan chain.
CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 70 health deficiencies across the three most recent survey cycles (45, 17, 8 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 80.5 per 100 beds, more than the state median of 29.4.
CMS lists 2 penalties in the period covered: fines totalling $138K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Michigan median of 3.8; nursing staff turnover is 48.1%.
CMS flags that the facility is a Special Focus Facility candidate and changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | St. Joseph Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 70 | 70 | 29 | 28.7 |
| Citations per 100 beds | 80.5 | 77.0 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.1 | 3.8 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 48.1% | 47.7% | 44.6% | 45.8% |
| Fines listed | $137,535 | $55,738 | $0 | — |
County and state figures are medians across facilities (4 in the county, 422 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: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 15 Nov 2024.
Severity mix: J ×1 G ×2 D ×38 E ×15 F ×14
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 |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 30 Mar 2026 |
| 5 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Mar 2026 |
| 5 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 6 May 2026 |
| 5 Mar 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Mar 2026 |
| 5 Mar 2026 | F0887 | Educate 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. | D | Standard survey | 6 May 2026 |
| 23 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 20 Jan 2026 |
| 23 Dec 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. | E | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0803 | Ensure 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. | E | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Jan 2026 |
| 25 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Jan 2026 |
| 30 Oct 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | J | Complaint investigation | 31 Oct 2025 |
| 30 Oct 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 20 Nov 2025 |
| 30 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Nov 2025 |
| 4 Aug 2025 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | E | Complaint investigation | 29 Aug 2025 |
| 4 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint investigation | 29 Aug 2025 |
| 4 Aug 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 29 Aug 2025 |
| 4 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Aug 2025 |
| 4 Aug 2025 | 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. | D | Complaint investigation | 29 Aug 2025 |
| 4 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Aug 2025 |
| 3 Apr 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0803 | Ensure 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. | F | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Apr 2025 |
| 3 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Apr 2025 |
| 15 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0887 | Educate 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. | D | Standard survey | 13 Dec 2024 |
| 15 Nov 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard survey | 13 Dec 2024 |
| 13 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Jul 2024 |
| 13 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 12 Jul 2024 |
| 13 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Jul 2024 |
| 21 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 9 Apr 2024 |
| 4 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Oct 2023 |
| 4 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Oct 2025 | Payment denial | — | 48 days |
| 30 Oct 2025 | Fine | $137,535 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 48.1%, RNs 72.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.2% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.6% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.2% | 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, corporation. Legal business name: Edgwood Mi Opco Llc. Chain: The Orchards Michigan (15 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| White Lake Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2025 |
| White Lake Healthcare LLC | Adp of the snf | NOT APPLICABLE | 11/01/2025 |
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 St. Joseph County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fairview Nursing and Rehabilitation Community | Centreville | 64 | 4 | 3 | 4 | 23 | 35.9 | $56K | 21 Nov 2025 |
| Froh Community Home | Sturgis | 65 | 3 | 3 | 3 | 19 | 29.2 | — | 21 May 2025 |
| Optalis Health and Rehabilitation of Three Riversabuse icon | Three Rivers | 100 | 1 | 1 | 2 | 77 | 77.0 | $41K | 30 Jun 2026 |
All 4 facilities in St. Joseph County
Questions and answers
How many deficiencies has The Orchards At Three Rivers been cited for?
70 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has The Orchards At Three Rivers been fined?
Yes. CMS lists fines totalling $138K in the period covered, plus 1 payment denial.
How does staffing at The Orchards At Three Rivers compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates The Orchards At Three Rivers?
It is part of the The Orchards Michigan chain. Ownership type is for-profit, corporation. 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 Three Rivers last inspected?
The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 5 Mar 2026.
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.