The Orchards at Three Rivers

55378 Wilbur Rd, Three Rivers, MI 49093 · (269) 279-7441
For profit - Corporation · 87 certified beds

The Orchards at Three Rivers has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 13 citations (the Michigan average is 9.9). It was fined 1 time in the last three years, $137,535 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on March 5, 2026 found 13 citations. What an inspection citation means

• Provide and implement an infection prevention and control program.March 5, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.March 5, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure medication error rates are not 5 percent or greater.March 5, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.March 5, 2026 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.March 5, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 5, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 5, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.March 5, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 5, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 5, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.March 5, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 5, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 5, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 46 citations.

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 5, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 5, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are fully informed and understand their health status, care and treatments.December 23, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 23, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 23, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 23, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 23, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 23, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 23, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 23, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 23, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.November 25, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 25, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.November 25, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.November 25, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 25, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 25, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.November 25, 2025 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.October 30, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.October 30, 2025 · F0605 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide activities to meet all resident's needs.October 30, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Observe each nurse aide's job performance and give regular training.October 30, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.October 30, 2025 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 30, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a plan that describes the process for conducting QAPI and QAA activities.October 30, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyOctober 30, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop, implement, and/or maintain an effective training program for all new and existing staff members.October 30, 2025 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.October 30, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide care by qualified persons according to each resident's written plan of care.August 4, 2025 · F0659 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 4, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.August 4, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 4, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.August 4, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.August 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 3, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 3, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 3, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 3, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.April 3, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.April 3, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.April 3, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 13, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 13, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 13, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 21, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Fine of $137,535October 30, 2025
• Medicare payment denial for 48 daysStarting December 3, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home