PlainNursing
CMS Nursing Home Compare · August 2026

The Orchards at Harper Woods

19840 Harper Avenue, Harper Woods, MI 48225

The Orchards at Harper Woods, a 151-bed for profit - corporation nursing facility in Harper Woods, MI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #408 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3138819556

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1 / 5
Much below average · CMS overall · nat'l 3.0
#408 of 420
In-state rank among rated MI homes
3.71
About average · nurse hrs/day · nat'l 3.86
49
Inspection findings

The verdict

The Orchards at Harper Woods, a 151-bed for profit - corporation nursing facility in Harper Woods, MI, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #408 of 420 rated homes in MI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

1 / 5
CMS overall · national 3.0
#408 of 420
In-state rank among rated MI homes
3.71
Nurse hrs/resident-day · national 3.86
49
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 422 MI nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
235480
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
151
Residents
131
In Hospital
No
County
Wayne
Last Inspection
May 7, 2026

Staffing Data

How the 3.71 total nursing hours per resident-day are staffed:

RN Hours
0.27 (nat'l avg: 0.69)
LPN Hours
1.13
CNA Hours
2.31
Total Nursing Hours
3.71 (nat'l avg: 3.86)
PT Hours
0.03

What the CMS Record Reveals About The Orchards at Harper Woods

According to CMS Nursing Home Compare, The Orchards at Harper Woods ranks #408 of 420 rated nursing homes in MI on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Orchards at Harper Woods operates 151 certified beds in Harper Woods, MI with approximately 131 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 2★).

The inspection file contains 49 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.71 total hours per resident day (national average 3.86); RN hours specifically are 0.27 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, The Orchards at Harper Woods falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (49 most recent)

D - Isolated - Minimal harm May 7, 2026 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 11, 2026

E - Pattern - Minimal harm May 7, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

F - Widespread - Minimal harm May 7, 2026 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 8, 2026

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 25, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 15, 2025

F - Widespread - Minimal harm Mar 25, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 15, 2025

F - Widespread - Minimal harm Mar 25, 2025 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Dec 12, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Dec 30, 2024

D - Isolated - Minimal harm Nov 6, 2024 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Nov 19, 2024

D - Isolated - Minimal harm Oct 9, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Oct 25, 2024

D - Isolated - Minimal harm Oct 9, 2024 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Oct 25, 2024

E - Pattern - Minimal harm Oct 9, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 23, 2024

D - Isolated - Minimal harm Sep 5, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 23, 2024

E - Pattern - Minimal harm Sep 5, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 23, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Mar 7, 2024 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2024

E - Pattern - Minimal harm Mar 7, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Apr 5, 2024

F - Widespread - Minimal harm Mar 7, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Apr 5, 2024

F - Widespread - Minimal harm Mar 7, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Apr 5, 2024

F - Widespread - Minimal harm Mar 7, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 5, 2024

D - Isolated - Minimal harm Oct 2, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 6, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 85.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 72.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 67.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for The Orchards at Harper Woods, both outside MI so the neighborhoods are not the same-state geography list below.

What the CMS records show for The Orchards at Harper Woods

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MI registry aggregates state averages and the highest-rated homes in this cohort. View MI registry
  • Peer homes near 151 beds show how CMS stars vary at a similar scale in MI. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for The Orchards at Harper Woods?
The Orchards at Harper Woods has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (2★).
Where does The Orchards at Harper Woods rank among nursing homes in MI?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), The Orchards at Harper Woods ranks 408th among 420 rated nursing homes in MI (#408 of 420). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at The Orchards at Harper Woods?
The Orchards at Harper Woods reports 3.71 total nursing hours per resident day (national average: 3.86). RN hours are 0.27 per resident day (national average: 0.69).
How many beds does The Orchards at Harper Woods have?
The Orchards at Harper Woods has 151 certified beds with approximately 131 residents. The facility is located at 19840 Harper Avenue, Harper Woods, MI 48225.
Does The Orchards at Harper Woods have any deficiencies on record?
Yes, The Orchards at Harper Woods has 49 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has The Orchards at Harper Woods received any fines or penalties?
No, The Orchards at Harper Woods has no fines or penalties on record.
Who owns The Orchards at Harper Woods?
The Orchards at Harper Woods is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was The Orchards at Harper Woods last inspected?
The most recent health inspection for The Orchards at Harper Woods was on May 7, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for The Orchards at Harper Woods?
The Orchards at Harper Woods is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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