D

The Orchards at Three Rivers

55378 Wilbur Rd, Three Rivers, MI 49093
Score: 41 / 100
⚠️ SFF Candidate

The Orchards At Three Rivers faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 28th percentile among Michigan nursing homes, suggesting significant room for improvement.

Staffing at The Orchards At Three Rivers is near the national average, with 3.72 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 62 deficiencies at The Orchards At Three Rivers, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.72 3.8 Average
Registered Nurses (RN) 0.66 0.7 Average
Licensed Practical Nurses (LPN) 0.79 0.7 Above Average
Certified Nursing Assistants (CNA) 2.27 2.4 Average
Weekend Total Nursing 3.35 3.8 Below Average
Weekend RN Hours 0.49 0.7 Below Average

🔍 Inspection & Deficiency History

62
Total Deficiencies
Dec 22, 2025
Most Recent Inspection
🟠 61 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 22, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0835 Severity F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    Dec 22, 2025 · Administration Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Dec 22, 2025 · Resident Rights Deficiencies
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Dec 22, 2025 · Quality of Life and Care Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Dec 22, 2025 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.0% 4.5% Worse
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 19.9% 14.5% Worse
Urinary tract infections 2.2% 2.5% Better
ADL decline (daily activities) 26.7% 14.0% Worse
Excessive weight loss 9.4% 7.5% Worse
New/worsened incontinence 23.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
87
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 14, 2024
Deficiencies (Cycle 1)
49