A

ORCHARD MANOR

8800 HWY 61, LANCASTER, WI 53813
Score: 90 / 100

Among nursing homes in Wisconsin, Orchard Manor stands out with an A grade and a score of 90 out of 100. It ranks in the 84th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing levels at Orchard Manor exceed national averages, with 4.43 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.88 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 9 deficiencies at Orchard Manor. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

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

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.43 3.8 Above Average
Registered Nurses (RN) 0.88 0.7 Above Average
Licensed Practical Nurses (LPN) 0.25 0.7 Below Average
Certified Nursing Assistants (CNA) 3.30 2.4 Above Average
Weekend Total Nursing 4.01 3.8 Average
Weekend RN Hours 0.55 0.7 Below Average

🔍 Inspection & Deficiency History

9
Total Deficiencies
Aug 14, 2024
Most Recent Inspection
🟠 9 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Aug 14, 2024 · Quality of Life and Care Deficiencies
  • Tag 0687 Severity E
    Provide appropriate foot care.
    Aug 14, 2024 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Aug 14, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Aug 14, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Aug 14, 2024 · Quality of Life and Care 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 3.5% 4.5% Better
Falls with major injury 4.5% 3.0% Worse
On antipsychotic medication 12.6% 14.5% Better
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 21.9% 14.0% Worse
Excessive weight loss 4.9% 7.5% Better
New/worsened incontinence 20.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $22,425

How This Grade Was Calculated

This facility's grade of A is based on a score of 90 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

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

Facility Details

Ownership
Government - County
Certified Beds
74
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 15, 2025
Deficiencies (Cycle 1)
0