Deficiency timeline

The Orchards at Niles

Dated inspection findings, penalties, and correction notes for this nursing home in Niles, MI. Newest events first.

70 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Feb 10, 2026

  2. Class IIIPotential for more than minimal harm (E)cms

    F0921: Environmental

    Environment

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

    Corrected Sep 26, 2025

  3. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Sep 26, 2025

  4. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Sep 26, 2025

  5. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

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

    Corrected Sep 26, 2025

  6. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Sep 26, 2025

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Aug 7, 2025

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jan 10, 2025

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0688: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Dec 2, 2024

  10. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Jan 10, 2025

  11. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0810: Nutrition and Dietary

    Nutrition & dietary

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected Dec 3, 2024

  12. Class IIIPotential for more than minimal harm (E)cms

    F0801: Nutrition and Dietary

    Nutrition & dietary

    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.

    Corrected Nov 13, 2024

  13. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Jan 10, 2025

  14. Class IIIPotential for more than minimal harm (E)cms

    F0949: Administration

    Administration

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected Oct 18, 2024

  15. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Oct 23, 2024

  16. Class IIIPotential for more than minimal harm (D)cms

    F0559: Resident Rights

    Resident rights

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected Oct 23, 2024

  17. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  18. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Oct 23, 2024

  19. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Oct 23, 2024

  20. Class IIIPotential for more than minimal harm (D)cms

    F0645: Resident Assessment and Care Planning

    Assessment & care planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected Oct 18, 2024

  21. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Jan 10, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jan 10, 2025

  23. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Jan 10, 2025

  24. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 23, 2024

  25. Class IIIPotential for more than minimal harm (D)cms

    F0744: Quality of Life and Care

    Quality of life & care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected Oct 18, 2024

  26. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jan 10, 2025

  27. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Oct 18, 2024

  28. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

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

    Corrected Jan 10, 2025

  29. Class IIIPotential for more than minimal harm (D)cms

    F0887: Infection Control

    Infection control

    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.

    Corrected Oct 18, 2024

  30. Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms

    F0730: Nursing and Physician Services

    Nursing & physician services

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

    Corrected Jan 10, 2025

  31. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Oct 28, 2024

  32. Class IIIPotential for more than minimal harm (F)cms

    F0868: Administration

    Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected Oct 18, 2024

  33. Class IIIPotential for more than minimal harm (F)cms

    F0882: Infection Control

    Infection control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected Oct 18, 2024

  34. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0943: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected Oct 18, 2024

  35. Class IIIPotential for more than minimal harm (E)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Oct 18, 2024

  36. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    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.

    Corrected Jul 13, 2024

  37. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0921: Environmental

    Environment

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

    Corrected Jul 13, 2024

  38. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jul 13, 2024

  39. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Jul 13, 2024

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 13, 2024

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 13, 2024

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 13, 2024

  43. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 18, 2024

  44. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 16, 2024

  45. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Apr 16, 2024

  46. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 18, 2024

  47. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 18, 2024

  48. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0622: Resident Rights

    Resident rights

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected Apr 1, 2024

  49. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Apr 1, 2024

  50. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 18, 2024

  51. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 18, 2024

  52. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Apr 1, 2024

  53. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 1, 2024

  54. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 1, 2024

  55. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 1, 2024

  56. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0711: Nursing and Physician Services

    Nursing & physician services

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected Apr 1, 2024

  57. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0712: Nursing and Physician Services

    Nursing & physician services

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected Apr 1, 2024

  58. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Apr 1, 2024

  59. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Aug 17, 2023

  60. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0921: Environmental

    Environment

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

    Corrected Aug 17, 2023

  61. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Aug 17, 2023

  62. Class IIIPotential for more than minimal harm (D)cms

    F0561: Resident Rights

    Resident rights

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

    Corrected Aug 17, 2023

  63. Class IIIPotential for more than minimal harm (D)cms

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected Aug 17, 2023

  64. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Aug 17, 2023

  65. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Aug 17, 2023

  66. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 17, 2023

  67. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 17, 2023

  68. Class IIIPotential for more than minimal harm (D)cms

    F0699: Quality of Life and Care

    Quality of life & care

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected Aug 17, 2023

  69. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

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

    Corrected Aug 17, 2023

  70. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Aug 17, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

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