Orchard Grove Health Campus
71150 Orchard Crossing Lane, Romeo, MI 48065 · Macomb County · 55 certified beds · avg 53 residents/day · certified since Apr 15, 2017
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 20, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 9, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 20, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 6, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| May 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Mar 22, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 22, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Mar 22, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2024 | 2 | 0 | D |
| 2025 | 3 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Michigan avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.47 | 4.32 | 3.95 | bottom 8% in Michigan; bottom 35% in the U.S. |
| Registered Nurse hours | 0.79 | 0.84 | 0.69 | top 48% in Michigan; top 28% in the U.S. |
| Weekend total nurse staffing | 2.96 | 3.79 | 3.50 | bottom 6% in Michigan; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.49 | 0.48 | top 21% in Michigan; top 19% in the U.S. |
| Total nursing staff turnover (%) | 35.7 | 44.1 | 45.8 | top 24% in Michigan; top 26% in the U.S. |
| RN turnover (%) | 35.7 | 39.2 | 42.9 | top 47% in Michigan; top 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.36, RN 0.99, weekend 3.72. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Griffin-American Healthcare Reit III, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2018 |
| Griffin-American Healthcare Reit IV Holdings, LP | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2018 |
| Northstar Healthcare Income INC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2018 |
| Northstar Healthcare Income Operating Partnership LP | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2018 |
| Trilogy Holdings Nt-Hci, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2018 |
| Barber, Robin | Individual | Corporate Officer | NOT APPLICABLE | 04/03/2018 |
| Barney, Leigh | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Bryant, William | Individual | Corporate Officer | NOT APPLICABLE | 01/06/2016 |
| Bufford, Randall | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Corbin, Kathy | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/01/2016 |
| Davis, David | Individual | Corporate Officer | NOT APPLICABLE | 08/21/2017 |
| Fightmaster, Lisa | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2015 |
| Kesavan, Nirmal | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/28/2016 |
| Prosky, Danny | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Regions Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/20/2018 |
| Streiff, Mathieu | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Trilogy Health Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2016 |
| Trilogy Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2016 |
| Williamson, Bradley | Individual | Corporate Officer | NOT APPLICABLE | 01/21/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Wellbridge of Romeo | 3.3 mi | Romeo, MI | ★★★★★ | 5/5 | |
| The Orchards at Armada | 7.0 mi | Armada, MI | ★★★★★ | 4/5 | |
| Lake Orion Nursing Center | 10.9 mi | Lake Orion, MI | ★★☆☆☆ | 2/5 | abuse |
| The Springs at Rochester Hills Rehab and Nursing C | 12.8 mi | Rochester Hills, MI | ★☆☆☆☆ | 1/5 | abuse |
| Regency at Shelby Township | 12.8 mi | Shelby Township, MI | ★★★★☆ | 4/5 | |
| Wellbridge of Rochester Hills | 13.4 mi | Rochester Hills, MI | ★★☆☆☆ | 2/5 | abuse |
| Bellbrook | 13.5 mi | Rochester Hills, MI | ★★★★★ | 5/5 | |
| Medilodge of Richmond | 13.7 mi | Richmond, MI | ★★★★☆ | 4/5 | |
| Shelby Crossing Health Campus | 13.9 mi | Shelby Townhip, MI | ★★★★★ | 5/5 | |
| Shelby Health and Rehabilitation Center | 14.3 mi | Shelby Township, MI | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235721.