Orchard Manor

Name: Orchard Manor
Address: 8800 HWY 61, Lancaster, WI, 53813, US
Telephone: 6087232113

8800 Hwy 61, Lancaster, WI 53813 · Grant County · 74 certified beds · avg 49 residents/day · certified since Jul 1, 1978

5/5

Health inspection rating (on-site)

Serious findings on record

$22,425

Fines, last 3 years

5.69

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · 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 15, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Aug 28, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 17, 2023 · F-0580

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

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: Jun 15, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (9)

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 15, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 15, 2024	E · Potential for harm, repeated	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Aug 15, 2024	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.
May 17, 2023	▲ G · Actual harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
May 17, 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.
May 17, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
May 17, 2023	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	1	G ▲
2024	5	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)

1 fine totaling $22,425, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Aug 15, 2024	Fine	$22,425
Aug 15, 2024	Payment Denial	1 days from Sep 11, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.69	4.29	3.95	top 9% in Wisconsin; top 6% in the U.S.
Registered Nurse hours	1.22	1.01	0.69	top 25% in Wisconsin; top 9% in the U.S.
Weekend total nurse staffing	5.06	3.84	3.50	top 10% in Wisconsin; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.63	0.68	0.48	top 49% in Wisconsin; top 21% in the U.S.
Total nursing staff turnover (%)	26.8	46.9	45.8	top 8% in Wisconsin; top 9% in the U.S.
RN turnover (%)	33.3	39.7	42.9	top 40% in Wisconsin; top 33% 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 4.49, RN 0.96, weekend 3.99. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Grant	Organization	5% or Greater Direct Ownership Interest	—	01/01/1976
County of Grant	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1976
County of Grant	Organization	ADP of the SNF	NOT APPLICABLE	01/01/1976
Erdenberger, Alesha	Individual	Corporate Director	NOT APPLICABLE	09/12/2022
Erdenberger, Alesha	Individual	Operational/Managerial Control	NOT APPLICABLE	09/12/2022
Erdenberger, Alesha	Individual	ADP of the SNF	NOT APPLICABLE	09/12/2022
Stader, Eric	Individual	Corporate Director	NOT APPLICABLE	07/01/2005
Stader, Eric	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2005
Stader, Eric	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2005

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"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
Lancaster Health Services	1.4 mi	Lancaster, WI	★★☆☆☆	2/5
Dove Healthcare - Fennimore	10.9 mi	Fennimore, WI	★★☆☆☆	2/5
Edenbrook of Platteville	12.4 mi	Platteville, WI	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Lancaster →

Facility data as of CMS processing date 2026-08-01. CCN 525290.

The Care File

Visit checklist — Orchard Manor

8800 Hwy 61, Lancaster, WI 53813 · 6087232113

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $22,425

Most serious findings on record:

▲ Aug 15, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ May 17, 2023 (F-0580, Actual harm, one-off): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525290 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)