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Orchard Rehabilitation & Healthcare Center
629 State Highway 21 South, Hayneville, AL 36040 (opens Google Maps) · Lowndes County · (334) 548-5995· 72 certified beds · avg 60 residents/day · certified since Sep 20, 2000 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: BALL HEALTHCARE SERVICES (9 facilities, chain avg rating 2.4★)
5/5
Health inspection rating (on-site)
inspected Apr 11, 2021
2
Serious findings on record
most recent Mar 16, 2018
$0
Fines, last 3 years
3.53
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Mar 16, 2018 · F-0578
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
▲ Immediate jeopardy, isolated · Mar 16, 2018 · F-0578
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 9, 2018 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Mar 16, 2018 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
▲ Immediate jeopardy, isolated · Mar 16, 2018 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 9, 2018 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 4 inspection findings. Open the full record below to read every finding.
The facility did not provide timely, quality laboratory tests to meet residents' needs. F-0770
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. F-0678
View all 4 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 31, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Mar 16, 2018 | ▲ J · Immediate jeopardy, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Mar 16, 2018 | ▲ J · Immediate jeopardy, isolated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678 |
| Mar 16, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
Inspection trend by year
All citationsSerious citations (G–L)
2018
All citations: 3
Serious citations (G–L): 2
2019
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 3 | 2 | J ▲ |
| 2019 | 1 | 0 | D |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityAlabama averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.53
Alabama average: 4.43
U.S. average: 3.95
Registered Nurse hours
This facility: 0.75
Alabama average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.00
Alabama average: 3.73
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.53 | 4.43 | 3.95 | bottom 10% in Alabama; bottom 38% in the U.S. |
| Registered Nurse hours | 0.75 | 0.74 | 0.69 | top 44% in Alabama; top 32% in the U.S. |
| Weekend total nurse staffing | 3.00 | 3.73 | 3.50 | bottom 9% in Alabama; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.36 | 0.48 | top 49% in Alabama; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 31.3 | 46.9 | 45.8 | top 9% in Alabama; top 17% in the U.S. |
| RN turnover (%) | 18.2 | 39.5 | 42.9 | top 14% in Alabama; top 12% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.03, RN 0.64, weekend 2.58.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.03 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Orchard Rehabilitation & Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ball, Clarence | Individual | 5% or Greater Direct Ownership Interest | 100% | 01/22/1993 |
| Ball Healthcare - Lowndes, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/1999 |
| Ball Healthcare Service, INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Ball, Clarence | Individual | Corporate Director | NOT APPLICABLE | 01/22/1993 |
| Cash, Cassandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/07/2023 |
| Cash, Cassandra | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2012 |
| Greene, Jacquelyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/29/2000 |
| Greene, Jacquelyn | Individual | ADP of the SNF | NOT APPLICABLE | 07/29/2000 |
| Hall, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2014 |
| Hall, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2014 |
| Holt, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Holt, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Ball Healthcare Services — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Roanoke Rehabilitation & Healthcare Center — Roanoke, AL · overall 2/5
- Robertsdale Rehabilitation & Healthcare Ctr — Robertsdale, AL · overall 2/5
- Twin Oaks Rehabilitation and Healthcare Center — Mobile, AL · overall 4/5
- Arlington Rehabilitation & Healthcare Center — Birmingham, AL · overall 4/5
- Cherry Hill Rehabilitation & Healthcare Center — Birmingham, AL · overall 2/5
- Lighthouse Rehabilitation & Healthcare Center — Selma, AL · overall 2/5abuse
- Magnolia Haven Health and Rehabilitation Center — Tuskegee, AL · overall 1/5
- Monroe Manor Health & Rehabilitation Center — Monroeville, AL · overall 1/5
Listed by state, then facility name — not a ranking.
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 record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Alabama midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Father Purcell Memorial Exceptional Children's Ctr | 18.1 mi | Montgomery, AL | ★☆☆☆☆ | 1/5 | |
| John Knox Manor INC I I | 19.2 mi | Montgomery, AL | ★★☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 015442.