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Orchard Rehabilitation & Nursing Center
600 Bates Road, Medina, NY 14103 (opens Google Maps) · Orleans County · (585) 798-4100· 160 certified beds · avg 150 residents/day · certified since Nov 1, 1973 · 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: PERSONAL HEALTHCARE MANAGEMENT (21 facilities, chain avg rating 2.9★)
3/5
Health inspection rating (on-site)
inspected Apr 16, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.47
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: ★★★☆☆3/5 · CMS overall rating: 3/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint F-0725
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint F-0804
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
View all 18 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 |
|---|---|---|
| Sep 2, 2025 | F · Potential for more than minimal harm, widespread | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Sep 2, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Apr 16, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 16, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Apr 16, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 16, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · F-0728 |
| Apr 16, 2024 | B · Potential for minimal harm, pattern | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. · F-0848 |
| Apr 25, 2022 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Apr 25, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Jun 21, 2019 | E · Potential for more than minimal harm, pattern | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Jun 21, 2019 | E · Potential for more than minimal harm, pattern | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Jun 21, 2019 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 21, 2019 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jun 21, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Jun 21, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Jun 21, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 21, 2019 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Jun 21, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
All citationsSerious citations (G–L)
2019
All citations: 9
Serious citations (G–L): 0
2022
All citations: 2
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 2
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 |
|---|---|---|---|
| 2019 | 9 | 0 | E |
| 2022 | 2 | 0 | D |
| 2024 | 5 | 0 | E |
| 2025 | 2 | 0 | F |
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 facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.47
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.57
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.75
New York average: 3.13
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.47 | 3.58 | 3.95 | top 48% in New York; bottom 35% in the U.S. |
| Registered Nurse hours | 0.57 | 0.68 | 0.69 | top 49% in New York; bottom 48% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.13 | 3.50 | bottom 34% in New York; bottom 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.48 | 0.48 | bottom 39% in New York; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 53.8 | 40.3 | 45.8 | bottom 18% in New York; bottom 28% in the U.S. |
| RN turnover (%) | 26.3 | 39.8 | 42.9 | top 22% in New York; top 23% 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 3.15, RN 0.52, weekend 2.50.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.15 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Orchard Rehabilitation & Nursing 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Orrnc Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/06/2016 |
| Barth, Alexander | Individual | Corporate Officer | NOT APPLICABLE | 06/29/2018 |
| Barth, Alexander | Individual | ADP of the SNF | NOT APPLICABLE | 06/29/2018 |
| Cracknell, Jenna | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/09/2021 |
| Cracknell, Jenna | Individual | ADP of the SNF | NOT APPLICABLE | 08/09/2021 |
| Orrnc Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Yates, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Yates, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Zagelbaum, Yechiel | Individual | Corporate Officer | NOT APPLICABLE | 09/06/2016 |
All 9 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 Personal Healthcare Management — 21 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.
- Plattsburgh Rehabilitation and Nursing Center — Plattsburgh, NY · overall 4/5
- Salamanca Rehabilitation & Nursing Center — Salamanca, NY · overall 4/5
- Sodus Rehabilitation & Nursing Center — Sodus, NY · overall 3/5
- Tarrytown Hall Care Center — Tarrytown, NY · overall 3/5
- Utica Rehabilitation & Nursing Center — Utica, NY · overall 1/5
- Yorktown Rehabilitation & Nursing Center — Cortlandt Manor, NY · overall 4/5
- Cambridge Rehabilitation & Nursing Center — Cambridge, MA · overall 4/5
- Medford Rehabilitation and Nursing Center — Medford, MA · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 20 others, continuing from this facility's own place in that list.
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 nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the New York 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 54% 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 |
|---|---|---|---|---|---|
| Medina Memorial Hospital SNF | 1.5 mi | Medina, NY | ★★★★☆ | 5/5 | |
| The Villages of Orleans Health and Rehabilitation | 3.6 mi | Albion, NY | ★☆☆☆☆ | 1/5 | |
| Absolut Center for Nursing and Rehabilitation at G | 10.3 mi | Gasport, NY | ★☆☆☆☆ | 2/5 | |
| Elderwood at Lockport | 15.2 mi | Lockport, NY | ★★★★☆ | 4/5 | |
| Lockport Rehab & Health Care Center | 15.8 mi | Lockport, NY | ★★★★☆ | 4/5 | |
| Western New York State Veterans Home | 16.7 mi | Batavia, NY | ★★★★★ | 5/5 | |
| The Grand Rehabilitation and Nursing at Batavia | 17.1 mi | Batavia, NY | ★★☆☆☆ | 3/5 | |
| Newfane Rehab & Health Care Center | 17.1 mi | Newfane, NY | ★★☆☆☆ | 2/5 | |
| Premier Genesee Center for Nrsg and Rehabilitation | 17.3 mi | Batavia, NY | ★★☆☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 335397.