Orchard Rehabilitation & Nursing Center

Name: Orchard Rehabilitation & Nursing Center
Address: 600 BATES ROAD, Medina, NY, 14103, US
Telephone: 5857984100

600 Bates Road, Medina, NY 14103 · Orleans County · 160 certified beds · avg 150 residents/day · certified since Nov 1, 1973

Part of chain: PERSONAL HEALTHCARE MANAGEMENT (21 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.47

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

⚠ 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 self-reported quality measures.

All citations in the current public record (18)

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
Sep 2, 2025	F · Potential for harm, facility-wide	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
Sep 2, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Apr 16, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 16, 2024	E · Potential for harm, repeated	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.
Apr 16, 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.
Apr 16, 2024	D · Potential for harm, one-off	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.
Apr 16, 2024	B · Minimal risk, repeated	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.
Apr 25, 2022	D · Potential for harm, one-off	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.
Apr 25, 2022	D · Potential for 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.
Jun 21, 2019	E · Potential for harm, repeated	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.
Jun 21, 2019	E · Potential for harm, repeated	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.
Jun 21, 2019	E · Potential for harm, repeated	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.
Jun 21, 2019	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 21, 2019	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.
Jun 21, 2019	D · Potential for harm, one-off	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.
Jun 21, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 21, 2019	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jun 21, 2019	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 5).

Year	Citations	Worst severity that year
2019	9	E
2022	2	D
2024	5	E
2025	2	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)

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	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, 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. Staffing rating: 2/5.

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: 4/5 · short-stay residents: 2/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Medina →

Facility data as of CMS processing date 2026-08-01. CCN 335397.

The Care File

Visit checklist — Orchard Rehabilitation & Nursing Center

600 Bates Road, Medina, NY 14103 · 5857984100

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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 335397 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)