Orchards of East Liverpool, the

Name: Orchards of East Liverpool, the
Address: 709 ARMSTRONG LANE, East Liverpool, OH, 43920, US
Telephone: 3303820101

709 Armstrong Lane, East Liverpool, OH 43920 · Columbiana County · 50 certified beds · avg 43 residents/day · certified since Feb 25, 2005

Part of chain: THE ORCHARDS (2 facilities, chain avg rating 3.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.04

Nurse hours/resident/day (adjusted)

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 · Nov 25, 2022 · 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: Jan 10, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (33)

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
Dec 17, 2025	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.
Dec 17, 2025	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.
Dec 17, 2025	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.
Dec 17, 2025	D · Potential for harm, one-off	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.
Dec 17, 2025	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.
Oct 4, 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. · from a complaint
Nov 25, 2022	▲ 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.
Nov 25, 2022	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.
Nov 25, 2022	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.
Nov 25, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 25, 2022	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.
Nov 25, 2022	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 25, 2022	D · Potential for harm, one-off	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.
Nov 25, 2022	D · Potential for harm, one-off	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.
Nov 14, 2019	F · Potential for harm, facility-wide	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.
Nov 14, 2019	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Nov 14, 2019	F · Potential for harm, facility-wide	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.
Nov 14, 2019	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 14, 2019	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 14, 2019	D · Potential for harm, one-off	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.
Nov 14, 2019	D · Potential for 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.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Nov 14, 2019	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.
Nov 14, 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.
Nov 14, 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.
Nov 14, 2019	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.
Nov 14, 2019	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.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Nov 14, 2019	D · Potential for harm, one-off	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.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Nov 14, 2019	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Nov 14, 2019	C · Minimal risk, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2019	19	0	F
2022	8	1	G ▲
2024	1	0	D
2025	5	0	E

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	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.04	3.45	3.95	top 15% in Ohio; top 38% in the U.S.
Registered Nurse hours	0.47	0.60	0.69	bottom 34% in Ohio; bottom 33% in the U.S.
Weekend total nurse staffing	3.68	3.07	3.50	top 12% in Ohio; top 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.45	0.42	0.48	top 35% in Ohio; top 40% in the U.S.
Total nursing staff turnover (%)	37.2	48.7	45.8	top 21% in Ohio; top 29% in the U.S.
RN turnover (%)	50.0	43.9	42.9	bottom 43% in Ohio; bottom 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 4.06, RN 0.47, weekend 3.69. 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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Fox, James	Individual	5% or Greater Direct Ownership Interest	50%	09/02/2014
Fox, James	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/26/2022
Fox, Scott	Individual	5% or Greater Direct Ownership Interest	50%	09/02/2014
Fox, Scott	Individual	Indirect Ownership Interest	NOT APPLICABLE	09/02/2014
Orchards Family Management, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/26/2022
Baker Tilly Advisory Group, LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Barnett, Gerald	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Barnett, Gerald	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Fox, James	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/02/2014
Fox, James	Individual	Operational/Managerial Control	NOT APPLICABLE	09/02/2014
Fox, James	Individual	ADP of the SNF	NOT APPLICABLE	09/02/2014
Fox, Scott	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/02/2014
Fox, Scott	Individual	Operational/Managerial Control	NOT APPLICABLE	09/02/2014
Fox, Scott	Individual	ADP of the SNF	NOT APPLICABLE	09/02/2014
Foxcrest, INC	Organization	ADP of the SNF	NOT APPLICABLE	09/02/2014
Harshaw, Derek	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
The Orchard's Real Estate, LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/20/2014

Questions to ask on your visit

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

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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
Valley Oaks Care Center	1.3 mi	East Liverpool, OH	★★★☆☆	3/5
Stone Pear Pavilion	2.5 mi	Chester, WV	★★☆☆☆	2/5
Calcutta Health Care Center	2.5 mi	Calcutta, OH	★☆☆☆☆	1/5
Beaver Valley Rehabilitation and Healthcare Center	11.2 mi	Beaver Falls, PA	★★☆☆☆	2/5
Friendship Rehab and Health	13.5 mi	Beaver, PA	★☆☆☆☆	1/5	abuseSFF
Vista Center, the	13.9 mi	Lisbon, OH	★★☆☆☆	1/5
Covington Skilled Nursing & Rehab Center	14.7 mi	East Palestine, OH	★★★★☆	4/5
Acadia Nursing and Rehab Center	14.8 mi	Aliquippa, PA	★☆☆☆☆	1/5
Providence Health & Rehab Center	15.3 mi	Beaver Falls, PA	★☆☆☆☆	1/5	abuse
Weirton Geriatric Center	15.8 mi	Weirton, WV	★★★★★	4/5
Rochester Residence and Care Center	15.9 mi	Rochester, PA		—/5	SFF
Parkside Health Care Center	17.5 mi	Columbiana, OH	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in East Liverpool →

Facility data as of CMS processing date 2026-08-01. CCN 366309.

The Care File

Visit checklist — Orchards of East Liverpool, the

709 Armstrong Lane, East Liverpool, OH 43920 · 3303820101

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Nov 25, 2022 (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.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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 366309 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)