The Orchards at Big Rapids

Name: The Orchards at Big Rapids
Address: 805 West Avenue, Big Rapids, MI, 49307, US
Telephone: 2317963185

805 West Avenue, Big Rapids, MI 49307 · Mecosta County · 100 certified beds · avg 79 residents/day · certified since Jan 15, 1987

Part of chain: THE ORCHARDS MICHIGAN (15 facilities, chain avg rating 1.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

$55,711

Fines, last 3 years

3.68

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 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 · Mar 13, 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: Apr 17, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (25)

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
Apr 22, 2026	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.
Apr 22, 2026	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. · from a complaint
Apr 22, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Apr 22, 2026	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
Apr 22, 2026	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. · from a complaint
Apr 22, 2026	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 22, 2026	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. · from a complaint
Apr 22, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Apr 22, 2026	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.
Apr 22, 2026	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.
Mar 13, 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.
Mar 13, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 13, 2025	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.
Mar 13, 2025	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.
Mar 13, 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.
Mar 13, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 13, 2024	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. · from a complaint
Mar 13, 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.
Mar 13, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 13, 2024	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.
Mar 13, 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.
Mar 13, 2024	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.
Dec 7, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Dec 7, 2023	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Dec 7, 2023	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	8	1	G ▲
2025	4	0	E
2026	10	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)

1 fine totaling $55,711, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 13, 2024	Fine	$55,711
Mar 13, 2024	Payment Denial	4 days from Apr 13, 2024

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

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.68	4.32	3.95	bottom 19% in Michigan; bottom 46% in the U.S.
Registered Nurse hours	0.72	0.84	0.69	bottom 46% in Michigan; top 34% in the U.S.
Weekend total nurse staffing	3.20	3.79	3.50	bottom 17% in Michigan; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.49	0.48	top 50% in Michigan; top 43% in the U.S.
Total nursing staff turnover (%)	0.0	44.1	45.8	—
RN turnover (%)	0.0	39.2	42.9	—

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 3.31, RN 0.65, weekend 2.88. 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: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Big Rapids Realty Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Brace, Amber	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Gutman, Isaac	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
Gutman, Isaac	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
Hoffman, Alexander	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
Hoffman, Alexander	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
Kornfeld, Robert	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
Kornfeld, Robert	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
Neuman, Kayla	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Neuman, Kayla	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
Signet Healthcare Consultants LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Solarewicz, Maciej	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Solarewicz, Maciej	Individual	ADP of the SNF	NOT APPLICABLE	06/24/2025
Taub, Jacob	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
Taub, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
White Lake Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
White Lake Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025

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?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Mission Point Nursing & Physical Rehabilitation of	0.1 mi	Big Rapids, MI	★★★★☆	3/5
Corewell Health Reed City Hospital Rehabilitation	11.4 mi	Reed City, MI	★★★★★	5/5

Compare this facility with the 2 closest →

All facilities in Big Rapids →

Facility data as of CMS processing date 2026-08-01. CCN 235459.

The Care File

Visit checklist — The Orchards at Big Rapids

805 West Avenue, Big Rapids, MI 49307 · 2317963185

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $55,711

Most serious findings on record:

▲ Mar 13, 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.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 235459 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)