The Orchards at Warren

Name: The Orchards at Warren
Address: 12250 East 12 Mile Road, Warren, MI, 48093, US
Telephone: 5867516200

12250 East 12 Mile Road, Warren, MI 48093 · Macomb County · 134 certified beds · avg 123 residents/day · certified since Sep 30, 1991

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

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

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 · Aug 2, 2023 · F-0686 · triggered by a complaint

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: Aug 17, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Aug 2, 2023 · F-0692 · triggered by a complaint

The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.

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: Aug 17, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (36)

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 16, 2026	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. · from a complaint
Feb 26, 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. · from a complaint
Jan 21, 2026	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. · from a complaint
Jan 21, 2026	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. · from a complaint
Dec 3, 2025	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Dec 3, 2025	E · Potential for harm, repeated	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Dec 3, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Dec 3, 2025	D · Potential for harm, one-off	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.
Dec 3, 2025	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.
Dec 3, 2025	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Dec 3, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Dec 3, 2025	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.
Dec 3, 2025	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Dec 3, 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.
Jan 21, 2025	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. · from a complaint
Nov 8, 2024	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. · from a complaint
Sep 19, 2024	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Sep 19, 2024	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Sep 19, 2024	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.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Sep 19, 2024	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. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Sep 19, 2024	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.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint
Sep 19, 2024	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.
Jan 17, 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. · from a complaint
Aug 2, 2023	▲ 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. · from a complaint
Aug 2, 2023	▲ G · Actual harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Aug 2, 2023	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
Aug 2, 2023	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. · from a complaint
Aug 2, 2023	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. · from a complaint
Aug 2, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 2, 2023	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. · from a complaint
Aug 2, 2023	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Aug 2, 2023	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Aug 2, 2023	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. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	2	G ▲
2024	11	0	F
2025	11	0	F
2026	4	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)

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	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.61	4.32	3.95	bottom 15% in Michigan; bottom 42% in the U.S.
Registered Nurse hours	0.29	0.84	0.69	bottom 5% in Michigan; bottom 9% in the U.S.
Weekend total nurse staffing	3.31	3.79	3.50	bottom 27% in Michigan; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.49	0.48	bottom 4% in Michigan; bottom 5% 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 3.35, RN 0.27, weekend 3.07. Staffing rating: 1/5.

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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Gutman, Isaac	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2022
Hoffman, Alexander	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2022
Kornfeld, Robert	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2022
Mi Opco Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2022
Taub, Jacob	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2022
Warren SNF Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2022
Beaupre, Judith	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2022
Kornfeld, Robert	Individual	Corporate Officer	NOT APPLICABLE	06/01/2022
Lee, Myrna	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2022

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?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"How is pest control handled here, and when was the last treatment or inspection?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"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
Autumn Woods Residential Health	0.5 mi	Warren, MI	★★☆☆☆	2/5	abuse
Windemere Park Health and Rehabilitation Center	2.0 mi	Warren, MI	★★★★☆	4/5
Father Murray, a Villa Center	2.1 mi	Center Line, MI	★★☆☆☆	2/5	abuse
Harmony Village of Warren	2.1 mi	Warren, MI	★★☆☆☆	1/5
The Villa at City Center	2.1 mi	Warren, MI	★★★★☆	4/5
Medilodge of Sterling Heights	3.3 mi	Sterling Heights, MI	★★☆☆☆	2/5
Fraser Villa	3.4 mi	Fraser, MI	★★★★★	5/5
St. Anthony Healthcare Center	3.7 mi	Warren, MI	★★★★☆	3/5
The Orchards at Roseville	4.1 mi	Roseville, MI	★☆☆☆☆	2/5
Optalis Health and Rehabilitation of Sterling Heig	4.7 mi	Sterling Heights, MI	★★★☆☆	2/5
Pomeroy Living Sterling Skilled Rehabilitation	5.0 mi	Sterling Heights, MI	★★★★☆	4/5
Harmony Village of Clinton	5.9 mi	Clinton Township, MI	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 235509.

The Care File

Visit checklist — The Orchards at Warren

12250 East 12 Mile Road, Warren, MI 48093 · 5867516200

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Aug 2, 2023 (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.
▲ Aug 2, 2023 (F-0692, Actual harm, one-off): The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "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 235509 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)