nursing home in Medina, NY
Orchard Rehabilitation & Nursing Center
600 Bates Road, Medina, NY 14103 · (585) 798-4100
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Orchard Rehabilitation & Nursing Center at a glance
Orchard Rehabilitation & Nursing Center is a 160-bed for-profit nursing home in Medina, New York (Orleans County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the New York average of 3.
Residents receive about 3.2 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.6 hours.
Its most recent standard health inspection (April 16, 2024) found 7 health citations. The New York average is 8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 53.8% per year (state average 40.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 160
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Personal Healthcare Management
- Medicare-certified since
- November 1, 1973
- Resident/family council
- Resident
- County
- Orleans County
- CMS Certification Number
- 335397
Ratings
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.15 hrs | 3.63 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.09 hrs | 2.15 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.50 hrs | 3.18 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.8% | 40.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 26.3% | 39.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 8 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 38 | 62.2 | 80.6 | Better |
Penalties
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,070 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 160 | 188 | 107 | |
| Average residents per day | 150 | 168 | 86 | |
| Occupancy | 93.9% | 90.5% | 80.9% |
Long-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.7% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.9% | 6.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 12.7% | 13.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 1.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.3% | 14.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.6% | 12.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 5.8% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 19.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.1% | 13.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 30.2% | 19.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 94.4% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 61.2% | 91.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.7% | 1.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 56.3% | 78.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 23.2% | 77.4% | 82% | Worse |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 2, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected October 28, 2025 |
| September 2, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 28, 2025 |
| April 16, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 6, 2024 |
| April 16, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected June 6, 2024 |
| April 16, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 6, 2024 |
| April 16, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 6, 2024 |
| April 16, 2024 Standard | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected June 6, 2024 |
| April 16, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 6, 2024 |
| April 16, 2024 Standard | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Tag F0848 | B No harm, pattern | Corrected June 6, 2024 |
| April 25, 2022 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected June 15, 2022 |
| April 25, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 15, 2022 |
| April 25, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 15, 2022 |
| June 21, 2019 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected August 9, 2019 |
| June 21, 2019 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 9, 2019 |
| June 21, 2019 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected August 9, 2019 |
| June 21, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 9, 2019 |
| June 21, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 9, 2019 |
| June 21, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 9, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ORRNC HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 09/06/2016 |
| BARTH, ALEXANDER Individual | adp of the snf | NOT APPLICABLE | 06/29/2018 |
| 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 | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| BARTH, ALEXANDER Individual | corporate officer | NOT APPLICABLE | 06/29/2018 |
| ZAGELBAUM, YECHIEL Individual | corporate officer | NOT APPLICABLE | 09/06/2016 |
| CRACKNELL, JENNA Individual | operational/managerial control | NOT APPLICABLE | 08/09/2021 |
| YATES, CHARLES Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
Other nursing homes near Orchard Rehabilitation & Nursing Center
- ★★★★★4Above average
The Villages of Orleans Health and Rehabilitation
14012 Route 31, Albion, NY 14411 · 3.6 mi
For-profit · 120 beds
★★★★★2Below averageAbsolut Center for Nursing and Rehabilitation at G
4540 Lincoln Drive, Gasport, NY 14067 · 10.3 mi
For-profit · 83 beds · Part of Absolut Care
★★★★★1Much below averageElderwood at Lockport
104 Old Niagara Road, Lockport, NY 14094 · 15.2 mi
For-profit · 126 beds · Part of Elderwood
★★★★★4Above averageLockport Rehab & Health Care Center
909 Lincoln Ave, Lockport, NY 14094 · 15.8 mi
For-profit · 82 beds · Part of Maximus Healthcare Group
★★★★★4Above averageWestern New York State Veterans Home
220 Richmond Avenue, Batavia, NY 14020 · 16.7 mi
Government · 126 beds · Part of State of New York Comptroller's Office
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Orchard Rehabilitation & Nursing Center's rating?
Orchard Rehabilitation & Nursing Center has 3 out of 5 stars on the CMS overall star rating. The average for New York nursing homes is 3 stars.
How many inspection citations did Orchard Rehabilitation & Nursing Center receive?
Its most recent standard health inspection found 7 citations, compared with a New York average of 8. Every citation is listed on this page with its severity.
Does Orchard Rehabilitation & Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Orchard Rehabilitation & Nursing Center?
It is for profit - limited liability company and part of Personal Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Orchard Rehabilitation & Nursing Center and how do I contact it?
Orchard Rehabilitation & Nursing Center is at 600 Bates Road, Medina, NY 14103. Phone: (585) 798-4100.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.