nursing home in Lancaster, WI
Orchard Manor
8800 Hwy 61, Lancaster, WI 53813 · (608) 723-2113
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★5
- Quality measures★★★★★3
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Orchard Manor at a glance
Orchard Manor is a 74-bed government nursing home in Lancaster, Wisconsin (Grant County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Wisconsin average of 3.
Residents receive about 4.5 hours of nursing care per day (1 of them from registered nurses), better than the state average of 4.2 hours.
Its most recent standard health inspection (December 16, 2025) found 0 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $22,425.
Nursing staff turnover is 26.8% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 74
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- July 1, 1978
- Resident/family council
- Resident
- County
- Grant County
- CMS Certification Number
- 525290
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.49 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.96 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.27 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.99 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 26.8% | 46.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 39.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 10 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,425 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 74 | 77 | 107 | |
| Average residents per day | 49 | 55 | 86 | |
| Occupancy | 66.4% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.4% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.4% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.3% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.2% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 14.6% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.4% | 18.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.9% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.3% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.9% | 24.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.8% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.2% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 16, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 16, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected January 23, 2026 |
| August 15, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected September 12, 2024 |
| August 15, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected September 12, 2024 |
| August 15, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected August 28, 2024 |
| August 15, 2024 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | E Potential harm, pattern | Corrected September 11, 2024 |
| August 15, 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 September 11, 2024 |
| August 15, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 11, 2024 |
| August 15, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 11, 2024 |
| May 17, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 16, 2023 |
| May 17, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected June 16, 2023 |
| May 17, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 16, 2023 |
| May 17, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 10, 2023 |
| May 17, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | G Actual harm, isolated | Corrected June 15, 2023 |
| May 17, 2023 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 | F Potential harm, widespread | Corrected June 15, 2023 |
| May 17, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 15, 2023 |
| May 17, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected June 15, 2023 |
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 2 federal penalties in the past three years, including $22,425 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 15, 2024 | Payment Denial | 1 days from September 11, 2024 |
| August 15, 2024 | Fine | $22,425 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COUNTY OF GRANT Organization | 5% or greater direct ownership interest | — | 01/01/1976 |
| COUNTY OF GRANT Organization | adp of the snf | NOT APPLICABLE | 01/01/1976 |
| ERDENBERGER, ALESHA Individual | adp of the snf | NOT APPLICABLE | 09/12/2022 |
| STADER, ERIC Individual | adp of the snf | NOT APPLICABLE | 07/01/2005 |
| ERDENBERGER, ALESHA Individual | corporate director | NOT APPLICABLE | 09/12/2022 |
| STADER, ERIC Individual | corporate director | NOT APPLICABLE | 07/01/2005 |
| COUNTY OF GRANT Organization | operational/managerial control | NOT APPLICABLE | 01/01/1976 |
| ERDENBERGER, ALESHA Individual | operational/managerial control | NOT APPLICABLE | 09/12/2022 |
| STADER, ERIC Individual | operational/managerial control | NOT APPLICABLE | 07/01/2005 |
Other nursing homes near Orchard Manor
Lancaster Health Services
1350 S Madison St, Lancaster, WI 53813 · 1.4 mi
For-profit · 50 beds · Part of North Shore Healthcare
★★★★★2Below averageDove Healthcare - Fennimore
1850 11th St, Fennimore, WI 53809 · 10.9 mi
For-profit · 50 beds · Part of Dove Healthcare
★★★★★2Below averageEdenbrook of Platteville
1300 N. Water St., Platteville, WI 53818 · 12.5 mi
For-profit · 80 beds · Part of Eden Senior Care
★★★★★4Above average- ★★★★★4Above average
- ★★★★★4Above average
- ★★★★★5Much above average
Frequently asked questions
What is Orchard Manor's rating?
Orchard Manor has 5 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Orchard Manor receive?
Its most recent standard health inspection found 0 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Orchard Manor 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 Manor?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Orchard Manor and how do I contact it?
Orchard Manor is at 8800 Hwy 61, Lancaster, WI 53813. Phone: (608) 723-2113.
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.