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Orchard Rehabilitation & Nursing Center

600 Bates Road, Medina, NY 141035857984100Ownership: For profit - Limited Liability companyCertified beds: 160Avg. daily residents: 150Chain: Personal Healthcare Management (21 facilities)County: Orleans
Health inspection overdue — CMS reports the most recent standard inspection is older than its normal cycle.

The complete public record on Orchard Rehabilitation & Nursing Center, a Medicare & Medicaid–certified nursing home in Medina, New York, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. New York average: 3.0 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Orchard Rehabilitation & Nursing Center holds a 3-star overall rating, CMS’s middle tier. Nursing staff turnover of 54% is well above the New York average of 40%; high turnover is one of the strongest predictors of inconsistent care. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.15 total nurse staff hours per resident per day
below the state average (3.62)
0.52 RN hours per resident per day
below the state average (0.71)
2.50 weekend nurse staff hours per resident per day
53.8% total nursing staff turnover
above the state average (40.4)
26.3% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

April 16, 2024 most recent standard health inspection
7 health deficiencies cited in the most recent inspection cycle
below the state average (7.9)
2 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

18 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
September 2, 20250725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintF · Potential for more than minimal harm
September 2, 20250804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. ComplaintE · Potential for more than minimal harm
April 16, 20240804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E · Potential for more than minimal harm
April 16, 20240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
April 16, 20240689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D · Potential for more than minimal harm
April 16, 20240728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4…D · Potential for more than minimal harm
April 16, 20240848Provide a neutral and fair arbitration process and agree to arbitrator and venue.B · Minimal harm potential
April 25, 20220656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D · Potential for more than minimal harm
April 25, 20220686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D · Potential for more than minimal harm
June 21, 20190756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting…E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.