The Orchards at Three Rivers
Nursing Home · Three Rivers, MI
CMS certification number235354
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
Contact & location
55378 Wilbur RdThree Rivers, MI 49093
St. Joseph County
- Phone
- (269) 279-7441
- ZIP code
- 49093 – all care providers
Facility details
- Certified beds
- 87
- Residents per day
- 75.3 (87% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Edgwood Mi Opco LLC
- Chain
- The Orchards Michigan (15 facilities, avg 1.9★)
- Medicare certified since
- January 1, 1978
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.38 (state 3.99 · U.S. 3.86)
- Registered nurses (RN)
- 0.46 (state 0.78 · U.S. 0.69)
- Licensed practical nurses
- 0.95 (state 0.88 · U.S. 0.86)
- Nurse aides
- 1.97 (state 2.33 · U.S. 2.32)
- Weekend total
- 3.04 (state 3.50 · U.S. 3.42)
- Nursing staff turnover
- 48.1 (state 44.1 · U.S. 45.8)%
- RN turnover
- 72.2 (state 39.2 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 5, 2026
- Health deficiencies (last cycle)
- 45.0 (state 10.1 · U.S. 9.3)
- From complaints
- 34
- Citations on record (3 years)
- 62 health · 18 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-06 |
| 2026-03-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-05 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-06 |
| 2025-12-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-12-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-11-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-11-26 |
| 2025-11-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-11-25 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-11-25 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. F0741 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-11-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-11-25 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-26 |
| 2025-11-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-20 |
| 2025-10-30 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-10-31 |
| 2025-10-30 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-10-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-08-04 | Provide care by qualified persons according to each resident's written plan of care. F0659 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-04 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-04 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-04 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-04 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-04-03 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-04-03 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-04-03 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-04-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
| 2025-04-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-18 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $137,535 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-30 | Payment Denial | 48 days payment denial |
| 2025-10-30 | Fine | $137,535 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Kornfeld, Robert (individual) | 5%+ Indirect Ownership Interest · 10% | |
| Gutman, Isaac (individual) | Administrator · NOT APPLICABLE | |
| Hoffman, Alexander (individual) | Administrator · NOT APPLICABLE | |
| Kornfeld, Robert (individual) | Administrator · NOT APPLICABLE | |
| Roberts, Randy (individual) | Administrator · NOT APPLICABLE | |
| Smith, Garrett (individual) | Administrator · NOT APPLICABLE | |
| Taub, Jacob (individual) | Administrator · NOT APPLICABLE | |
| Teeple, Melissa (individual) | Administrator · NOT APPLICABLE | |
| White Lake Healthcare LLC (organization) | Administrator · NOT APPLICABLE | |
| Taub, Jacob (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Gutman, Isaac (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hoffman, Alexander (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kornfeld, Robert (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Taub, Jacob (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gutman, Isaac (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kornfeld, Robert (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Roberts, Randy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Smith, Garrett (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Taub, Jacob (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Teeple, Melissa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| White Lake Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Orchards at Three Rivers?
The Orchards at Three Rivers has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Michigan.
How many beds does The Orchards at Three Rivers have?
It has 87 certified beds and cares for about 75 residents per day.
Has The Orchards at Three Rivers been fined?
Yes. CMS lists 2 penalties totaling $137,535 in the last three years.
Who owns The Orchards at Three Rivers?
It is part of The Orchards Michigan and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Orchards at Three Rivers?
(269) 279-7441. The facility is located at 55378 Wilbur Rd, Three Rivers, MI 49093.
Other nursing homes in Three Rivers
-
Optalis Health and Rehabilitation of Three Rivers
Nursing Home · Three Rivers, MI · 100 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.