All states › Michigan › Detroit › The Orchards at Northwest
16181 Hubbell St Detroit, MI 48235 · Wayne County
All 23 nursing homes in Detroit, MI (23 take Medicaid)
CMS certification number 235539 · See this home on Medicare Care Compare
Is The Orchards at Northwest a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Orchards at Northwest as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Michigan average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.92 hours per resident per day at The Orchards at Northwest, about the same as the Michigan median of 3.86 (US median: 3.72). About 0.20 of those hours are from registered nurses. On weekends it falls to 3.31 hours, 16% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at The Orchards at Northwest: Medicare and Medicaid
The Orchards at Northwest is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Michigan's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 10, 2026 and found 11 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 44 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 44 citations at The Orchards at Northwest across 8 inspection dates, 15 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 21, 2024 (complaint inspection). The most common areas cited were quality of life and care (13) and infection control (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, February 21, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 28, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 10, 2026 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
FProvide and implement an infection prevention and control program.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DReasonably accommodate the needs and preferences of each resident.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DPost nurse staffing information every day.
DEnsure 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.
January 23, 2026 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
January 8, 2025 · 20 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
FEducate 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
March 21, 2024 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
February 21, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 28, 2023 · 2 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 18, 2023 · 6 citations · includes complaint inspection
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of The Orchards at Northwest
- Inspectors cited the home at the immediate-jeopardy level on February 21, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 8, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $15,889 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 21, 2024 | Fine | $15,889 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near The Orchards at Northwest
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.7 mi
Sinai-Grace Hospital DetroitEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 23m for patients treated and sent home
- 2.9 mi
-
3.4 mi
Providence Hospital and Medical Centers SouthfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Orchards at Northwest › All nursing homes in Detroit ›
Compare The Orchards at Northwest with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Oakpointe Senior Care and Rehab Center · Detroit · 5 stars · 1.6 mi
- West Oaks Senior Care & Rehab Center · Detroit · 5 stars · 3.3 mi
- St. Joseph's, A Villa Center · Hamtramck · 5 stars · 7.2 mi
- Regency Heights-Detroit · Detroit · 4 stars · 2.4 mi
Other The Orchards Michigan nursing homes in Michigan
- The Orchards at Armada · Armada · 5 stars
- The Orchards at Southgate · Southgate · 4 stars
- The Orchards at Big Rapids · Big Rapids · 3 stars
- The Orchards at Warren · Warren · 2 stars
- The Orchards at Wayne · Wayne · 2 stars
- The Orchards at Redford · Redford · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 15 The Orchards Michigan nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.