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19840 Harper Avenue Harper Woods, MI 48225 · Wayne County
CMS certification number 235480 · See this home on Medicare Care Compare
Is The Orchards at Harper Woods 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 Harper Woods 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 3.49 hours per resident per day at The Orchards at Harper Woods, below the Michigan median of 3.86 (US median: 3.72). About 0.23 of those hours are from registered nurses. On weekends it falls to 3.18 hours, 9% below its all-week average.
About this nursing home
Paying for care at The Orchards at Harper Woods: Medicare and Medicaid
The Orchards at Harper Woods 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 May 7, 2026 and found 6 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 49 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 49 citations at The Orchards at Harper Woods across 9 inspection dates, 35 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 49 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (17) and resident rights (7). The most serious was cited under the CMS rule to "dispose of garbage and refuse properly" (tag F0814, level F, May 7, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 8 citations · includes complaint inspection
FDispose of garbage and refuse properly.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 or obtain dental services for each resident.
December 18, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 25, 2025 · 11 citations · includes complaint inspection
FHave 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.
FObserve each nurse aide's job performance and give regular training.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
December 12, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
November 6, 2024 · 1 citation · includes complaint inspection
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
October 9, 2024 · 3 citations · includes complaint inspection
EProvide enough food/fluids to maintain a resident's health.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
September 5, 2024 · 3 citations · includes complaint inspection
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate foot care.
March 7, 2024 · 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.
FKeep all essential equipment working safely.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate foot care.
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 for the safe, appropriate administration of IV fluids for a resident when needed.
DImplement 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.
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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 2, 2023 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Questions to ask on a tour of The Orchards at Harper Woods
- CMS cited the home under its abuse and neglect rules on December 18, 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?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near The Orchards at Harper Woods
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.1 mi
St John Hospital and Medical Center DetroitEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 50m for patients treated and sent home
- 2.6 mi
-
3.6 mi
Beaumont Hospital, Grosse Pointe Grosse PointeEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 42m 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 Harper Woods › All nursing homes in Harper Woods ›
Compare The Orchards at Harper Woods with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Ambassador, A Villa Center · Detroit · 5 stars · 6.8 mi
- Hamilton Nursing Home · Detroit · 5 stars · 6.9 mi
- St. Joseph's, A Villa Center · Hamtramck · 5 stars · 7.0 mi
- Fraser Villa · Fraser · 5 stars · 7.6 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.