All states › Michigan › Niles › The Orchards at Niles
1333 Wells St Niles, MI 49120 · Berrien County
All 3 nursing homes in Niles, MI (3 take Medicaid)
CMS certification number 235598 · See this home on Medicare Care Compare
Is The Orchards at Niles 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 Niles 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 3.76 hours per resident per day at The Orchards at Niles, below the Michigan median of 3.86 (US median: 3.72). About 0.54 of those hours are from registered nurses. On weekends it falls to 3.34 hours, 11% below its all-week average. 45.9% of nursing staff left within a year (Michigan median 43.8%).
About this nursing home
Paying for care at The Orchards at Niles: Medicare and Medicaid
The Orchards at Niles 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 August 27, 2025 and found 5 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 69 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 69 citations at The Orchards at Niles across 9 inspection dates, 34 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 68 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (21) and resident assessment and care planning (14). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, August 27, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
January 23, 2026 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 27, 2025 · 5 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
July 15, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 14, 2024 · 4 citations · includes complaint inspection
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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 13, 2024 · 23 citations · includes complaint inspection
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
FGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
EProvide activities to meet all resident's needs.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
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.
CObserve each nurse aide's job performance and give regular training.
June 26, 2024 · 7 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHonor 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide enough food/fluids to maintain a resident's health.
March 7, 2024 · 4 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 safe, appropriate dialysis care/services for a resident who requires such services.
February 21, 2024 · 12 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
July 19, 2023 · 12 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide enough food/fluids to maintain a resident's health.
DProvide care or services that was trauma informed and/or culturally competent.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of The Orchards at Niles
- CMS cited the home under its abuse and neglect rules on July 15, 2025. How are staff trained, and how are concerns reported?
- Ownership changed in the last 12 months. What has changed for residents and staff since then?
- CMS rates short-stay quality 2 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
1 penalty in the last three years.
| Date | Type | Amount or length |
|---|---|---|
| Sep 13, 2024 | Payment Denial | 77 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
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Location
Hospitals near The Orchards at Niles
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
10.3 mi
Saint Joseph Regional Medical Center MishawakaEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 15m for patients treated and sent home
- 10.5 mi
-
10.7 mi
Memorial Hospital of South Bend South BendEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 25m 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 Niles › All nursing homes in Niles ›
Compare The Orchards at Niles with the 3 closest homes side by side ›
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.