All states › Michigan › Three Rivers › The Orchards at Three Rivers
55378 Wilbur Rd Three Rivers, MI 49093 · St. Joseph County
All 2 nursing homes in Three Rivers, MI (2 take Medicaid)
CMS certification number 235354 · See this home on Medicare Care Compare
Is The Orchards at Three Rivers 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 Three Rivers 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 3.63 hours per resident per day at The Orchards at Three Rivers, below the Michigan median of 3.86 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 11% below its all-week average. 49.4% of nursing staff left within a year (Michigan median 43.8%).
About this nursing home
Paying for care at The Orchards at Three Rivers: Medicare and Medicaid
The Orchards at Three Rivers 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 5, 2026 and found 11 deficiencies, plus 28 from complaint inspections in the same period. In total, inspectors issued 70 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 70 citations at The Orchards at Three Rivers across 10 inspection dates, 46 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 30, 2025 (complaint inspection). The most common areas cited were quality of life and care (20) and infection control (9). The most serious was cited under the CMS rule to "prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function" (tag F0605, level J, October 30, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.
March 5, 2026 · 13 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
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.
EEnsure medication error rates are not 5 percent or greater.
EDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DReasonably accommodate the needs and preferences of each resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
December 23, 2025 · 9 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
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 care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
November 25, 2025 · 7 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.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
EEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 30, 2025 · 10 citations, includes immediate jeopardy · includes complaint inspection
JPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
FObserve each nurse aide's job performance and give regular training.
FHave a plan that describes the process for conducting QAPI and QAA activities.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
FEnsure 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.
DProvide activities to meet all resident's needs.
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.
August 4, 2025 · 6 citations · includes complaint inspection
EProvide care by qualified persons according to each resident's written plan of care.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
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 and implement an infection prevention and control program.
April 3, 2025 · 8 citations · includes complaint inspection
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FEnsure 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.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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 care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
November 15, 2024 · 9 citations
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.
FGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
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.
DProvide behavior health training consistent with the requirements and as determined by a facility assessment.
June 13, 2024 · 3 citations · includes complaint inspection
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.
March 21, 2024 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 4, 2023 · 4 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The Orchards at Three Rivers
- Inspectors cited the home at the immediate-jeopardy level on October 30, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 25, 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?
- 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
2 penalties in the last three years, including $137,535 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 30, 2025 | Fine | $137,535 |
| Oct 30, 2025 | Payment Denial | 48 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near The Orchards at Three Rivers
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.0 mi
Three Rivers Health Three RiversEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 26m for patients treated and sent home
- 16.7 mi
- 18.0 mi
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 Three Rivers › All nursing homes in Three Rivers ›
Compare The Orchards at Three Rivers with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Fairview Nursing and Rehabilitation Community · Centreville · 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.