facebook tracking Orchard Manor, Lancaster WI: CMS Ratings & Inspections
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Orchard Manor

All states › Wisconsin › Lancaster › Orchard Manor

8800 Hwy 61 Lancaster, WI 53813 · Grant County

(608) 723-2113

All 2 nursing homes in Lancaster, WI (2 take Medicaid)

Accepts Medicare Accepts Medicaid 74 certified beds Government

CMS certification number 525290 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Orchard Manor 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 Orchard Manor as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Wisconsin average of 3.1. Inspectors issued 9 citations in the last three years. CMS imposed 2 penalties, including $22,425 in fines, in that time.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.66 hours per resident per day at Orchard Manor, above the Wisconsin median of 4.04 (US median: 3.72). About 1.02 of those hours are from registered nurses. On weekends it falls to 4.03 hours, 14% below its all-week average. 27.3% of nursing staff left within a year (Wisconsin median 45.7%). That is lower than most homes in Wisconsin, a sign of a steadier team.

Nursing care per resident per day 4.66 hours
Above the Wisconsin median of 4.04 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.02 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.03 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 27.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 30.8% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds74
Residents per day 50 About 68% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1978
Legal business nameCOUNTY OF GRANT

Paying for care at Orchard Manor: Medicare and Medicaid

Orchard Manor 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 Wisconsin'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 December 16, 2025 and found 0 deficiencies. In total, inspectors issued 9 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 9 citations at Orchard Manor across 2 inspection dates. 2 were at the actual-harm level (G–I), most recently on August 15, 2024. The most common areas cited were quality of life and care (4) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, August 15, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 15, 2024 · 5 citations

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Aug 28, 2024)

EProvide appropriate foot care.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0687 · Deficient, Provider has date of correction (Sep 11, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Sep 11, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Sep 11, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Sep 11, 2024)

May 17, 2023 · 4 citations, includes actual harm

GImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Actual harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Jun 15, 2023)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 15, 2023)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Jun 15, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 15, 2023)

Questions to ask on a tour of Orchard Manor

  1. Inspectors cited the home at the actual-harm level on August 15, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 15, 2024. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. 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 $22,425 in fines.

DateTypeAmount or length
Aug 15, 2024 Fine $22,425
Aug 15, 2024 Payment Denial 1 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 5/5 4/5
August 2026 5/5 5/5 5/5 3/5
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Location

Hospitals near Orchard Manor

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Lancaster Health Services Lancaster · 1.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 50 beds · Medicaid
Dove Healthcare - Fennimore Fennimore · 10.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 50 beds · Medicaid
Edenbrook of Platteville Platteville · 12.5 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 80 beds · Medicaid
Care and Rehab - Boscobel Boscobel · 21.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 50 beds · Medicaid
St Dominic Villa Hazel Green · 22.2 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 62 beds · Medicaid

More nursing homes near Orchard Manor ›   All nursing homes in Lancaster ›

Compare Orchard Manor with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/wisconsin/lancaster/orchard-manor/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.