All citations for The Orchards at Big Rapids

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Orchards at Big Rapids

Last standard health inspection on record

April 22, 2026

Showing 26 to 45 of 45 citations

  1. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  2. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of April 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  3. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 22, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  4. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 22, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  5. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  6. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 22, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of April 22, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  8. No harm, with potential for more than minimal harm

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  9. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of April 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

  10. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 22, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2026).

  11. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2025).

  12. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2025).

  13. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2025).

  14. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2025).

  15. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  16. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  18. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  19. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 8, 2024).

  20. No harm, with potential for more than minimal harm

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0626, Resident Rights Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.