Adviniacare Orchard, LLC
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 47 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Above-median deficiencies (22 vs median 7)
Bottom 25% in RI · Below recommended RN staffing · Low staff turnover (stable workforce) · Worst in ATHENA HEALTHCARE SYSTEMS chain · $132,654 in fines · Special Focus Facility (CMS)
What this means for your family
While some families report success with the rehab therapy team, the facility has a recurring pattern of serious neglect and communication failures. If you are considering this facility, we strongly recommend conducting unannounced visits at different times of the day and specifically asking for their current state inspection reports regarding staffing and hygiene.
Google Reviews
Google Reviews
47 reviews on Google“AdviniaCare Orchard, LLC receives highly polarized feedback, with some families praising the rehab therapy and individual staff members, while others report severe neglect and systemic failures. Common complaints include poor hygiene, unresponsive communication, and inadequate staffing, leading to significant concerns regarding resident safety and basic care standards.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy and rehabilitation
- Helpful and friendly ambassador program
- Some dedicated and caring individual staff members
Concerns
- Neglect of basic hygiene and resident cleanliness (mentioned by 6 reviewers)
- Poor communication and unresponsiveness to family inquiries (mentioned by 5 reviewers)
- Understaffing and lack of professional care (mentioned by 5 reviewers)
- Allegations of lying or covering up incidents/injuries (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that communication is a high priority for families; what is your specific process for updating us on any changes in our loved one's health or daily status?
- 2Given the importance of hygiene and resident comfort, could you walk us through the daily routine for assisting residents with personal grooming and room cleanliness?
- 3I see that your rehabilitation and physical therapy programs are highly regarded; how do you integrate those services into the daily schedule for residents who need extra support?
- 4In light of the recent focus on transparency, what is your protocol for documenting and informing families immediately if an unexpected injury or incident occurs?
- 5I appreciate that you actively engage with online feedback; how do you use that family input to make tangible improvements to the dining experience and meal quality?
- 6With a capacity of 166 residents, how does your nursing team ensure that individual needs for medication management and professional care are met consistently throughout the day and night?
Personalized based on this facility's data
Key Review Excerpts
“My mom is a resident and has been treated so horribly! A COPD patient in a room that is 90 plus degrees, complaining she cannot breath. When family members brought this to the staffs attention we were assured that she would be moved on Monday.”
“My young daughter who is severely handicap and nonverbal is in short term rehab recovering from multiple fractures in her femur. ... the entire staff from admissions, administration, nursing, PT, CNA, dietary, and house keeping have been the best with her and our family.”
“My dad has dementia with recent aggressive tendencies emerging, so proper administration of his meds is crucial for his and everyone else's safety. My dad has a propensity to cheek/spit out his meds. Upon meeting the med tech for my first visit there, she asked me what to do about this.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
6
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 38 complaint-triggered deficiencies across 22 surveys, indicating families have regularly filed reports about care issues. The most recurring problems involve accident prevention and safety hazards, infection control, and care planning quality. Issues persist across multiple years in the same areas, including recent 2024-2026 complaints about resident protection from abuse and safety hazards, suggesting ongoing challenges with fundamental care standards despite correction plans.
Jan 23, 2026Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 12, 2026Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Jan 9, 2026Complaint4
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Sep 24, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 17, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Aug 13, 2025Complaint1
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Federal Penalties
Fine
Sep 12, 2024
$23,923
Fine
Apr 23, 2024
$16,801
Fine
Feb 15, 2024
$14,050
Fine
Jul 6, 2023
$77,880
Ownership & Operations
Who Operates This Facility
Adviniacare Orchard, LLC
for profit
Chain Affiliation
Athena Healthcare Systems
24 facilities nationwide
Chain avg rating: 1.7/5 · Rank 24 of 24 (Worst)
Ownership & Management
Owners
Chakalos-Santilli, Valerie
Owner
Mosier, Michael
Owner
Santilli, Lawrence
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit adviniacare.com
Medicare data downloads
Original nursing home datasets
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