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Nursing HomeMedicaid Top Rated

Orchard Manor

Strong Medicare quality ratings; families often praise thoughtful, loving care for long-term residents. Still worth an in-person visit.

8800 Hwy 61, Lancaster, WI 5381374 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 4 Google reviews

Orchard Manor Nursing Home in Lancaster, WI — Street View
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What this means for your family

While one family member expressed deep gratitude for the care provided to their parents, the lack of recent, detailed feedback makes it difficult to verify current standards. We recommend scheduling an in-person tour to observe staff interactions and facility conditions firsthand, as there is insufficient data to identify specific operational concerns.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.88hrs
OK
Registered nurses for medical care
Total Nursing
4.29hrs
OK
All nurses + aides combined
Staff Turnover
26%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
WI
5.2%
Grant
10.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
15.5%
WI
15.9%
Grant
20.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WI
95.6%
Grant
92.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.5%
Better than Avg
Here
14.5%
US
19.5%
WI
16.8%
Grant
21.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.1%
Worse than Avg
Here
21.1%
US
14.4%
WI
16.7%
Grant
17.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.3%
Better than Avg
Here
19.3%
US
19.4%
WI
25.0%
Grant
23.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.8%
Better than Avg
Here
95.8%
US
81.8%
WI
86.6%
Grant
77.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
WI
1.3%
Grant
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
2penalties
Well below state avg (9.8)
$22,425 in fines
Clean record — no deficiencies

Orchard Manor has 28 deficiencies across three surveys, with all issues reportedly corrected by the facility. The most recurring problems involve fire safety systems, electrical safety, and resident care issues including pressure ulcer care and abuse reporting protocols. While the facility appears to address deficiencies when cited, the pattern of repeated fire safety violations across multiple surveys suggests ongoing infrastructure challenges families should discuss during visits.

Dec 16, 2025Routine
9
0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0331Potential for harm · IsolatedCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0927Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Aug 15, 2024Routine
11
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0687Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0343Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

May 17, 2023Routine
8
0580Actual harm · IsolatedCorrected

Resident Rights Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Potential for harm · Isolated

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Aug 15, 2024

$22,425

Payment Denial

Aug 15, 2024

1-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Orchard Manor

Organization Type

government

Ownership & Management

Owners

County of Grant

Owner · Organization

Key personnel

Erdenberger, AleshaOfficer / DirectorStader, EricOfficer / DirectorCounty of GrantManagerErdenberger, AleshaManagerStader, EricManager
Source: Medicare provider data

Contact

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References & Resources

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