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Nursing HomeMedicaid

Orchard Rehabilitation & Nursing Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

600 Bates Road, Medina, NY 14103160 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 54 Google reviews

5
4
3
2
1
Orchard Rehabilitation & Nursing Center Nursing Home in Medina, NY — Street View
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What this means for your family

Orchard Rehabilitation has a strong reputation for its therapy and social work departments, which many families find very supportive. However, given the recurring complaints about phone communication and inconsistent staffing, we recommend visiting in person during off-hours to observe the environment firsthand and establishing a clear point of contact for updates.

Google Reviews

Google Reviews

54 reviews on Google
Orchard Rehabilitation & Nursing Center receives highly polarized feedback, with many families praising the cleanliness and the kindness of specific staff members, while others report significant issues with communication, hygiene, and staffing levels. While some residents and families describe a welcoming and supportive environment, others express deep frustration regarding unresponsive phone lines, inconsistent care, and unprofessional staff behavior.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean7.0Activities5.0Meds2.0Memory7.0Comms2.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Attentive and caring nursing/therapy staff
  • Effective social work and administrative support
  • Engaging rehabilitation programs

Concerns

  • Unresponsive or rude phone communication (mentioned by 5 reviewers)
  • Unsanitary conditions and poor hygiene practices (mentioned by 5 reviewers)
  • Understaffing leading to neglect or burnout (mentioned by 4 reviewers)
  • Inconsistent or poor quality of food service (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'17(1)1.01.4'20(5)1.03.2'23(10)4.14.2'25(22)3.8'26(4)

Distribution · 58 analyzed

5
30
4
9
3
1
2
1
1
17

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific systems are in place to ensure residents receive timely assistance with hygiene and personal care needs?
  • 2I noticed some feedback regarding communication challenges; what is the best way for families to get quick, reliable updates from the nursing team?
  • 3Could you walk me through your current process for medication management and how you ensure accuracy for residents with complex health needs?
  • 4With the rehabilitation program being a highlight here, how do you balance those therapy schedules with the daily social activities for residents?
  • 5What steps is the facility taking to improve the variety and quality of the dining experience to better meet the nutritional preferences of the residents?
  • 6In the event of a medical emergency, what is your protocol for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

My father has been a resident at Orchard Rehabilitation since September and everyone we have dealt with has been so helpful and kind. I have witnessed first hand the gentleness and consideration the nurses and PCAs give to the residents.

Long-term resident's family · 2023★★★★★

My dad was in Orchard’s rehab wing. I can say the staff truly care and do everything they possibly can with what they have. There are countless stories of nurses, aides, and PT/OT staff finding unique ways to make him as comfortable as possible.

Rehab patient's family · 2025★★★★★

I am in my last couple days at Orchard Manor. So I will admit there are a couple good people that work here they do all that they can... However, this is where the dark part comes in alot them will talk, gossip, and and break promises.

Rehab patient · 2024★★☆☆☆
Source: 54 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
63%
Registered nurses for medical care
Total Nursing
2.99hrs
73%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility65.2%
Worse than Avg
Here
65.2%
US
93.4%
NY
91.3%
Orleans
92.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NY
18.9%
Orleans
4.1%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
19.4%
NY
20.2%
Orleans
19.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.5%
Better than Avg
Here
10.5%
US
15.5%
NY
13.8%
Orleans
20.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
14.4%
NY
14.8%
Orleans
16.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
19.5%
NY
13.3%
Orleans
13.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
81.8%
NY
77.0%
Orleans
81.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility56.3%
Worse than Avg
Here
56.3%
US
79.8%
NY
78.8%
Orleans
64.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
NY
1.2%
Orleans
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (7.6)
2 complaint-triggered

Families filed complaints about nursing staffing and food quality, both of which have been recurring issues across multiple surveys since 2019. The facility shows persistent problems with food service, medication management, and nursing staff adequacy, though all deficiencies have correction dates. Recent 2024 issues included staff training problems and safety hazards, suggesting ongoing operational challenges that families should carefully evaluate during visits.

Sep 2, 2025Complaint
2
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Apr 16, 2024Routine
7
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0345Potential for harm · PatternCorrected

Smoke Deficiencies

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

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0728Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

0848Minimal · PatternCorrected

Administration Deficiencies

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Apr 25, 2022Routine
3
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Jun 21, 2019Routine
12
0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0007Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0037Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0711Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Orchard Rehabilitation & Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Personal Healthcare Management

Chain Size

21 facilities nationwide

Ownership & Management

Owners

Orrnc Holdings LLC

Owner · Organization

100%

Key personnel

Barth, AlexanderOfficer / DirectorZagelbaum, YechielOfficer / DirectorCracknell, JennaManagerYates, CharlesManagerOrrnc Realty LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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