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Nursing HomeMedicaid

Orchards of East Liverpool, the

Strong Medicare quality ratings; families often praise clean and well-maintained facility environment. Still worth an in-person visit.

709 Armstrong Lane, East Liverpool, OH 4392050 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 10 Google reviews

5
4
3
2
1
Orchards of East Liverpool, the Nursing Home in East Liverpool, OH — Street View
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What this means for your family

While the facility has historically received praise for its clean environment and rehab services, the most recent report is deeply concerning regarding staff conduct. We strongly advise families to conduct unannounced visits and monitor the quality of bedside care closely, as there is a significant discrepancy between past positive experiences and recent reports of neglect.

Google Reviews

Google Reviews

10 reviews on Google
The Orchards of East Liverpool receives polarized feedback, with some families praising the facility as clean and welcoming, while others report severe instances of neglect and unprofessional behavior. Recent reports from 2025 highlight alarming interactions between staff and vulnerable residents, contrasting sharply with positive experiences shared by families of rehab patients in previous years.

Quality Themes

Tap a score for details
Food10.0Staff3.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Clean and well-maintained facility environment
  • Welcoming and friendly initial intake process
  • Responsive communication for rehab families

Concerns

  • Unprofessional and abusive staff behavior (mentioned by 2 reviewers)
  • Neglect and failure to monitor patient health status (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(2)3.72019(3)5.02021(1)5.02022(4)1.02025(1)5.02026(1)

Distribution · 12 analyzed

5
10
4
0
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We were so glad to hear how welcoming and friendly the intake process is; how do you ensure that same level of personalized care continues once a resident is settled in?
  • 2Since we value clear communication, what is the best way for our family to stay updated on any changes in our loved one's health or daily status?
  • 3How does the nursing team monitor residents throughout the night to ensure their medical needs and safety are being met?
  • 4With the recent focus on improving staff quality, what specific steps is the facility taking to support and train the care team?
  • 5What kind of daily activities or social engagement opportunities are available to keep residents active and connected with one another?
  • 6Can you tell us more about how the facility maintains its clean and well-maintained environment for the residents?

Personalized based on this facility's data


Key Review Excerpts

The nurse told her “I’m not going to stand here and hold your damn legs.” Another nurse made the comment about how they hate working for “stupid p

Grandchild of resident · 2025☆☆☆☆

Everyone there was so welcoming from the moment she got there and made her feel" taken care of and the best food” as she said in her own words. The staff is unbelievably caring and responsive to every question we have had..

Niece of rehab patient · 2022★★★★★

Just because a person has good vitals "says the red headed nurse who never set foot in his room...does not mean a person is ok...you would see dehydration if you do your job.

Family member of resident · 2019☆☆☆☆
Source: 10 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
12.1%
OH
28.2%
Columbiana
24.4%

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 Facility2.7%
Better than Avg
Here
2.7%
US
15.5%
OH
9.4%
Columbiana
6.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.6%
Better than Avg
Here
14.6%
US
19.5%
OH
25.4%
Columbiana
26.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.0%
Worse than Avg
Here
17.0%
US
15.3%
OH
6.9%
Columbiana
10.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OH
92.6%
Columbiana
95.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.0%
Worse than Avg
Here
26.0%
US
19.4%
OH
21.6%
Columbiana
21.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
OH
78.4%
Columbiana
81.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.3%
Better than Avg
Here
95.3%
US
79.8%
OH
75.6%
Columbiana
80.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Columbiana
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state avg (10.1)
1 complaint-triggered

This facility has concerning patterns of recurring deficiencies, including families filing reports that triggered complaint investigations. The most frequent problems involve medication management, daily care assistance, and safety issues like fire systems and electrical equipment. While all violations show correction dates, many issues repeatedly appear across multiple surveys from 2018-2024, suggesting ongoing challenges with maintaining consistent standards of care and safety protocols.

Dec 17, 2025Routine
9
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

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.

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.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 4, 2024Complaint
1
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.

Nov 25, 2022Routine
13
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0222Potential for harm · PatternCorrected

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.

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.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

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

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

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.

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758Potential for harm · IsolatedCorrected

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 · IsolatedCorrected

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.

Nov 14, 2019Routine
22
0761Potential for harm · WidespreadCorrected

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.

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0580Potential for 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.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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.

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0758Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0868Minimal · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Ownership & Operations

Who Operates This Facility

Owner / Operator

Orchards of East Liverpool, the

Organization Type

for profit

Chain Affiliation

Chain Name

The Orchards

Chain Size

2 facilities nationwide

Chain avg rating: 3.5/5 · Rank 2 of 2 (Worst)

Ownership & Management

Owners

Fox, James

Owner

50%

Fox, Scott

Owner

50%

Orchards Family Management, LLC

Owner · Organization

Fox, James

Owner (parent company)

Fox, Scott

Owner (parent company)

Key personnel

Fox, JamesManaging Control - Governing BodyFox, ScottManaging Control - Governing BodyBarnett, GeraldManagerFox, JamesManagerFox, ScottManager
Source: Medicare provider data

Contact

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References & Resources

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