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Nursing HomeMedicaid Investigative

The Orchards at Three Rivers

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

55378 Wilbur Rd, Three Rivers, MI 4909387 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 29 Google reviews

5
4
3
2
1
The Orchards at Three Rivers Nursing Home in Three Rivers, MI — Street View
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6/ 10
high Risk

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 (49 vs median 8.0)

Bottom 25% in MI · Below recommended RN staffing · No penalties on record · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

Given the consistent reports of neglect and communication failures in 2025, families should exercise extreme caution. If you must use this facility, perform daily unannounced visits to monitor your loved one's hygiene, nutrition, and medication adherence.

Google Reviews

Google Reviews

29 reviews on Google
The Orchards at Three Rivers (often referred to as Edgewood in reviews) faces significant criticism regarding chronic understaffing, poor facility maintenance, and inconsistent medical care. While a small number of families report positive experiences with specific staff members, the majority of recent feedback highlights serious concerns about hygiene, food quality, and communication failures regarding patient health.

Quality Themes

Tap a score for details
Food1.0Staff3.0Clean2.0Activities1.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Select compassionate individual staff members
  • Helpful communication for remote family members
  • Effective dialysis support team

Concerns

  • Chronic understaffing leading to neglect (mentioned by 6 reviewers)
  • Poor food quality and temperature (mentioned by 4 reviewers)
  • Lack of cleanliness and hygiene (mentioned by 4 reviewers)
  • Inadequate communication regarding medical status (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.02022(2)5.02023(2)4.22024(5)1.82025(13)3.02026(10)

Distribution · 32 analyzed

5
12
4
2
3
1
2
2
1
15

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent challenges with staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily hygiene and call-light responses?
  • 2I noticed the facility has had a high volume of state violations recently; what concrete steps is leadership taking to improve the overall quality of care and safety standards?
  • 3Since food quality and meal temperatures have been a point of feedback, could you walk me through the current dining process and how you ensure meals are served at the appropriate temperature?
  • 4We value clear communication; what is your standard process for updating families on a resident's medical status, and how do you ensure this remains consistent?
  • 5With the activities and events program currently being a focus for improvement, what kind of daily engagement or social opportunities can my family member expect to participate in?
  • 6I understand you have a strong dialysis support team; how is that specialized care integrated into the daily routine to ensure it doesn't disrupt the resident's overall comfort?

Personalized based on this facility's data


Key Review Excerpts

She hasn’t been eating, and they said it was a “decline”. Turns out, she hasn’t been on her antibiotic since last month, and they never said a thing.

Long-term resident's family · 2025☆☆☆☆

The staff are great and physical therapist are great but the patient well being is horrible the beds are so cheap made it's like sleeping on pipes the food is always cold and no salt or seasoning.

Rehab patient · 2025★★☆☆☆

We are so very pleased and happy with all the great care our parents have gotten over the past 6+ months . We couldn't ask for anything more.

Long-term resident's family · 2024★★★★★
Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
61%
Registered nurses for medical care
Total Nursing
3.63hrs
88%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
67%
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

5

measures

Worse Than Avg

8

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.6%
Worse than Avg
Here
33.6%
US
15.3%
MI
13.1%
St. joseph
15.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
15.5%
MI
15.0%
St. joseph
9.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.4%
Worse than Avg
Here
26.4%
US
14.4%
MI
11.2%
St. joseph
14.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
MI
4.2%
St. joseph
11.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
19.5%
MI
19.5%
St. joseph
17.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.3%
Mixed vs Avgs
Here
24.3%
US
19.4%
MI
20.2%
St. joseph
25.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility69.0%
Worse than Avg
Here
69.0%
US
81.8%
MI
83.0%
St. joseph
88.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.2%
Mixed vs Avgs
Here
84.2%
US
79.8%
MI
79.5%
St. joseph
86.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
MI
1.2%
St. joseph
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

43deficiencies
1penalties
Well above state avg (9.8)
46 complaint-triggered

The Orchards at Three Rivers has faced significant ongoing challenges, with 78 deficiencies across 10 surveys and 44 triggered by family complaints. Persistent issues include safety hazard prevention, care planning, and infection control, with the same problems recurring across multiple years. While all violations show correction dates, the pattern of repeated deficiencies in core care areas suggests systemic challenges that families should carefully consider.

Mar 5, 2026Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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.

Dec 23, 2025Complaint
9
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.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 25, 2025Complaint
7
0689Actual 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.

0609Potential for harm · PatternCorrected

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 · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0741Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 30, 2025Complaint
10
0605Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0730Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0940Potential for harm · WidespreadCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0947Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Aug 4, 2025Complaint
6
0659Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 3, 2025Complaint
8
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Payment Denial

Oct 30, 2025

48-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Orchards at Three Rivers

Organization Type

for profit

Chain Affiliation

Chain Name

The Orchards Michigan

Chain Size

14 facilities nationwide

Ownership & Management

Owners

Kornfeld, Robert

Owner (parent company)

10%

Taub, Jacob

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Gutman, IsaacManaging Control - Governing BodyHoffman, AlexanderManaging Control - Governing BodyKornfeld, RobertManaging Control - Governing BodyTaub, JacobManaging Control - Governing BodyWhite Lake Healthcare LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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