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ORCHARD REHABILITATION & NURSING CENTER

600 BATES ROAD
MEDINA, NY 14103 · 5857984100 · Orleans County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds160
OwnershipFor profit - Limited Liability company
State rank#296

By the numbers

18
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are trending down — 7 in the most recent cycle versus 9 two cycles ago.

Recent Health Citations

Sep 2, 2025 · Health survey · F-tag 0804
E — No actual harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Sep 2, 2025 · Health survey · F-tag 0725
F — No actual harm
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.
Apr 16, 2024 · Health survey · F-tag 0848
B — Cited
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Apr 16, 2024 · Health survey · F-tag 0728
D — No actual harm
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.
Apr 16, 2024 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 16, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 16, 2024 · Health survey · F-tag 0804
E — No actual harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Apr 25, 2022 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 25, 2022 · Health survey · F-tag 0656
D — No actual harm
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.
Jun 21, 2019 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jun 21, 2019 · Health survey · F-tag 0685
D — No actual harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Jun 21, 2019 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 21, 2019 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 21, 2019 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jun 21, 2019 · Health survey · F-tag 0804
E — No actual harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jun 21, 2019 · Health survey · F-tag 0761
E — No actual harm
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.
Jun 21, 2019 · Health survey · F-tag 0758
E — No actual harm
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.
Jun 21, 2019 · Health survey · F-tag 0756
E — No actual harm
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.

Showing the 18 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in New York →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.