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The Orchards at Canterbury: Medication Failures - MI

Healthcare Facility
The Orchards At Canterbury On The Lake
Waterford, MI  ·  1/5 stars

The Director of Nursing confirmed to inspectors that the facility knew the medication was ordered and simply didn't have it in stock. She said the floor nurse should have reached out to other staff for help securing the medication, that STAT delivery was an option, and that the backup supply should have been checked. None of that happened. The nurse was taken off the schedule after the fact.

A second resident, identified in inspection records as R902, had blood pressure and potassium medications documented as unavailable across multiple dates in October. Metoprolol, prescribed for hypertension, was listed as not available on October 16 and again on October 21. Potassium chloride, prescribed for low potassium, showed gaps on October 18, 19, and 21.

When inspectors raised the missing medications with Nurse Manager A on October 21, the explanation was blunt: the potassium chloride was already in the medication cart. The nurses just didn't look hard enough to find it. The metoprolol was sitting in the backup supply. Nobody pulled it.

The inspection, a complaint survey completed October 24, 2025, cited minimal harm for both residents. But a resident who spent a night without an antibiotic their doctor had ordered, and then required a more invasive course of treatment because of it, represents something the Director of Nursing herself acknowledged: the medication was there to be found or ordered, and nobody did either.

The nurse responsible for the antibiotic miss was removed from the schedule. Whether the resident who started IV treatment the next morning experienced any setback from the missed dose, the inspection report does not say.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for The Orchards At Canterbury On the Lake from 2025-10-24 including all violations, facility responses, and corrective action plans.

Download the official CMS inspection PDF from Medicare.gov

Additional Resources

Editorial Standards & Data Disclosure

Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.

Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.

Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.

Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: September 5, 2026  ·  Our methodology

Quick Answer

The Orchards at Canterbury on the Lake in Waterford, MI was cited for violations during a health inspection on October 24, 2025.

The Director of Nursing confirmed to inspectors that the facility knew the medication was ordered and simply didn't have it in stock.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at The Orchards at Canterbury on the Lake?
The Director of Nursing confirmed to inspectors that the facility knew the medication was ordered and simply didn't have it in stock.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Waterford, MI, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from The Orchards at Canterbury on the Lake or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 235555.
Has this facility had violations before?
To check The Orchards at Canterbury on the Lake's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.