The Orchards at Three Rivers: Activity Failures - MI
The resident, identified in inspection records only as Resident 102, lived in the facility's memory care unit. He could not answer questions about what he enjoyed. He could not join group activities. He needed one staff member dedicated entirely to him to pursue any leisure interest at all. According to the activity assistant who worked his unit most often, he seemed to be suffering from significant emotional pain and appeared distraught most of the time.
His activity record said otherwise.
Federal inspectors visited The Orchards at Three Rivers on October 30, 2025, following a complaint. What they found was a gap between what the paperwork showed and what staff described in their own words, sometimes within the same interview.
Activity Director CC told inspectors she expected staff to document residents self-propelling their wheelchairs or looking out windows as self-guided leisure activities. She confirmed those entries appeared in Resident 102's record. Then, when pressed, she confirmed that moving oneself in a wheelchair or gazing out a window does not meet the definition of a leisure activity. She also said she was not familiar with Resident 102 and could not confirm whether his participation record was accurate. She acknowledged that the activity assistant responsible for his unit was having difficulty documenting attendance correctly.
That activity assistant, AA DD, was candid about the situation. She told inspectors she was the primary activity staff member for Resident 102's unit and that nobody told her what he liked. Because he couldn't communicate his preferences, she would place leisure supplies in front of him and watch to see what he reached for. She described him as someone who seemed to carry a lot of emotional pain, who was distraught most of the time, and who could not take part in group programming.
The resident's power of attorney, identified as DPOA EE, told inspectors that religion had never been part of his life, despite it appearing in his care documentation. She visited him several times a week and said she never saw him participating in any activities.
A registered nurse who cared for him multiple times weekly described the same pattern. The resident almost never participated in any activity, she said. He needed constant one-on-one support to pursue any kind of leisure interest. She told inspectors that activities matter especially for residents with dementia because engagement reveals the person inside the disease.
The concern had reached facility leadership months before inspectors arrived. Former Social Services Director H told inspectors he had been worried about the quality and quantity of activities being offered to residents in the memory care unit. He said he brought that concern directly to Nursing Home Administrator A sometime in August 2025, roughly two months before the inspection.
Administrator A, in an interview on the day of the inspection, confirmed the facility had already identified a need for more individualized activities in the memory care unit. She confirmed that individualized programming promotes well-being and reduces difficult behaviors in residents with dementia.
The facility knew. The concern had been raised internally. The administrator confirmed the gap herself. And the activity records during that period showed a man looking out a window.
Inspectors cited the deficiency at a level of minimal harm or potential for actual harm, affecting a small number of residents. The regulatory language is measured. What the activity assistant described was not. A man in a memory care unit, unable to say what he loved or what brought him comfort, spending his days in what the person closest to his care called emotional pain, while the paperwork reflected participation he never had.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Orchards At Three Rivers from 2025-10-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
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 23, 2026 · Our methodology
The Orchards at Three Rivers in Three Rivers, MI was cited for violations during a health inspection on October 30, 2025.
The resident, identified in inspection records only as Resident 102, lived in the facility's memory care unit.
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.