The Orchards At Roseville
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to intake 2673919.Based on interview and record review, the facility failed to notify the guardian of
a change in condition for one resident (#702) out of one resident reviewed for a change in condition.
Findings include:It was reported to the State Agency that the facility failed to notify the guardian that Resident R702 had been sent to the hospital. A review of the clinical record revealed Resident R702 was initially admitted to the facility on [DATE REDACTED] and readmitted on [DATE REDACTED]. Resident R702's diagnoses included Chronic Obstructive Pulmonary Disease, Hypertensive Heart Disease and Chronic Respiratory Failure. Resident R702 has a legal guardian who makes their decisions. Further review of the clinical record revealed on 10/29/25, Resident R702 was sent to a vascular doctor's appointment outside the facility. At the doctor's appointment, Resident R702 complained of chest pain and was sent 911 to the hospital. There was no documented communication in the clinical record regarding Resident R702 being sent to the hospital. On 11/20/25 at 3:15 PM an interview with the Nursing Home Administrator (NHA) confirmed the facility did not notify Resident R702's guardian of resident's change of condition and being sent to the hospital from their doctors' appointment. A request was made for a change in condition policy and notification of the guardian but was not received by survey exit.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Orchards at Roseville
25375 Kelly Road Roseville, MI 48066
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0757
F 0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to intake 2638560. Based on interview and record review, the facility failed to ensure one resident (Resident R700) did not receive discontinued medications out of two reviewed for unnecessary medications. Findings include: A review of the Electronic Medical Record (EMR) revealed Resident R700 was originally admitted on [DATE REDACTED].
Diagnoses included Fibromyalgia, and schizoaffective disorder. Further review revealed a Brief Interview for Mental Status score of 13/15 which indicated intact cognition. A review of the physician's orders revealed
an order on 9/22/25 to discontinue Ultram (Tramadol-pain medication) once Norco (narcotic pain medication) arrives from pharmacy. The Norco arrived on 9/22/25 however the Tramadol was not discontinued. A review of the September 2025 medication administration record showed the Tramadol was administered on the following dates 9/24/25, 9/29/25, 10/1/25, 10/2/25, and 10/3/25, and the Norco was administered on: 9/23/25, 9/26/25, 10/1/25, 10/2/25, 10/4/25, and 10/5/25. Resident R700 received both medications
on 10/1/25 and 10/2/25. On 10/13/25 the order for the Tramadol was discontinued. On 11/20/25 the Nursing Home Administrator (NHA) was queried about the medication orders. The NHA said physician orders should be followed as written. A review of the undated Medication Policy noted the following: Medications are administered in accordance with written orders of the attending physician
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
The Orchards at Roseville in Roseville, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Roseville, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Orchards at Roseville or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.