The Orchards At Three Rivers
Inspection Findings
F-Tag F0558
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0558 during a complaint investigation conducted on 2025-10-30.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0605
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0605 during a complaint investigation conducted on 2025-10-30.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-10-31.
F-Tag F0679
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0679 during a complaint investigation conducted on 2025-10-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide activities to meet all resident's needs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0730
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0730 during a complaint investigation conducted on 2025-10-30.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0744
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0744 during a complaint investigation conducted on 2025-10-30.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0842
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-10-30.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0865
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0865 during a complaint investigation conducted on 2025-10-30.
Category: Administration Deficiencies
The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0868
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0868 during a complaint investigation conducted on 2025-10-30.
Category: Administration Deficiencies
The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0940
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0940 during a complaint investigation conducted on 2025-10-30.
Category: Administration Deficiencies
The facility was found deficient in the following area: Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
F-Tag F0947
Federal health inspectors cited Edgewood Health and Rehabilitation in Three Rivers, MI for a deficiency under regulatory tag F-F0947 during a complaint investigation conducted on 2025-10-30.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Edgewood Health and Rehabilitation.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-11-20.
The Orchards at Three Rivers in Three Rivers, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.