The Orchards At Canterbury On The Lake
The Orchards at Canterbury on the Lake in Waterford, MI — inspection on October 24, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
provided as a facility policy titled, Fall Management Guidelines, revealed, in part, the following, .As
235555 10/24/2025
The Orchards at Canterbury on the Lake 5601 Hatchery Road Waterford, MI 48329
tablet by mouth one time a day for hypertension-medication not available Potassium Chloride Oral
hypokalemia-ON ORDER 10/19/25-Potassium Chloride Oral Packet 20 MEQ Give 1 packet by mouth
Release 24 Hour 50 MG Give 1 tablet by mouth one time a day for hypertension- medication not available Potassium Chloride Oral Packet 20 MEQ Give 1 packet by mouth one time a day for hypokalemia-medication not availableOn 10/21/25 at approximately 12:43 p.m., The Director of Nursing (DON) was queried regarding the missed dosage of R901's antibiotic on the evening of 10/14/25.
The DON indicated that they were aware that R901 was supposed to have his ABT administered that evening but that they did not have it in stock.
The DON indicated that they had previously looked into the issue and that the Nurse was taken off the schedule and Nursing staff had been re-educated on ensuring medications were available for new admissions and how to order medications for STAT delivery (as soon as possible) as well as checking the backup supply.
The DON indicated that the floor Nurse should have reached out to other staff to help in how to secure the medications for administration that day so R901 could have gotten their medication that day even if they arrived at the facility without their medications with them.
The DON reported that they had to start R901's IV ABT the next day on 10/15/25 as a result.
The DON was queried on the process of ordering and reordering medications, and they reported that the Nurse should be ordering them in a timely manner to ensure administration and then following up with pharmacy and administration if there are issues. On 10/21/25 at approximately 4:10 p.m., during a conversation with Nurse Manger A (NM A), NM A was queried regarding the medications for R902 that were documented as being unavailable for administration. NM A indicated that the medications were available and that R902's potassium chloride was in the medication cart, but the Nurses did not look hard enough to find it. NM A indicated that R902's metoprolol was located in the backup supply of medications, and the Nursing staff should have gone to the backup supply to pull it for it to be administered as ordered. A facility document titled Medication Administration and General guidelines was reviewed and revealed the following: Policy-Medications are administered as prescribed, in accordance with State Regulations using good nursing principles and practices and only by persons legally authorized to do so.
Personnel authorized to administer medications do so only after they have familiarized themselves with the medication, monograph of all medications is available in LinkRx otherwise authorized personnel should refer to Drug Reference material provided by facility .
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The Orchards at Canterbury on the Lake 5601 Hatchery Road Waterford, MI 48329
needed to be changed. CNA B was queried why did they not assist CNA D earlier in the morning, and
reviewed and revealed the following: Purpose-To assure adequate, competent staff is available to
needs of residents and staffing accordingly to assure care can be provided to address resident needs.
The DON (Director of Nursing) should work closely with the staffing coordinator to identify nursing staffing needs and hire nursing staff accordingly .
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The Orchards at Canterbury on the Lake 5601 Hatchery Road Waterford, MI 48329
(touching) with environmental surfaces or resident care items in the resident's environment .3.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.