Orchard Rehabilitation & Nursing Center
ORCHARD REHABILITATION & NURSING CENTER in MEDINA, NY — inspection on September 2, 2025.
Found 2 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
to create the nursing schedule, and the minimum number of licensed nurses was four (4) on day shift
there were 56 beds on the unit and when they were responsible 14 residents, they were unable to
rush to complete basic care, and it was not fair to the residents.
During an interview on 09/02/2025 at 5:50 AM, Licensed Practical Nurse #1 stated they are responsible for 40 residents on the day shift and medications are often administered late.
During an interview on 09/02/2025 at 9:40 AM, Licensed Practical Nurse (Unit Manager) #2 stated staffing looks good on paper, but then there are call ins.
Medications were not always administered on time when one (1) nurse was responsible for 40 residents.
During an interview on 09/02/2025 at 9:50 AM, Licensed Practical Nurse #3 stated that it was impossible to be the nurse they were taught to be when responsible for 40 residents.
Medications are not always administered on time in the morning because they have to assist in the main dining room during breakfast service and assist the aides with hands on care.
Additionally, they stated it was not safe and we can't take care of the residents, we miss things.
During an interview on 09/02/2025 at 10:07 AM, the Director of Nursing stated the facility has been recruiting to hire additional nursing staff at the facility but have not been successful.
Additionally, they were aware of the state minimum staffing requirements and were aware the facility was not meeting the minimum required nursing staff.
During an interview on 09/02/2025 at 10:18 AM, the Administrator stated they were aware of the state minimum staffing requirement and were aware the facility was not meeting the minimum required nursing staff.
The Administrator stated staffing has been an ongoing focus of the facility and the facility has been recruiting for additional staff. 10 NYCRR 415.13 (b)(1) (i-ii) (2)(ii)
335397 09/02/2025
Orchard Rehabilitation & Nursing Center 600 Bates Road Medina, NY 14103
During an observation/interview on 08/28/2025 at 11:57 AM, Resident #5 was eating their lunch meal in the main dining room. Resident #5 stated the food was never served hot, and the lunch meal was lukewarm at best and the drinks were not served cold.
During an observation/interview on 08/28/2025 at 11:59 AM, Resident #6 was eating their lunch meal in the main dining room. Resident #6 stated the lunch meal was served lukewarm.
During an observation on 08/28/2025 at 12:19 PM, tray line service for the hall trays began.
The Side two (2) Cart two (2) left the servery for the unit at 12:50 PM in a metal cart with doors and all the residents were served lunch meal at 12:56 PM. A test tray was completed with the Food Service Director at 12:56 PM for temperatures and palatability.
The temperatures were taken by the Food Service Director using the Food Service Directors digital thermometer.
The results were as follows: - carrot vegetable blend was 118 degrees Fahrenheit, tasted lukewarm and bland.- chicken with biscuit and gravy 115 degrees Fahrenheit, tasted lukewarm and salty.- cranberry juice 64.2 degrees Fahrenheit, tasted warm.- milk 56.5 degrees Fahrenheit, tasted warm.- coffee 119.5 degrees Fahrenheit, tasted lukewarm.
During an interview on 08/28/2025 at 1:01 PM, Resident #1 stated their lunch meal was served barely warm and the water for the tea the temperature of tap water.
During an interview on 08/28/2025 at 1:12 PM, Resident #4 stated the lunch meal was barely edible, barely even warm they stated the juice was not cold and the water for hot cocoa was not warm.
During an interview on 09/02/2025 at 8:20 AM, Resident #7 stated the food is served cold, at room temperature, most of the time and the quality of the food served is suboptimal.
During an interview on 09/02/2025 at 8:48 AM, the Food Service Director stated the food on the plate in front of a resident should be 140 degrees Fahrenheit or higher and milk and juices should be served less than 41 degrees Fahrenheit.
Foods outside these temperatures were considered in the danger zone where bacteria can grow within 20 minutes and potentially cause illness.
Additionally, the test tray temperatures on 08/28/2025 were not good, food should have been hotter and the drinks colder.
During an interview on 09/02/2025 at 10:21 AM, the Administrator stated milk, and juices should be served under 41 degrees Fahrenheit, coffee should be served above 160 degrees Fahrenheit, and hot foods should be served above 140 degrees Fahrenheit to keep the foods out of the temperature danger zone where food can spoil and pathogens can grow, 10 NYCRR 415.14(d)(1)(2)
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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.