Nursing HomeInspections

Orchard Manor

Nursing home in Lancaster, WI

Medicare & Medicaid certified5★ overall (CMS)

Call (608) 723-2113Send a messageMap ↗

Public-record details

Address
8800 Hwy 61, Lancaster, WI 53813
Phone
(608) 723-2113
Listed under
Government-owned, 4–5 star overall rating
Medicare CCN
525290
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
74
Average residents per day
49
Ownership
Government, county
Legal business name
County of Grant
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525290. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 16, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 17, 2023 to Aug 15, 2024): 0 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 15, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 15, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 15, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 15, 2024Provide appropriate foot care.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 15, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
May 17, 2023Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 17, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 17, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 17, 2023Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		G
Actual harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $22,425 and 1 denial of Medicare payment for new admissions in the last three years.

Aug 15, 2024Fine: $22,425
Aug 15, 2024Payment denial for 1 days from Sep 11, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.49 hours
Registered nurse (RN) time per resident per day
0.96 hours
Nurse aide time per resident per day
3.27 hours
Total nurse staffing on weekends
3.99 hours
Nursing staff turnover (yearly)
27%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Lancaster

Lancaster Health Services1350 S Madison St · Lancaster, WI 53813 · (608) 723-4143 · For-profit18 health citations in 3 inspection cycles · last standard inspection Aug 19, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 2 in Lancaster →