The Orchards at Harper Woods
The Orchards at Harper Woods
3.2 (70 reviews)
Skilled Nursing Facility • 151 Licensed Beds
19840 Harper Ave, Harper Woods, MI
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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The Orchards at Harper Woods

Skilled Nursing Facility • 151 Licensed Beds
19840 Harper Ave,
Harper Woods, MI
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

The Orchards at Harper Woods – Medicare Certified Since 1989

The Orchards at Harper Woods is a Medicare and Medicaid certified skilled nursing facility located in Harper Woods, Michigan. This facility has been serving the community for 37 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 151 certified beds with a current occupancy rate of 84% (averaging 126 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.62 hours of total nursing care per resident per day (2.14 hours from CNAs, 1.31 hours from LPNs, 0.17 hours from RNs). Physical therapy staffing is 0.03 hours per resident per day.

Medicare Quality Ratings: According to CMS, The Orchards at Harper Woods has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 2 stars, quality measures: 4 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How The Orchards at Harper Woods compares to 66 facilities in Detroit-Dearborn-Livonia, MI

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
3.2
Quality Measures
Clinical outcomes & safety
4
3.9
Health Inspections
State survey results
2
3
Staffing
Nurse-to-resident ratio
2
2.6
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.17 hrs
0.43 hrs
LPN/LVN Hours
Licensed practical nurses
1.31 hrs
1.16 hrs
CNA Hours
Certified nursing assistants
2.14 hrs
2.03 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.62 hrs
3.61 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
5.9 %
2.0 %
LPN/LVN Agency Use
% of LPN hours from contractors
0.3 %
1.9 %
CNA Agency Use
% of CNA hours from contractors
0 %
1.6 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
42 %
47 %
Occupancy Rate
Percentage of beds filled
84 %
82 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$313
$440
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 66 facilities in Detroit-Dearborn-Livonia, MI.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
4/5
Health Inspections
2/5
Staffing
2/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 66 other nursing homes in Detroit-Dearborn-Livonia, MI

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
The Orchards at Harper Woods
Detroit-Dearborn-Livonia, MI Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

The Orchards at Harper Woods
Detroit-Dearborn-Livonia, MI Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

The Orchards at Harper Woods
Detroit-Dearborn-Livonia, MI Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

The Orchards at Harper Woods
Detroit-Dearborn-Livonia, MI Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
129
minutes/day
CNAs
Certified Nursing Assistants
78
minutes/day
LPNs
Licensed Practical Nurses
10
minutes/day
RNs
Registered Nurses
2
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
The Orchards at Harper Woods
Detroit-Dearborn-Livonia, MI Average (82.4%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$313
per resident per day
Compared to 65 facilities in your area
Below local median ($440)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
1% -6% Above
Net Income
Annual profit or loss
$672,662 $-100,124 Above
Staff Cost per Resident
Daily salary expense per resident
$131/day $161/day Lower
Occupancy Rate
Bed utilization percentage
84% 81% Higher
Est. Daily Rate
Average revenue per patient day
$313/day $440/day Lower
Total Beds
Licensed bed capacity
151 124 Larger

Local comparisons based on 65 skilled nursing facilities in the Detroit-Dearborn-Livonia, MI metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$15,024,650
Operating Expenses
Total operating costs
$14,891,534
Total Salaries
Staff compensation
$6,298,885
Contract Labor
Agency & temp staff
$2,218

Payer Mix

Medicare
7%
Medicaid
58%
Private Pay & Other
36%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
48,031
Medicare
Short-term skilled nursing
7%
Medicaid
Long-term care residents
58%
Private Pay / Other
Self-pay, insurance, VA
36%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
140.03
days
Medicare Stays
81.05
days
Medicaid Stays
176.45
days
Total Admissions
343
Total Discharges
343
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in HARPER WOODS

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Reviews

3.2 (70 reviews)
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R'Zon Brown's profile photo
R'Zon Brown 2 months ago

I personally liked it, it’s really hard to please my grandma, I mean that lovingly as possible. I wish I could’ve got her to stay but I couldn’t, it’s not perfect, but what nursing home is, that’s why it got the 4 stars, but the staff was amazing it’s cleaner than most,

James Washington's profile photo
James Washington 3 weeks ago

My mom resides here for her condition, we she first arrived, it was tough for her...after a few days it was alright for her. The staff made her feel at home and adjusted really well, plenty of activities to do and fun with the staff she likes to interact with...that's gives her more comfortable feeling knowing their is helping stay well in her comfort zone. Overall well kept place and professional staff at all times....I give it 5 stars because my wants to feel like home and they Orchard of Harper Woods is giving my mom that....TY u all very much and continue the hard appreciation work u all give to ur patients Great job everyone for making the transition for my mom TY

Cindy Jackson's profile photo
Cindy Jackson 2 months ago

If I could give a zero star rating I would! We allowed my grandmother to return there after they almost killed her the first time She returned from the hospital last Friday only to be sent out That following Monday and is now on a ventilator! Not expected to make it ! This place has incompetent nurses with zero empathy for their patients ! We will be seeking legal advise ! Everything That’s is wrong with my Grand mother now was preventable !

Pandy Moss's profile photo
Pandy Moss 2 months ago

This facility is a true danger to the safety of not only residents but also staff! They allow homeless drug dealing patients to continue to stay in the facility breaking all the rules and displaying total disregard for the safety of the more vulnerable residents . Several over doses have happened in the last two months . Heroin and fentanyl is openly sold by staff and residents inside the building and out ! The owner only cares about his bottom line . I wouldn’t put my enemy there ! Please do not trust your loved ones in the care of this place ! They allowed my mother to overdose twice on fentanyl that she didn’t have a prescription for resulting in a 911 Hospital admission !

George Johnson's profile photo
George Johnson 4 months ago

My brother was in a car accident . He was in this place for a short term stay to receive therapy . He was really down bad on arrival . Tamara is the best addition to the management team She personally showered and bathed him . She treated my brother’s wounds ! Made sure his appointments were kept and even attended an appointment with him when no one else was available !!! I am sure she has a super busy work load , but it didn’t stop her from making my brother feel like he was the only patient there . She is not only an awesome nurse but a great Example of what leadership should be . He says he could not have recovered as fast if it wasn’t for her holding her staff to a higher standard . Our family is thankful and appreciative of the Management team , nurses , CNA’s and all the staff for the great care they provided .

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