Rochester Senior AdvisorOrchard Rehabilitation & Nursing Center is a 160-bed Medicare- and Medicaid-certified nursing home at 600 Bates Road, Medina, in the Town of Shelby, Orleans County, operating under NYSDOH certificate 3622304N. CMS gives Orchard Rehabilitation & Nursing Center an overall rating of 4 out of 5 stars in Care Compare data as of October 1, 2026.
What star ratings does CMS give Orchard Rehabilitation & Nursing Center in Medina?
CMS gives Orchard Rehabilitation & Nursing Center an overall rating of 4 out of 5 stars; its health inspection rating is 4, staffing 3 and quality measures 3, each out of 5.
| Measure | Value |
|---|---|
| Overall rating (CMS) | 4 of 5 |
| Health inspection rating (CMS) | 4 of 5 |
| Staffing rating (CMS) | 3 of 5 |
| Quality measures rating (CMS) | 3 of 5 |
| Certified beds / average residents per day | 160 / 144.2 |
| Ownership type (CMS) | For profit - Limited Liability company |
| Operator chain (CMS) | Personal Healthcare Management (21 facilities nationally) |
| First certified for Medicare/Medicaid | November 1, 1973 |
| NYSDOH operating certificate | 3622304N, 160 beds on the state roster |
| Operator of record (NYSDOH) | ORRNC Operating, LLC |
On an average day it cares for about 144 residents, roughly 90% of its certified beds (in line with the 91% median across Rochester-area nursing homes).
What did recent health inspections find at Orchard Rehabilitation & Nursing Center?
Inspectors last completed a standard health survey at Orchard Rehabilitation & Nursing Center on April 16, 2024; CMS counts 5 health deficiencies in that cycle, 5 from the survey itself and 0 from complaint visits.
The prior rating cycle, with its standard survey on April 25, 2022, recorded 4 deficiencies. Infection-control inspections produced 0 citations. Across Rochester-area nursing homes the median latest-cycle count is 5, so Orchard Rehabilitation & Nursing Center sits at or below the local middle.
CMS reports no fines and 0 payment denials in its three-year penalty window.
What do staffing and turnover look like at Orchard Rehabilitation & Nursing Center?
Orchard Rehabilitation & Nursing Center reports 3.40 total nurse staffing hours per resident per day, lower than the Rochester-area median of 3.72, including 0.66 registered-nurse hours (higher than the Rochester-area median of 0.50).
Weekend total nurse staffing runs 2.81 hours per resident per day. Total nursing-staff turnover is 61.7% (higher than the Rochester-area median of 52.1%), and registered-nurse turnover is 30.0%. 1 administrator has left in the CMS measurement period. New York's minimum-staffing law (Public Health Law 2895-b) sets 3.5 hours a day, at least 2.2 from aides and 1.1 from licensed nurses; on CMS's reported figures (2.13 aide, 1.26 licensed) this home falls short of that standard, though the state checks compliance quarter by quarter.
What are the alternatives to Orchard Rehabilitation & Nursing Center nearby?
With 160 certified beds it is larger than the Orleans County median of 120 nursing home beds; the closest other certified nursing home is Medina Memorial Hospital SNF in Ridgeway, about 1.5 miles away in a straight line, rated 4 of 5 by CMS.
| Facility | Miles away | Certified capacity | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Medina Memorial Hospital SNF 200 Ohio Street, Medina 14103 | 1.5 | 30 | 4 of 5 | June 24, 2026 | 2 |
| The Villages of Orleans Health and Rehabilitation Center 14012 Route 31, Albion 14411 | 8.0 | 120 | 1 of 5 | January 31, 2025 | 14 |
| Elderwood of Lakeside at Brockport 170 West Avenue, Brockport 14420 | 21.4 | 120 | 4 of 5 | April 2, 2025 | 4 |
| Wedgewood Nursing and Rehabilitation Center 5 Church Street, Spencerport 14559 | 28.6 | 29 | 2 of 5 | March 15, 2024 | 8 |
| Park Ridge Nursing Home 1555 Long Pond Road, Rochester 14626 | 33.7 | 119 | 5 of 5 | April 29, 2024 | 7 |
What is around Orchard Rehabilitation & Nursing Center in Medina?
Orchard Rehabilitation & Nursing Center sits in the Town of Shelby, Orleans County; the nearest hospital is Medina Memorial Hospital (Orleans Community Health), about 1.5 miles away by straight line.
The next closest is URMC Strong West at about 21.4 miles; distances are straight lines, not drive times.
What should families ask Orchard Rehabilitation & Nursing Center before choosing it?
Start with the questions its own CMS record raises: ask how Orchard Rehabilitation & Nursing Center kept its latest inspection at 5 deficiencies, and request the full statement of deficiencies anyway.
- Nursing turnover of 61.7% is above the local median; ask how many aides on each shift are agency staff.
- At about 90% occupancy, ask about the waiting list and whether short-stay rehab beds are separate.
- CMS records a resident council here; ask when it meets and whether families can attend.
- If Medicaid will pay eventually, confirm Orchard Rehabilitation & Nursing Center keeps Medicaid residents in the same room after conversion, and how the $50 monthly personal needs allowance is handled.
State record: Orchard Rehabilitation & Nursing Center on NYS Health Profiles.
