Assisted Living and Memory Care
Legacy at Orchard Grove
71301 Orchard Crossing Ln, Romeo, MI 48065 · Map
Licensed for 35 residents · Trilogy Healthcare of Romeo, LLC
Legacy at Orchard Grove is a state-licensed assisted living, memory care community in Romeo, Michigan. It is licensed for 35 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last licensing inspection: Oct 23, 2025. See the record
License
Active, 35 residents
Home for the Aged (Regular) AH500367780, current license dated Aug 1, 2026. Licensee Trilogy Healthcare of Romeo, LLC.
State inspection record7 rule violations established in 3 years
- License
- Homes For The Aged, Regular
- Last on-site licensing inspection
- October 23, 2025
- Special investigation reports posted (three years)
- 3
- Special investigations that established a violation
- 3
- Rule violations established (all posted reports)
- 7
- License expires
- July 31, 2027
Reports posted (newest first)
- Special Investigation Report, posted April 25, 2026; complaint received February 12, 2026 · report (PDF)
- The home is discharging Resident A without just cause. R 325.1922 Admission and retention of residents: violation not established
- The home does not follow the service plan of Resident A. R 325.1931 Employees; general provisions: violation established
- Recommendation: Contingent on the receipt of an acceptable corrective action plan, I recommend the status of this license remain unchanged.
- Special Investigation Report, posted March 13, 2026; complaint received October 31, 2025 · report (PDF)
- Resident A is restrained in recliner chair. MCL 333.20201 Policy describing rights and responsibilities of patients or residents: violation not established
- The home did not deliver prescription eyeglasses to Resident A timely. MCL 333.20201 Policy describing rights and responsibilities of patients or residents: violation not established
- Caregivers were emotionally abusive to Resident A. R 325.1921 Governing bodies, administrators, and supervisors: violation not established
- Employees are not appropriate with Resident A. R 325.1921 Governing bodies, administrators, and supervisors: violation not established
- The home does not follow infection control practices. R 325.1922 Admission and retention of residents: violation not established
Show all 9
- The home did not report a fall to Resident A’s DPOA. R 325.1924 Reporting of incidents, accidents, elopement: violation not established
- Resident A was not properly supervised at night. R 325.1931 Employees; general provisions: violation not established
- Resident A was transferred incorrectly. R 325.1931 Employees; general provisions: violation established
- Recommendation: Contingent upon receipt of an acceptable corrective action plan, I recommend no change in the status of the license.
- Renewal Inspection Report, posted December 13, 2025; on-site October 23, 2025 · report (PDF)
- LARA: “The study has determined substantial compliance with applicable licensing statutes and rules.”
- Recommendation: Renewal of the license is recommended.
- Special Investigation Report, posted October 7, 2025; complaint received July 25, 2025 · report (PDF)
- Inadequate supervision for Resident A R 325.1931 Employees; general provisions: violation established
- Recommendation: Upon receipt of an acceptable corrective action plan, it is recommended that the status of the license remain unchanged.
- Renewal Inspection Report, posted October 23, 2023 · report (PDF)
- Renewal letter; no on-site inspection report is attached.
- LARA: “An administrative review of your licensing activity for the past year has revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities.”
LARA facility page → (Legacy at Orchard Grove)
What these terms mean
LARA: “Original and Renewal Licensing Study Report: Completed in response to the initial or renewal application for license on all facilities. Inspection Report: Interim Inspections are conducted at or near the mid point of the effective dates of the license. Special Investigation Report: Special Investigation Reports are conducted in response to rule related complaints received regarding a facility.”
LARA: “Investigation reports that determine no violation of rule or statute are not placed on the website. Investigation reports with violation of rule or statute are removed after three years in accordance with LARA’s retention schedule.” Older reports can be asked for through a Freedom of Information Act request.
LARA: “When rule violations have been cited in a report, the licensee is required to submit a corrective action plan.” The plans themselves are not posted; they are available through a Freedom of Information Act request.
License types, in LARA’s words: “Regular License: A license issued to an adult foster care facility which is in compliance with this act and the rules promulgated under this act. Provisional License: A license issued to a facility that has previously been licensed under this act or an act repealed by this act but is temporarily unable to conform to the requirements of a regular license prescribed in this act or rules promulgated under this act. Temporary License: A license issued to a facility which has not previously been licensed.”
Rules are listed by number with the rule’s own title; read the report for the details. Special investigations that found no violation are not posted by LARA, so they are not counted here. This community is licensed for 35 residents; larger communities are inspected and investigated more often, so read counts with size in mind. Source: Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems, data as of October 16, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee Trilogy Healthcare of Romeo, LLC
- License type
- Home for the Aged (Regular)
- License number
- AH500367780
- License status
- Active
- Current license dated
- 2026-08-01
- Licensed capacity
- 35
- Licensee
- Trilogy Healthcare of Romeo, LLC
- County
- Macomb County
- Administrator
- Dana Best
Source: Michigan state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Michigan licensing record, as of Apr 25, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Michigan, and other programs
How Medicaid pays for care in Michigan
- MI Choice Waiver Program. The MI Choice waiver covers nursing-home level care for eligible adults who meet income and asset rules, given in their own home or another residential setting instead of a nursing home. (state page)
- Waitlist. Michigan keeps a MI Choice waiting list; people wait until a slot opens at their waiver agency. (source)
Ask the community whether it accepts Medicaid.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in April 2026. What was it, and how was it fixed?
- The current license dates from 2026. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
What we checked7 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Michigan Department of Licensing and Regulatory Affairs, Bureau of Community and Health Systems inspection records | Oct 16, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Legacy at Orchard Grove provide?
Legacy at Orchard Grove is licensed by the state of Michigan for assisted living, memory care in Romeo, Michigan. Its licensed capacity is 35 residents.
Does Lilisity rate Legacy at Orchard Grove?
No. We publish state licensing details for Legacy at Orchard Grove but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Legacy at Orchard Grove cost?
Assisted Living in Macomb County typically starts at $2,700 to $5,300 a month. Based on 16 communities that publish prices. These are area figures, not this community's price. Legacy at Orchard Grove does not publish its prices.
How do I contact Legacy at Orchard Grove?
Visit Legacy at Orchard Grove at 71301 Orchard Crossing Ln, Romeo, MI 48065.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid