Nursing home
The Orchards at Northwest
16181 Hubbell St, Detroit, MI 48235 · Map
For profit - Corporation · Part of The Orchards Michigan (12 facilities) · 154 certified beds
The Orchards at Northwest is a Medicare-certified nursing home in Detroit, Michigan. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Its most recent inspection on Jan 8, 2025 cited 19 deficiencies.
- 1 fine totaling $15,889In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Orchards at Northwest compares
This facility vs. the Michigan and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Michigan avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 4.03 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.77 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.38 | 2.34 | — |
| Nursing staff turnover | —% | 44.4% | 46.4% | — |
| Deficiencies cited, last inspection | 19.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $15,889, 1 total penalty.
What inspectors found at The Orchards at Northwest
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Jan 23, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jan 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 8, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 16181 Hubbell St
Detroit, MI 48235 - CMS certification #
- 235539
- Ownership
- For profit - Corporation
- Certified beds
- 154
- Avg residents/day
- 116.9
- Provider type
- Medicare and Medicaid
- First certified
- 1993-09-02
- Chain
- The Orchards Michigan (12 facilities)
- Setting
- Urban
Part of The Orchards Michigan
The Orchards Michigan operates 12 nursing facilities across the United States. View all The Orchards Michigan facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Orchards at Northwest using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2019, 10 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jun 9, 2026: complaint inspection, partial (health). Case open. 3 violations cited (3 serious). Penalties: $2,500 proposed, $2,500 now. OSHA record. OSHA recorded the employer as Northwest Opco Holdco LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Asbestos (1910.1001(j)(3)(i)). Penalty $2,500 proposed, $2,500 now. To be fixed by Sep 11, 2026.
- Serious: Asbestos (1910.1001(j)(3)(iii)). Penalty $0 proposed, $0 now. To be fixed by Sep 11, 2026.
- Serious: Asbestos (1910.1001(j)(7)(iv)). Penalty $0 proposed, $0 now. To be fixed by Sep 11, 2026.
- Jan 16, 2025: complaint inspection, partial (health). Case closed Jun 20, 2025. 7 violations cited (3 serious, 4 other). Penalties: $3,700 proposed, $1,850 now. OSHA record. OSHA recorded the employer as Northwest Mi Opco LLC DBA the Orchards at Northwest.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $2,800 proposed, $1,400 now. To be fixed by Jun 17, 2025.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(1)). Penalty $0 proposed, $0 now. To be fixed by Jun 17, 2025.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(k)(1)). Penalty $0 proposed, $0 now. To be fixed by Jun 17, 2025.
- Other than serious: Cited rule 325.70015(6). Penalty $0 proposed, $0 now. To be fixed by Jun 17, 2025.
- Other than serious: Cited rule 408.22129(1). Penalty $900 proposed, $450 now. To be fixed by Jun 17, 2025.
- Other than serious: Cited rule 408.22141(1). Penalty $0 proposed, $0 now. To be fixed by Jun 17, 2025.
- Other than serious: Cited rule 408.22141(2). Penalty $0 proposed, $0 now. To be fixed by Jun 17, 2025.
- Jul 24, 2019: complaint inspection, partial (health). Case closed Oct 17, 2019. No violations cited. OSHA record. OSHA recorded the employer as Advantage Living Center DBA Advantage Living Center Northwest. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Sinai-Grace Hospital, Detroit. 0.8 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Westwood Nursing Center, Detroit. 0.5 miles away, straight line.
- Nearest home health agency office
- Reymac Home Healthcare, Detroit. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 48235 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Schaeffer Drive Dialysis, Detroit, 1.0 mile away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Greenfield Hs - Northwest Detroit, Detroit, 1.4 miles away, straight line (CMS rating 1 of 5 stars)
Detroit Kidney Center LLC, Detroit, 1.8 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 38 Medicare hospices tell CMS they serve ZIP code 48235.
St Marie'S, office in Southfield, 4.5 miles away, straight line
Universal Hospice Care, office in Southfield, 4.6 miles away, straight line
Henry Ford Hospice, office in Detroit, 4.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Henry Ford Health System, Detroit. 1.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Detroit Health Department kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| 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 |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is The Orchards at Northwest a good nursing home?
CMS gives The Orchards at Northwest an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has The Orchards at Northwest had inspection problems?
Its most recent CMS inspection cited 19 deficiencies.
How many beds does The Orchards at Northwest have?
The Orchards at Northwest is certified for 154 beds.