Nursing home
The Orchards at Warren
12250 East 12 Mile Road, Warren, MI 48093 · Map
For profit - Corporation · Part of The Orchards Michigan (12 facilities) · 134 certified beds
The Orchards at Warren is a Medicare-certified nursing home in Warren, Michigan. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Its most recent inspection on Dec 3, 2025 cited 12 deficiencies.
- 1 fine totaling $21,273In 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 Warren 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 | 12.0 | 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 $21,273, 1 total penalty.
What inspectors found at The Orchards at Warren
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for 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 · Feb 26, 2026 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Jan 21, 2026 · 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 21, 2026 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Dec 3, 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 · Dec 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Dec 3, 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
- 12250 East 12 Mile Road
Warren, MI 48093 - CMS certification #
- 235509
- Ownership
- For profit - Corporation
- Certified beds
- 134
- Avg residents/day
- 118.3
- Provider type
- Medicare and Medicaid
- First certified
- 1991-09-30
- 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 Warren using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2021
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 1, 2021 to Apr 30, 2023. Violations found: Overtime. Back wages: $10,149 owed to 111 employees. Employer as DOL recorded it: The Orchards at Warren (Warren MI OPCO LLC). Case 1979131.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 19, 2022: complaint inspection, partial (health). Case closed Mar 7, 2023. No violations cited. OSHA record. OSHA recorded the employer as Warren Mi Opco LLC DBA the Orchards at Warren.
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
- Henry Ford Health Warren Hospital, Warren. 0.1 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Autumn Woods Residential Health, Warren. 0.4 miles away, straight line.
- Nearest home health agency office
- First Care Integrated Health Services, Warren. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 48093 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Dialysis - Warren, Warren, 0.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Macomb Kidney Center, Warren, 0.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Roseville Commons Dialysis, Roseville, 3.8 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 41 Medicare hospices tell CMS they serve ZIP code 48093.
Choice Hospice Inc, office in Warren, 1.0 mile away, straight line
Compassus-Northern Detroit, office in Warren, 4.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
New Century Hospice And Palliative Care, LLC, office in Madison Heights, 4.6 miles away, straight line - Nearest geriatric medicine practice
- George Nassif, MD, Saint Clair Shores. 6.0 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: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very 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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is The Orchards at Warren a good nursing home?
CMS gives The Orchards at Warren an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has The Orchards at Warren had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does The Orchards at Warren have?
The Orchards at Warren is certified for 134 beds.