Nursing homeActive
Orchard Manor
8800 Hwy 61, Lancaster, WI 53813608723211374 certified beds · 49 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
9
● 0● 7● 2
Penalties · 3 yrs
$22,425
1 fine · 1 action
Last survey
2025-12-16
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-16 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-08-15 | Standard | 041 | CMS-2567 (Care Compare) | — |
| 2023-05-17 | Standard | 031 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-28Record 525290-20240815-F686
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 525290-20240815-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 525290-20240815-F610
F687Provide appropriate foot care.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 525290-20240815-F687
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 525290-20240815-F689
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-06-15Record 525290-20230517-F580
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-15Record 525290-20230517-F697
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-06-15Record 525290-20230517-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-15Record 525290-20230517-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-08-15 | Civil money penalty | $22,425 | CMS · Penalties |
| 2024-08-15 | Denial of payment for new admissions Payment denial for 1 days, from 2024-09-11 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.96
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.49
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.99
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover27%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover33%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.4% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.4% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.3% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.6% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.9% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.3% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| County Of Grant Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| County Of Grant Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Erdenberger, Alesha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stader, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| County Of Grant Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Erdenberger, Alesha Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Erdenberger, Alesha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stader, Eric Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stader, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Grant.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lancaster Health Services Lancaster | 1.4 mi | 2025-08-19 | 0131 |
| Dove Healthcare - Fennimore Fennimore | 10.9 mi | 2025-12-02 | 0223 |
| Edenbrook of Platteville Platteville | 12.5 mi | 2026-06-11 | 090 |
| Stonehill Care Center Dubuque | 20.2 mi | 2025-08-07 | 020 |
| Sunnycrest Manor Dubuque | 20.3 mi | 2026-03-05 | 0130 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |