Nursing home / skilled nursing
Orchard Rehabilitation & Nursing Center
Nursing home / skilled nursing in Medina, New York
| Provider details | |
|---|---|
| Address | 600 BATES ROAD |
| City | Medina |
| State | New York |
| ZIP code | 14103 |
| County | Orleans |
| Phone | 585-798-4100 |
| Website | http://www.orchardrnc.com/ |
| CMS certification number (CCN) | 335397 |
| Ownership | For profit - Limited Liability company |
| Certified beds | 160 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | November 1, 1973 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
Orchard Rehabilitation & Nursing Center is in 600 BATES ROAD, Medina, NY 14103. Phone: 585-798-4100. Ownership: For profit - Limited Liability company. CMS rates it 4 out of 5 stars overall (health inspection 4, staffing 3, quality measures 3). CMS inspection and staffing detail: total weighted health survey score 26.000; 0 federal fines totaling $0.00; total nursing staff turnover 61.7%.
More about this provider
| Orchard Rehabilitation & Nursing Center's own site presents a nursing center in Medina, NY providing rehabilitation with customized plans and long-term care, partnering with residents and families to foster meaningful relationships and develop residents' physical, emotional, and spiritual potential. | |
| Services and programs | Rehabilitation with customized rehabilitation plans (rehabilitation team) and long-term care; the site states its rehabilitation team provides customized rehabilitation plans and measurable, concrete results, while its long-term care team builds and nurtures the resident community |
| Inspection highlights | Site footer states: Medicare.gov Overall rating: ★★★★☆ (4 stars) |
| Visiting and contact details | Call us now! 585.798.4100; 600 Bates Road, Medina NY 14103 (contact details stated on the site; no visiting hours published) |
| Website | http://www.orchardrnc.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 4 of 5 |
| Health inspection rating | 4 of 5 |
| Staffing rating | 3 of 5 |
| Quality measure rating | 3 of 5 |
| Long-stay quality rating | 4 of 5 |
| Short-stay quality rating | 2 of 5 |
| RN staffing hours per resident per day | 0.66 |
| Total nurse staffing hours per resident per day | 3.40 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 24 |
| Total Weighted Health Survey Score | 26.000 |
| Rating Cycle 2/3 Total Health Score | 32 |
| Rating Cycle 1 Health Deficiency Score | 24 |
| Rating Cycle 2/3 Health Deficiency Score | 32 |
| Rating Cycle 1 Standard Survey Health Date | 2024-04-16 |
| Rating Cycle 1 Total Number of Health Deficiencies | 5 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 4 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 5 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 0 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.23843 |
| Registered Nurse turnover | 30.0 |
| Nursing Case-Mix Index Ratio | 0.87816 |
| Total nursing staff turnover | 61.7 |
| Reported LPN Staffing Hours per Resident per Day | 0.60529 |
| Reported Licensed Staffing Hours per Resident per Day | 1.26049 |
| Number of administrators who have left the nursing home | 1 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.13480 |
| Registered Nurse hours per resident per day on the weekend | 0.35757 |
| Total number of nurse staff hours per resident per day on the weekend | 2.80938 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 677 |
| Chain Name | PERSONAL HEALTHCARE MANAGEMENT |
| Legal Business Name | ORRNC OPERATING LLC |
| Chain Average QM Rating | 3.0 |
| Chain Average Staffing Rating | 3.3 |
| Number of Facilities in Chain | 21 |
| Chain Average Overall 5-star Rating | 2.9 |
| Chain Average Health Inspection Rating | 2.8 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 144.2 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | Y |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Orleans County
Common questions about Orchard Rehabilitation & Nursing Center
Where is Orchard Rehabilitation & Nursing Center located?
Orchard Rehabilitation & Nursing Center is at 600 BATES ROAD, Medina, New York 14103.
What care and services does Orchard Rehabilitation & Nursing Center offer?
Orchard Rehabilitation & Nursing Center offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.
Is Orchard Rehabilitation & Nursing Center Medicare-certified?
Yes. Orchard Rehabilitation & Nursing Center is certified for both Medicare and Medicaid.
What is Orchard Rehabilitation & Nursing Center's quality rating?
CMS gives Orchard Rehabilitation & Nursing Center an overall star rating of 4 out of 5.
How do I contact Orchard Rehabilitation & Nursing Center?
Call Orchard Rehabilitation & Nursing Center at 585-798-4100.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in New York can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.