# Orchard Rehabilitation & Nursing Center Orchard Rehabilitation & Nursing Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Medina, NY, CMS Certification Number 335397, with 160 certified beds and about 144 residents per day. CMS rates it 4/5 overall (health inspections 4/5, staffing 3/5, quality measures 3/5). ## Key facts - Status: Active CMS certification - Address: 600 Bates Road, Medina, NY 14103 (Orleans County) - Ownership type: For profit - Limited Liability company - State license: New York State Department of Health (NYSDOH); license 3622304N (facility ID 721), active, 160 licensed beds, licensee ORRNC Operating, LLC, as of 2026-10-23 - Operator (legal business name): [Orrnc Operating LLC](https://carefield.site/operator/op-orrnc-operating-llc) - CMS chain: [Personal Healthcare Management](https://carefield.site/chain/cms-chain-677) — 21 facilities - Phone: 5857984100 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/335397 ## Inspection record 7 inspections in the CMS window (latest 2025-09-02); 24 citations (18 health, 6 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2025-09-02 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-09-02 — [F-0804](https://carefield.site/deficiency/cms-f0804) Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2024-04-16 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2024-04-16 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2024-04-16 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-04-16 — [F-0728](https://carefield.site/deficiency/cms-f0728) Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2024-04-16 — [F-0804](https://carefield.site/deficiency/cms-f0804) Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2024-04-16 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2022-04-25 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-25 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2022-04-25 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [E-0007](https://carefield.site/deficiency/cms-e0007) Address patient/client population and determine types of services needed. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [E-0037](https://carefield.site/deficiency/cms-e0037) Establish staff and initial training requirements. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [K-0711](https://carefield.site/deficiency/cms-k0711) Provide a written emergency evacuation plan. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [F-0685](https://carefield.site/deficiency/cms-f0685) Assist a resident in gaining access to vision and hearing services. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2019-06-21 — [F-0756](https://carefield.site/deficiency/cms-f0756) Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - …and 4 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.39528 (state avg 3.68718, US 3.90085) - RN: 0.6552 - Nursing staff turnover: 61.7% ## Owners and managers of record (CMS disclosures) - [Orrnc Holdings LLC](https://carefield.site/owner/org-orrnc-holdings-llc) — Direct owner, 100%, since 2016-09-06 - Jenna Cracknell — Operational / managerial control, since 2021-08-09 - Charles Yates — Operational / managerial control, since 2024-01-01 ## Nearby nursing homes - [Medina Memorial Hospital SNF](https://carefield.site/facility/cms-335313) — 2.4 km, CMS overall 4/5 - [The Villages of Orleans Health and Rehabilitation](https://carefield.site/facility/cms-335212) — 5.8 km, CMS overall 1/5 - [Absolut Center for Nursing and Rehabilitation at G](https://carefield.site/facility/cms-335533) — 16.6 km, CMS overall 1/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335397&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335397&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335397&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335397&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335397&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335397&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-335397 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.