Touch Of Country Foster Care
State licensed1014 North 6th St., Niles, MI 49120
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The Orchards at Niles provides skilled nursing and rehabilitation services designed to support recovery and healing. Our Niles, Michigan team focuses on personalized care plans that help patients regain strength and independence during their most vulnerable moments.
Capacity
84 residents
Location
Niles, MI
Status
Listed in a public registry
1333 Wells St, Niles, Michigan 49120
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 27, 2025, state inspectors cited 6 health deficiencies (the Michigan average is 9.9).
Nurses and nurse aides spend 3 hours 56 minutes with each resident a day, about the same as the Michigan average.
Medicare has not fined The Orchards at Niles in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 56 minutes |
| Registered nurse time per resident, per day | 33 minutesBelow the Michigan average |
| Nursing staff who left in the past year | 49%Above the Michigan average |
1 administrator has left the home in the past year.
57 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 23, 2026 · Complaint investigation · 1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
August 27, 2025 · Standard inspection · 5 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Provide activities to meet all resident's needs.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Respond appropriately to all alleged violations.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide and implement an infection prevention and control program.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Observe each nurse aide's job performance and give regular training.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide and implement an infection prevention and control program.
Provide enough food/fluids to maintain a resident's health.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
1 Medicare payment denial in the last three years.
1333 Wells StNiles, MI 49120
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State inspectors visited on August 27, 2025 and cited 6 health deficiencies, 1 of them from complaint investigations. The Michigan average is 9.9.
Nurses and aides spend 3 hours 56 minutes with each resident per day, including 33 minutes from registered nurses. 49% of nursing staff left over the past year.
Medicare's records show no fines against The Orchards at Niles in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.