Lakehouse Three Rivers
State licensed1215 N. Elm Street, Three Rivers, MI 49093
Assisted Living
Home for the AgedState-licensed (Michigan LARA/BCHS)Serves: Aged
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Prices not published
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Medicare-certifiedSkilled Nursing
The Orchards at Three Rivers
Three Rivers, MichiganMedicare inspection record
About The Orchards at Three Rivers
The Orchards at Three Rivers provides skilled nursing and rehabilitation care designed to support recovery and healing. Our Three Rivers, Michigan team combines medical expertise with compassionate attention, helping patients regain strength and independence during critical transitions in their care.
Community at a glance
Capacity
87 residents
Location
Three Rivers, MI
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
55378 Wilbur Rd, Three Rivers, Michigan 49093
Medicare inspection record
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
- The Orchards at Three Rivers is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
- The Orchards at Three Rivers changed ownership in the last 12 months. Ratings may reflect the previous owner.
At its most recent standard inspection, on March 5, 2026, state inspectors cited 39 health deficiencies (the Michigan average is 9.9).
Nurses and nurse aides spend 3 hours 23 minutes with each resident a day, below the Michigan average of 3 hours 59 minutes.
Medicare fined The Orchards at Three Rivers once in the last three years, $137,535 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 23 minutesBelow the Michigan average |
| Registered nurse time per resident, per day | 27 minutesBelow the Michigan average |
| Nursing staff who left in the past year | 48%Above the Michigan average |
Inspections
66 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 5, 2026 · Standard inspection · 13 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Mar 30, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 30, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 30, 2026Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 30, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 6, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 30, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 30, 2026Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 30, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 30, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 30, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 30, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 30, 2026Educate 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.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 6, 2026
December 23, 2025 · Complaint investigation · 9 citations
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Jan 20, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jan 20, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 20, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 20, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jan 20, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 20, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 20, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 20, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 20, 2026
November 25, 2025 · Complaint investigation · 7 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 26, 2025Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 26, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 26, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 26, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 26, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 26, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 20, 2026
October 30, 2025 · Complaint investigation · 10 citations+
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Nov 20, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Nov 20, 2025Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Nov 20, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Nov 20, 2025Observe each nurse aide's job performance and give regular training.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Nov 20, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 20, 2025Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 20, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 20, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 20, 2025
August 4, 2025 · Complaint investigation · 6 citations+
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 29, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Aug 29, 2025Provide care by qualified persons according to each resident's written plan of care.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 29, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 29, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 29, 2025
April 3, 2025 · Complaint investigation · 8 citations+
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Apr 18, 2025Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Apr 18, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Apr 18, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 18, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 18, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Apr 18, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 18, 2025
November 15, 2024 · Standard inspection · 7 citations+
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Risk of harm, no one hurt, widespread (level F)Freedom from Abuse, Neglect, and ExploitationCorrected Dec 13, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Dec 13, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Dec 13, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 13, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 13, 2024Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Dec 13, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 13, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
1 fine totaling $137,535 and 1 Medicare payment denial in the last three years.
- October 30, 2025Fine: $137,535
- October 30, 2025Payment denial, 48 days
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Edgwood Mi Opco LLC
- Medicare-certified beds
- 87
- Average residents per day
- 75
- Accepts
- Medicare and Medicaid
- First certified
- January 1, 1978
- Part of a chain
- The Orchards Michigan, 15 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 235354
Location
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55378 Wilbur RdThree Rivers, MI 49093
12 other communities within 10 miles
Senior living near Three Rivers
1215 NE ELM STREET, Three Rivers, MI 49093
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Wolf Rivers
State licensed118 W Adams St, Three Rivers, MI 49093
Assisted LivingMemory Care
Small GroupState-licensed (Michigan LARA/BCHS)Serves: Aged, Alzheimer's/dementia, Mentally ill
Call for pricing
Prices not published
Questions about The Orchards at Three Rivers
How did The Orchards at Three Rivers do on its last inspection?+
State inspectors visited on March 5, 2026 and cited 39 health deficiencies, 28 of them from complaint investigations. The Michigan average is 9.9.
How much nursing care does each resident get at The Orchards at Three Rivers?+
Nurses and aides spend 3 hours 23 minutes with each resident per day, including 27 minutes from registered nurses. 48% of nursing staff left over the past year.
Has The Orchards at Three Rivers been fined by Medicare?+
Yes. Medicare fined The Orchards at Three Rivers once in the last three years, totaling $137,535.
Does Medicare cover skilled nursing?+
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.
How much does a nursing home cost?+
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.
What is the CMS star rating?+
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.