Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

The Orchards at Canterbury on the Lake

Waterford, MI · 128 certified beds · Last Life Safety survey July 31, 2025

CMS Certification Number 235555 · first certified July 1994

Ownership

Operated by THE ORCHARDS MICHIGAN · For profit - Corporation

  • New ownershipOwnership changed November 1, 2024 (change of ownership)from CANTERBURY HEALTH CARE, INC
25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within MI

25 citations — more than 83% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most MI facilities have been surveyed by October 2026. This facility’s last Life Safety survey was July 2025. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 25 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

14 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility25MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-07142024-0792025-07
Citations at each Life Safety survey
Survey dateCitations
July 20, 20232
July 17, 202414
July 31, 20259

Most-cited tags

Most-cited tags at this facility
K-03532K-09232K-09202K-03452K-05211K-05111E-00061K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-07-31
K-0923Have proper medical gas storage and administration areas.22024-07-17
K-0920Ensure proper usage of power strips and extension cords.22024-07-17
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-07-31
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-07-31
K-0511Have properly installed electrical wiring and gas equipment.12024-07-17
E-0006Conduct risk assessment and an All-Hazards approach.12024-07-17
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12025-07-31

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies6
Miscellaneous Deficiencies3
Egress Deficiencies3
Services Deficiencies3
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 31, 2025 — 9 citations

Citations issued on July 31, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 15, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 15, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 15, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 15, 2025)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (August 15, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 15, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 15, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 15, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 15, 2025)

July 17, 2024 — 14 citations

Citations issued on July 17, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (August 20, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 20, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 20, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 20, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (August 20, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 20, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (August 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 20, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 20, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 20, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 20, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (August 20, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 20, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 20, 2024)

July 20, 2023 — 2 citations

Citations issued on July 20, 2023
TagWhat the surveyor checksStatus
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 27, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 27, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.