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A
Very Good

ORCHARD MANOR

8800 HWY 61 · LANCASTER, WI 53813

6087232113 · Government - County

74 beds47.8 residents109 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ORCHARD MANOR receives an overall staffing grade of A (Very Good). With 4.4344 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.54 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 12.73% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.4344hrs/resident/day▲ 0.54
CMS benchmark: 3.48
RN HPRD
0.8789hrs/resident/day▲ 0.20
Recommended: 0.75
Weekend Drop-off
12.73%
4.5998 weekday → 4.0144 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.3062hrs/resident/day
Direct care aides
LPN HPRD
0.2492hrs/resident/day
Licensed practical nurses
Consistency
0.4176std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grant County Average+0.44 HPRD
3.99
04.43 HPRD
vs. Wisconsin State Average+0.24 HPRD
4.20
04.43 HPRD
vs. National Average+0.54 HPRD
3.90
04.43 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ORCHARD MANOR ★
LANCASTER · This facility
—
A
4.43440.8789★★★★★
LANCASTER HEALTH SERVICES
LANCASTER
1.4 mi
B
3.7960.7008★★☆☆☆
DOVE HEALTHCARE - FENNIMORE
FENNIMORE
10.9 mi
A
4.40130.8744★☆☆☆☆
EDENBROOK OF PLATTEVILLE
PLATTEVILLE
12.4 mi
B
3.78610.7569★★★★☆
CARE AND REHAB - BOSCOBEL
BOSCOBEL
21.3 mi
A
4.35750.9044★★★★☆
MINERAL POINT HEALTH SERVICES
MINERAL POINT
25.6 mi
B
3.50720.8983★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
9
Total Deficiencies
$22,425
Fines Assessed
Aug 15, 2024Health
5 deficiencies cited· Includes actual harm
▼
May 17, 2023Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 15, 2024Fine
$22,425
Aug 15, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.