Orchard Rehabilitation and Nursing Center

    600 Bates Rd, Medina, NY 14103
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Clean, caring staff and facility

    I'm very pleased with the clean, welcoming facility and consistently caring, attentive staff who went above and beyond to make a difficult time easier. Therapists Cory and Amy and social worker Brittany were excellent - communicative, rehab-focused, and supportive - and the activities, post-discharge follow-up, and friendly atmosphere make me comfortable recommending this place.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.35·(57)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.3
    • Meals

      2.7
    • Amenities

      4.0
    • Value

      2.0

    Pros

    • Compassionate and patient nursing and aide staff
    • Effective rehabilitation therapy (PT/OT) with measurable mobility gains
    • Clean, well-maintained building and rooms
    • Welcoming communal spaces and attractive dining area
    • Engaging social activities and specialty programming in some units
    • Supportive social work and care-coordination (e.g., proactive caseworkers)
    • Attentive front-desk and reception in positive experiences
    • Post-discharge support and transitional planning
    • Scenic location and pleasant community atmosphere
    • Prompt problem resolution when escalated

    Cons

    • Inconsistent staffing levels and responsiveness to resident needs
    • Gaps in sanitation and room/bathroom maintenance
    • Inconsistent meal quality and limited special-diet accommodation
    • Weak supervision and safety controls for residents with cognitive impairment
    • Variable professionalism and communication tone among staff
    • Administrative and billing process deficiencies
    • Gaps in infection-control and COVID-containment practices
    • Irregular activity scheduling and program consistency
    • Discharge-planning and care-coordination lapses
    • Allegations of staff substance use on premises

    Summary of reviews

    The reviews for Orchard Rehabilitation and Nursing Center present a polarized picture. Many families and residents describe positive clinical outcomes — particularly in rehabilitation — and point to therapists and aides who deliver effective PT/OT, individualized mobility support, and measurable functional improvement. In those accounts the facility appears clean, welcoming, and comfortable, with pleasant communal areas, an attractive dining room, engaging activities (including music and group socializing), and social workers who facilitate communication and discharge planning.

    Counterbalancing those positive reports are repeated operational concerns. A significant theme is inconsistent staffing and responsiveness: reviewers describe delayed responses to call lights, limited direct-care interaction at times, and variable availability of aides and nurses. These staffing inconsistencies are tied to safety and supervision issues for residents with cognitive impairment, including inadequate monitoring of unsupervised residents and roommate conflicts that left some families uneasy.

    Sanitation and dining emerged as mixed domains. Many reviewers praised overall cleanliness and upkeep, while others raised sanitation concerns in specific areas and described episodic failures in room and bathroom maintenance. Dining impressions vary from very satisfied (choice-driven menus, pleasant dining spaces) to critical (inconsistent food quality, limited accommodation for special diets). Several families also noted interruptions to expected meal service or incorrect meal delivery.

    Activities and programming are similarly inconsistent across accounts. Some residents experienced robust, creative activities and a lively communal environment; others reported that activities were infrequent or poorly staffed. Where programming was strong, families highlighted socialization, music, and attentive activity staff; where weak, reviewers described minimal engagement and limited therapeutic group offerings.

    Management and administrative themes include mixed experiences with communication, billing, and follow-up. Positive reports describe clear communication from social work and case-management staff and helpful discharge support. Negative accounts cite billing errors, slow or inaccurate front-desk communication, and perceptions that administrative priorities did not always align with resident needs. A small number of serious allegations — including concerns about staff substance use while on shift and medication-access issues — were raised; these are sufficiently serious that prospective families may wish to ask directly about staff screening, supervision, and medication-management protocols.

    Overall, Orchard shows strengths in rehabilitation outcomes, certain staff members and social-work support, and facility appearance in many units. However, the variability in staff responsiveness, sanitation in specific contexts, dining accommodation, activity consistency, and administrative follow-through suggests that experiences can differ greatly depending on unit, shift, and individual staff. Prospective residents and families should tour in person, ask targeted questions about staffing ratios, dementia supervision, infection-control measures, special-diet policies, discharge coordination, and complaint-resolution processes, and request recent inspection or quality-report documentation to gauge current performance trends.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Orchard Rehabilitation and Nursing Center

    Orchard Rehabilitation and Nursing Center is located at 600 Bates Rd, Medina, NY, 14103.

    About Orchard Rehabilitation and Nursing Center

    Orchard Rehabilitation and Nursing Center sits over in Medina, NY, right in Orleans County, and the facility provides a wide range of services including nursing care, rehabilitation, nutrition, and general support for people who need help daily, while its mission focuses on giving personalized and high-level care so every resident can work on their physical, emotional, and spiritual well-being. The staff pays close attention to community engagement and aims to help residents live comfortably, taking care to develop customized care plans, keeping unique care programs for different needs, and always working on respectful relationships in a lively atmosphere, and they commit to making rehabilitation work with real results in recovery and health. The center operates as a Skilled Nursing Facility, sits under the ownership of Orrnc Holdings LLC, is managed by Jenna Cracknell since August 2021, and has Dr. Charles W Yates as director, serving about 144 residents each day with 160 certified beds, and this for-profit limited liability company welcomes folks of all backgrounds-no discrimination of any kind for admission, care, or employment, which anyone can see for themselves by checking out the admission policy. You'll find a range of tests available onsite including COVID-19 Antigen, Glucose, Influenza, RSV, Strep A, and Urinalysis, with a CLIA number 33D0903783 and a waiver certificate type, supporting both short-term rehabilitation and post-acute care, and there's always focus on helping residents recover and stay healthy. Amenities at Orchard often aim to make day-to-day life better, and their long-term care team tries to build a supportive setting for everyone, with details about the team, community, and mission you can learn more about when visiting, or through their website at orchardrnc.com. The center holds a CMS star rating of four out of five, with three stars for health, two for staffing, and a full five stars for quality, but you do see some marks on their record-like a nurse turnover rate at 51.3%, a nurse staffing level at 2.92 hours per resident per day, and some noted deficiencies, sixteen in recent inspections, relating to environment and food services like accident hazards, keeping food safe, and serving meals at the right temperature. Its pandemic emergency plan stands ready, and as an employer, Orchard welcomes applications for positions like RN, LPN, and CNA, whether people are looking for full-time, part-time, or per diem work. The staff stays committed to treating all residents with compassion and dignity every day, doing their best to help everyone achieve their potential in a way that works for them.

    People often ask...

    Orchard Rehabilitation and Nursing Center offers assisted living, memory care, and skilled nursing.

    There are 26 photos of Orchard Rehabilitation and Nursing Center on Mirador.

    The full address for this community is 600 Bates Rd, Medina, NY 14103.

    No, Orchard Rehabilitation and Nursing Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Orchard Rehabilitation and Nursing Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Orchard Rehabilitation and Nursing Center directly. There is no cost for this service. We are compensated by the community you select.

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