Orchard Rehabilitation and Nursing Center

    600 Bates Rd, Medina, NY, 14103
    2.9 · 37 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Excellent therapy but inconsistent care

    I had a mixed stay. The building is clean, peaceful, and rehab-focused - PT/OT (Cory and Amy) were excellent, Brittany the social worker was empathetic, meals and activities can be enjoyable, and many staff were patient, caring and responsive. But staffing is inconsistent: I experienced poor communication, unanswered call lights, rude or untrained nurses/aides, privacy lapses, occasional unsanitary incidents (dirty showers, stained bedding) and even safety concerns with a threatening roommate; there were also reports of staff leaving to smoke or smell of marijuana and lax COVID control. Bottom line: great therapists, cleanliness, and caring people at times - but expect variability and raise specific concerns before choosing.

    Pricing

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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

    2.89 · 37 reviews

    Overall rating

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

      2.8
    • Staff

      2.9
    • Meals

      2.4
    • Amenities

      3.5
    • Value

      2.0

    Pros

    • Compassionate, patient, and dedicated staff reported by many reviewers
    • Several staff go above and beyond and provide personalized accommodations
    • Strong rehab services and effective therapists (positive mentions of Cory and Amy)
    • Helpful, communicative social worker (Brittany) and supportive discharge planning
    • Clean, welcoming, and well-kept building in multiple reports
    • Pleasant dining area and some residents can choose their own menu
    • Positive communal spaces (piano, round tables, quad) that support socializing
    • Engaging and fun activities reported by some reviewers
    • Attentive nurses, PCAs, and aides in many accounts
    • Good post-discharge support and clear communication in some cases
    • Rehab success stories with measurable mobility improvements
    • Location described as pleasant and scenic by some families
    • Problem resolution and exceptional responsiveness reported in some instances
    • Dementia care support praised by some reviewers
    • Overall high-quality care reported by multiple reviewers

    Cons

    • Significant variability in staff competence and attitudes across shifts
    • Understaffing leading to long waits, unanswered call lights, and delays
    • Unhelpful, rude, or uncaring staff and reports of belittling or abusive behavior
    • Poor communication and coordination among staff and administration
    • Unsanitary conditions reported (stained bedding, urine in hallways, dirty floors)
    • Bathrooms and guest restrooms sometimes unclean or locked
    • Inadequate infection control and lax COVID containment
    • Residents left unattended in wheelchairs or hallways for hours
    • Safety concerns including threatening roommates and lack of supervision for dementia
    • Food quality inconsistent: poor food, wrong meals, lack of special diets
    • Activities often limited, inconsistent, or poorly run
    • Privacy breaches, staff gossip, and mishandling of private information
    • Medication/supply issues (Tylenol denied, delayed ankle brace, no ice packs)
    • Discharge preparation lapses and poor handoffs from facility to home
    • Allegations of staff substance use and concerns about overall professionalism
    • Administration allegedly turning a blind eye to problems or lacking training
    • Some reviewers advise against facility and claim noncompliance with regulations
    • Inconsistent cleanliness — some report the facility matches photos while others report filthy areas
    • Long hold times and poor responsiveness by front desk/phone

    Summary review

    Overall sentiment across the reviews for Orchard Rehabilitation and Nursing Center is highly mixed and polarized. Many reviewers praise individual staff members, therapists, and certain aspects of the facility — citing compassionate caregivers, effective physical and occupational therapy, a communicative social worker (Brittany), and a clean, welcoming environment with pleasant communal spaces. Several families describe clear rehab successes, personalized accommodations, above-and-beyond service, and helpful post-discharge support. Positive accounts frequently highlight warm interactions, a peaceful ambience, and amenities such as a nice dining area, piano in the community room, round tables for socializing, and a well-kept building in a scenic location.

    At the same time, a substantial portion of reviews details serious and recurring concerns that suggest inconsistent care quality and systemic issues. The most commonly mentioned problems are understaffing and variable staff competence: reviewers report unanswered call lights, long holds on phone lines, residents left in wheelchairs or hallways for hours, and difficulties obtaining basic needs such as Tylenol, ice packs, or timely supplies (for example, a delayed ankle brace). Several reviewers describe rude, untrained, or uncaring staff, including allegations of staff gossip, privacy breaches, and in a few cases abusive or belittling behavior toward residents. There are also allegations of staff substance use on breaks and claims that administration is not adequately addressing these problems.

    Cleanliness and infection control are another area of disparity. Multiple reviewers state that the facility is clean, well-maintained, and matches photos; yet a number of reports describe unsanitary incidents such as stained bedding, urine in hallways, dirty brown shower water, food on the floor, bathrooms not being flushed, and guest restrooms locked. Several reviewers specifically raised concerns about COVID containment and infection control knowledge among staff, including at least one instance where a resident contracted COVID-19 and was advised to transfer to a hospital. These conflicting accounts point to inconsistent adherence to cleaning protocols and infection prevention standards across shifts or units.

    Safety and supervision issues recur in the reviews. There are multiple reports of unsupervised dementia residents, threatening roommates, and a lack of appropriate intervention by nurses or administration when residents feel unsafe. Instances of residents being left in wheelchairs for long periods and being relocated after sleeping in hallways indicate gaps in day-to-day supervision and patient movement protocols. Such safety lapses are often tied back by reviewers to understaffing and poor staff coordination.

    Dining and activities receive similarly mixed feedback. Some reviewers praise the dining area, menu choices, and enjoyable social activities, while others report very poor food quality, wrong meals from dietary staff, no ability to accommodate special diets, and nearly non-existent or incompetent activities programming. The variability suggests inconsistent management of dietary and activities departments; where staff in those departments are engaged and well-staffed, residents report satisfaction, but where staffing or training is lacking, services deteriorate noticeably.

    Administrative and communication problems are frequently cited. Families describe poor or delayed communication, unanswered calls, front desk staff lacking knowledge, supervisors not trained, and administration that appears to look the other way when concerns are raised. Several reviewers worry about regulatory compliance and adherence to New York State guidelines, with some recommending avoiding the facility or calling for stronger oversight. Conversely, some families expressly recommend the facility and credit administration and social work for effective problem resolution and supportive discharge planning.

    Several concrete positive outliers are noted and worth highlighting: multiple reviewers named specific therapists (Cory and Amy) and a social worker (Brittany) as delivering exceptional care and communication. Rehab-related success stories — improved mobility, effective PT/OT, and tools to aid recovery — are frequent in positive reviews. These testimonials show the facility can deliver high-quality clinical care and compassionate service when staffing, training, and supervision are sufficient.

    In summary, Orchard Rehabilitation and Nursing Center appears capable of delivering excellent, compassionate care and strong rehabilitation outcomes in many cases, but the facility also shows a pattern of inconsistent service quality. The dominant themes pointing to risk are understaffing, uneven staff training and professionalism, lapses in cleanliness and infection control, safety/supervision concerns, and poor communication or administrative follow-through. Prospective residents and families should weigh the positive testimonials about therapy, specific staff members, and the environment against the recurring operational concerns. For the facility, priority improvement areas would include staffing stabilization and training, stronger infection control and cleaning oversight, clearer medication/supply protocols, enhanced security and supervision for vulnerable residents (especially those with dementia), improved dietary and activities consistency, and better responsiveness and transparency from administration.

    Location

    Map showing location of Orchard Rehabilitation and Nursing Center

    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.

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