ElderGrade
A

85/100

Excellent

Orchard Manor

8800 Hwy 61, Lancaster, WI 53813

CMS 5/5 stars #1 of 7 in Grant County (608) 723-2113
Certified beds
74
Occupancy
66%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $22,425 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.69 total nurse hours per resident per day (national median 3.77)
  • 0.96 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 27% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $22,425 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.49 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.96 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.99 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 26.80%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 9 citations

Last standard health inspection: December 16, 2025 (8 months ago). That inspection produced no citations — the findings below are older.

G Aug 15, 2024 F0686

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm to a resident

E Aug 15, 2024 F0687

Quality of Life and Care Deficiencies

Provide appropriate foot care.

No actual harm, potential for more than minimal harm

D Aug 15, 2024 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Aug 15, 2024 F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

D Aug 15, 2024 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

G May 17, 2023 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Actual harm to a resident

F May 17, 2023 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D May 17, 2023 F0697

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
ERDENBERGER, ALESHA Individual CORPORATE DIRECTOR
STADER, ERIC Individual CORPORATE DIRECTOR
COUNTY OF GRANT Organization OPERATIONAL/MANAGERIAL CONTROL
ERDENBERGER, ALESHA Individual OPERATIONAL/MANAGERIAL CONTROL
STADER, ERIC Individual OPERATIONAL/MANAGERIAL CONTROL
COUNTY OF GRANT Organization ADP OF THE SNF
ERDENBERGER, ALESHA Individual ADP OF THE SNF
STADER, ERIC Individual ADP OF THE SNF
COUNTY OF GRANT Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Orchard Manor

What is the ElderGrade for Orchard Manor? +

Orchard Manor holds an ElderGrade of A (85 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Orchard Manor? +

Residents receive an average of 4.49 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Orchard Manor been cited for harming residents? +

Yes. 2 of the 9 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Orchard Manor accept Medicaid? +

Yes, Orchard Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.