Orchard Manor
Lancaster · 1.6 mi · 74 beds
Citations0Substantiated0
Lancaster Health Services
1350 S MADISON ST, Lancaster, WI, 53813
Nursing home50 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 7 deficiencies against Lancaster Health Services in Lancaster, Wisconsin at its most recent standard inspection on 2025-08-19. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
50certified beds
7deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.1
Most recentJFEDDDDDDDFDDDFFDC
The last 18 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-08-19 · standard survey · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-08-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2025-08-19 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2025-08-19 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-08-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-08-19 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-08-19 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-02-19 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-02-19 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2024-08-27 · from a complaint · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-07-24 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-04-24 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-04-06 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-04-06 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2023-04-06 · standard survey · No actual harm, potential for more than minimal harm
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · F0888 · 2023-04-06 · standard survey · No actual harm, potential for minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.62419
Nursing staff turnoverShare of nursing staff who left in a year28%
Ownership
Who owns Lancaster Health Services
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| NSHR OPERATIONS LLC | Organization | 100% | since 10/01/2019 |
| ARROWHEAD 123 LLC | Organization | 10% | since 10/01/2019 |
| THE LANE MORRELL BOWEN TRUST | Organization | 10% | since 10/01/2019 |
| MILLS, DAVID | Individual | 18% | since 10/01/2019 |
| CIBC BANK USA | Organization | NOT APPLICABLE | since 12/31/2024 |
| CIBC BANK USA | Organization | NOT APPLICABLE | since 12/31/2024 |
| BAUMANN, TROY | Individual | NOT APPLICABLE | since 10/01/2019 |
| HOEHN, JEFFREY | Individual | NOT APPLICABLE | since 12/01/2019 |
| CIBC BANK USA | Organization | NOT APPLICABLE | since 12/31/2024 |
| CLIFTONLARSONALLEN LLP | Organization | NOT APPLICABLE | since 12/01/2019 |
| CONTINUUM THERAPY PARTNERS LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| NORTH SHORE HEALTHCARE LLC | Organization | NOT APPLICABLE | since 12/01/2019 |
Part of the NORTH SHORE HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Lancaster Health Services a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525352.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction