Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 235654

The Orchards at Lapeer

Lapeer, Michigan · Medicare and Medicaid

Certified beds, as filed in Care Compare: 87

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 30 December 2024 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,756,738CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$898,878CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,857,860CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,700,649CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$842,789CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$219,333CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$623,456CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$623,456 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components31,842CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days960CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days14,185CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,210CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components22,355CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges29CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges36CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges111CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components176CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days394.03CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439041, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,013,867CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$720,559CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,293,308CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,973,232CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$679,924CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$180,543CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$499,381CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$499,381 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,353CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components155CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days341.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days144.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395674, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,552,969CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,011,623CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,541,346CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,042,606CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,501,260CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,293,493CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$207,767CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$207,767 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,472CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days369.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365347, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,874,262CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,543,896CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,330,366CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,116,912CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,786,546CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,076,684CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,290,138CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,290,138 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,982CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components172CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days274.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days121.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334446, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$7,007,962CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$555,723CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,452,239CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,382,173CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$929,934CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$571,343CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$358,591CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$751,778 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,773CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components215CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days197.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days96.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303954, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 August 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,134,294CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,481,837CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,652,457CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,771,240CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,118,783CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,863CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,097,920CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,233,965 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,747CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components194CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1265067, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,306,666CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,804,470CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,502,196CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,102,464CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,600,268CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$162,207CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,438,061CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,528,291 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,154CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components213CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days343.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237951, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 28 July 2017 to 31 December 2017 — a reporting period of 156 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$2,821,612CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$722,822CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,098,790CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,504,390CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$405,600CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,013CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$402,587CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$402,587 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,135CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components76CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days133.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209838, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 April 2016

Cost report for 1 May 2015 to 30 April 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2016.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,713,832CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,764,283CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,949,549CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,891,033CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$58,516CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,227CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$94,743CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $94,743 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components87CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,852CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components112CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days426.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days204.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146480, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 30 April 2015

Cost report for 1 May 2014 to 30 April 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 November 2015.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,635,088CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,516,042CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,119,046CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,773,074CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$345,972CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$51,992CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$397,964CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $397,964 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components31,755CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,321CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components106CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days411.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days220.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112399, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 30 April 2014

Cost report for 1 May 2013 to 30 April 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 November 2014.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,799,015CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$330,607CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,468,408CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,978,552CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$489,856CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$48,410CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$538,266CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $538,266 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,457CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components129CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days189.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080392, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 30 April 2013

Cost report for 1 May 2012 to 30 April 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 November 2013.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,321,706CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,723,926CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,597,780CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,685,432CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,087,652CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,192CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,072,460CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,072,460 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,533CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components132CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days363.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days208.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051262, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 30 April 2012

Cost report for 1 May 2011 to 30 April 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 November 2012.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$6,522,688CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,063,727CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,458,961CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,510,728CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$51,767CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,731CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$27,036CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$27,036 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components91CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,943CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components307CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days93.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days94.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1020426, read from the public cost report file SNF10FY2011.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GUTMAN, ISAACADP OF THE SNFIndividualNOT APPLICABLEsince 12/31/2024
HOFFMAN, ALEXANDERADP OF THE SNFIndividualNOT APPLICABLEsince 12/31/2024
KORNFELD, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 12/31/2024
SIGNET HEALTHCARE CONSULTANTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/31/2024
TAUB, JACOBADP OF THE SNFIndividualNOT APPLICABLEsince 12/31/2024
WHITE LAKE HEALTHCARE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/31/2024
APPLEFIELD, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/31/2024
GAMBLE, BECKYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/31/2024
WHITE LAKE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/31/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAPEER MI OPCO LLC (enrollment ID O20250107001041).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ALEXANDER HOFFMANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST1012/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISAAC GUTMANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST4012/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB TAUBIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST4012/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT KORNFELDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST1012/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ALEXANDER HOFFMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISAAC GUTMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB TAUBIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT KORNFELDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SIGNET HEALTHCARE CONSULTANTS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
WHITE LAKE HEALTHCARE LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BECKY GAMBLEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL L APPLEFIELDIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WHITE LAKE HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/31/2024
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
14 March 20264 March 2026228
220 March 202520 March 2025113
37 May 20247 May 2024143

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

47 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
4 March 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.ENoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.DYesDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0807Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.ENoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DNoDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FYesDeficient, Provider has date of correction24 March 2026
4 March 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction24 March 2026
28 January 2026HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DYesDeficient, Provider has date of correction13 February 2026
28 January 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correction13 February 2026
20 March 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DYesDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0807Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction26 March 2025
20 March 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction26 March 2025
12 March 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction13 March 2025
7 May 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EYesDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CYesDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.ENoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction10 May 2024
7 May 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correction10 May 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameLAPEER MI OPCO LLC
Date First Approved to Provide Medicare and Medicaid Services2011-07-28
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishLapeer
Telephone Number2487676351
Chain NameTHE ORCHARDS MICHIGAN
Chain ID513
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds87
Average Number of Residents per Day64.9
Overall Rating2
Health Inspection Rating1
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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On 11 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for The Orchards at Lapeer

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