Nursing home in Medina, Orleans County
Orchard Rehabilitation & Nursing Center
600 Bates Road, Medina, NY 14103 · (585) 798-4100
Orchard Rehabilitation & Nursing Center is a 160-bed for-profit nursing home in Medina, Orleans County. By certified beds, it is the largest of the 3 Medicare- and Medicaid-certified nursing homes in Orleans County. Medicare rates it 3 out of 5 stars overall (3 for health inspections, 2 for staffing and 3 for quality measures). That overall rating is above the Orleans County average of 2.7 stars. Inspectors issued 18 health citations across 4 inspections in the current federal reporting period. CMS lists no federal fines or payment denials for the facility in the past three years. Residents receive about 3.2 hours of total nursing care per day on average, and nursing staff turnover is 54%.
Medicare star ratings
Overall Medicare rating
3 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
3 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
2 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
3 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 3.15
- RN hours per resident per day
- 0.52
- Nursing staff turnover
- 53.8%
- RN turnover
- 26.3%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 600 Bates Road, Medina, NY 14103
- County
- Orleans
- Phone
- (585) 798-4100
- Certified beds
- 160
- Average residents per day
- 150
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Orrnc Operating LLC
- Chain affiliation
- Personal Healthcare Management (21 facilities)
- In Medicare/Medicaid since
- 1973
- CMS Certification Number (CCN)
- 335397
- Most recent standard inspection
- April 16, 2024
Location and getting there
Orchard Rehabilitation & Nursing Center is located at 600 Bates Road in Medina, Orleans County, in the Finger Lakes region (ZIP 14103). Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 4
- Total health citations
- 18
- Serious citations (harm or immediate jeopardy)
- 0
- Immediate jeopardy citations
- 0
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| September 2, 2025 | Complaint investigation | 2 | Potential for harm (widespread) | View CMS report |
| April 16, 2024 | Standard health inspection | 5 | Potential for harm (pattern) | View CMS report |
| April 25, 2022 | Standard health inspection | 2 | Potential for harm (isolated) | View CMS report |
| June 21, 2019 | Standard health inspection | 9 | Potential for harm (pattern) | View CMS report |
Federal penalties
No federal fines or payment denials are listed for this facility in the CMS penalty data we compiled. Penalties are only one indicator; review the inspection reports below for cited deficiencies.
Complaints to the New York State Department of Health
- Complaints received
- 139
- Complaints per 100 beds
- 94.6
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 26
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Alexander Barth | Corporate officer (since 06/29/2018) |
| Yechiel Zagelbaum | Corporate officer (since 09/06/2016) |
| Jenna Cracknell | Operational/managerial control (since 08/09/2021) |
| Charles Yates | Operational/managerial control (since 01/01/2024) |
| Alexander Barth | Administrator/director of the SNF (since 06/29/2018) |
| Jenna Cracknell | Administrator/director of the SNF (since 08/09/2021) |
| Charles Yates | Administrator/director of the SNF (since 04/09/2025) |
Official reports and records
These links open official and independent records for CCN 335397. Read several inspections, not only the most recent, to see whether problems repeat.