Orchard Manor: Staffing, Turnover, and Inspection Record
Orchard Manor is a 74-bed government-run nursing home in Lancaster, Wisconsin. In the CMS August 2026 release it reported 3.27 nurse aide hours per resident per day, 27% above the Wisconsin average of 2.58, and 26.8% nursing staff turnover (Wisconsin average 46.9%).
Orchard Manor
8800 Hwy 61Lancaster, WI 53813
Grant County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Orchard Manor, nurse aides logged 3.27 hours per resident per day, 27% above the Wisconsin average. With about 49 residents a day, that works out to roughly 161 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Wisconsin avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.27 | 2.58 | 2.32 |
| Licensed practical nurses | 0.26 | 0.64 | 0.86 |
| Registered nurses | 0.96 | 0.99 | 0.69 |
| All nursing staff | 4.49 | 4.21 | 3.86 |
| All nursing staff, weekends | 3.99 | 3.77 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
26.8% of nursing staff at Orchard Manor left over the year CMS measured, against a Wisconsin average of 46.9% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 16, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 0 health deficiencies (Wisconsin average 9.5). CMS lists 1 fine totaling $22,425 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 15, 2024 | Fine | $22,425 |
| Aug 15, 2024 | Payment Denial | 1 day from Sep 11, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Orchard Manor holds 5 of 5 overall; the Wisconsin average is 3.0.
About Orchard Manor
- Ownership: Government - County
- Legal name: County of Grant
- Medicare and Medicaid certified since: Jul 1, 1978
- Councils: resident council
- Area: rural
Nursing homes near Orchard Manor
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lancaster Health Services Lancaster | 1.4 | 50 | 2.21 | 3.62 | 28.0% | 2 | None |
| Dove Healthcare - Fennimore Fennimore | 10.9 | 50 | 2.72 | 4.04 | 60.4% | 2 | $104,515 |
| Edenbrook of Platteville Platteville | 12.5 | 80 | 2.25 | 3.78 | 40.0% | 4 | None |
| Stonehill Care Center Dubuque | 20.2 | 185 | 3.04 | 4.31 | — | 4 | None |
| Sunnycrest Manor Dubuque | 20.3 | 77 | 3.13 | 4.34 | 38.4% | 4 | None |
| Bethany Home Dubuque | 21.2 | 66 | 3.17 | 4.50 | 32.1% | 5 | None |
| Care and Rehab - Boscobel Boscobel | 21.3 | 50 | 3.01 | 4.57 | 47.4% | 4 | $157,729 |
| Guttenberg Care Center Guttenberg | 21.5 | 46 | 2.29 | 3.65 | 40.0% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.