Lancaster · 53813
Lancaster Health Services
1350 S Madison St
Lancaster, WI 53813
Orchard Manor
⌖ Lancaster, WI · Grant County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds74
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Orchard Manor
Orchard Manor is a 74-bed government-run nursing home in Lancaster, WI. Medicare rates it 5 out of 5 stars overall (much above average); the average in Wisconsin is 3.0. At its last full inspection (Dec 2025), inspectors found 0 problems, fewer than the Wisconsin average of 9.5. Nurses and aides spend about 4 hr 30 min a day with each resident, about the same as the Wisconsin average of 4 hr 13 min. About 27% of its nursing staff left in the past year. Medicare fined it $22,425 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameOrchard Manor
LocationGrant County, Wisconsin
Phone(608) 723-2113
Address8800 Hwy 61, Lancaster, WI 53813 · Grant County
CMS provider number525290
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 1, 1978 (48 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Health citations at last inspection0 (Dec 2025)Wisconsin average: 9.5. Most citations are minor and corrected within weeks.Strength
- Nursing staff turnover27% a yearWisconsin average: 47%Strength
About average
- Nurse staffing per resident4 hr 30 min a dayWisconsin average: 4 hr 13 minAbout average
- Registered nurse time per resident58 min a dayWisconsin average: 1 hr 00 minAbout average
Things to ask about
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- Fines and penalties1 fine totaling $22,425; 1 Medicare payment denialFederal penalties from the last three years, most recently in Aug 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Wisconsin average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 1.2%Better than average
Physical therapist time: about 1 minute per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.5%State average: 3.3%Worse than average
- Pressure sores (bedsores)2.4%State average: 5.0%Better than average
- Given antipsychotic drugs11.4%State average: 15.8%Better than average
Source: Medicare (CMS) quality measures, compared with the Wisconsin average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Wisconsin, Medicaid pays for 60% of resident days at a typical home.
- 66% Medicaid
- 2% Medicare
- 32% Private pay, insurance and other
Beds in use, on average75%Wisconsin typical: 73%
Cost of care per resident day$366Wisconsin typical: $402
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 2 stars in January 2019. It has ranged from 2 to 5 stars and changed 10 times.
Overall rating5★
Health inspections5★
Staffing5★
Quality of care3★
Nurse hours per resident per day4.5
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 1 | 4 | 5 | 4.5 |
| Jan 2020 | 2 | 1 | 4 | 4 | 4.8 |
| Jan 2021 | 3 | 2 | 5 | 4 | 4.8 |
| Jan 2022 | 3 | 2 | 5 | 3 | 4.7 |
| Jan 2023 | 3 | 3 | 3 | 4 | 3.6 |
| Jan 2024 | 3 | 3 | 4 | 2 | 4.0 |
| Feb 2025 | 4 | 3 | 5 | 4 | 4.2 |
| Feb 2026 | 5 | 5 | 5 | 4 | 4.4 |
| Sep 2026 | 5 | 5 | 5 | 3 | 4.5 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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