CCN 235721 · Macomb County, Michigan
Orchard Grove Health Campus
71150 Orchard Crossing Lane, Romeo, MI 48065
Orchard Grove Health Campus is a 55-bed for-profit nursing home in Romeo, Michigan, first certified for Medicare or Medicaid in 2017. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 52.8 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $16.1 million originally, at 2.67%, with $14.3 million outstanding as of September 30, 2026 and maturity in September 2055.
Facility facts
- Certified beds
- 55
- Average residents per day
- 52.8 (96.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Trilogy Healthcare of Romeo, LLC
- Certified since
- Apr 15, 2017
- Chain or affiliated group
- Trilogy Health Services (127 facilities, chain average 4.2 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Michigan median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 72 at 1, 84 at 2, 85 at 3, 75 at 4, 104 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.36 | 3.81 | 3.68 |
| RN hours per resident per day | 0.99 | 0.71 | 0.58 |
| Weekend nurse hours per resident per day | 3.72 | ||
| Nursing staff turnover | 35.7% | 44.6% | 44.9% |
| Occupancy (residents / beds) | 96.0% | 86.7% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 2 (Jul 9, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Orchard Grove Health Campus meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Griffin-American Healthcare REIT III, Inc.Organization | Indirect Ownership Interest | n/a | 10/01/2018 |
| Griffin-American Healthcare REIT IV Holdings, LPOrganization | Indirect Ownership Interest | n/a | 10/01/2018 |
| Northstar Healthcare Income IncOrganization | Indirect Ownership Interest | n/a | 10/01/2018 |
| Northstar Healthcare Income Operating Partnership LPOrganization | Indirect Ownership Interest | n/a | 10/01/2018 |
| Trilogy Holdings Nt-Hci, LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2018 |
| Regions BankOrganization | Mortgage Interest | n/a | 07/20/2018 |
| Trilogy Health Services LLCOrganization | Operational / Managerial Control | n/a | 10/01/2016 |
| Trilogy Management Services LLCOrganization | Operational / Managerial Control | n/a | 10/01/2016 |
| Kesavan, NirmalIndividual | Operational / Managerial Control | n/a | 10/28/2016 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Regions Bank.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Aug 14, 2020 | 223(f) refinance or purchase of 232 assisted livingHUD project name: Orchard Grove Health Campus, 128 beds. Lender at endorsement: Regions Bank | $16,064,000 | Active: 2.67%, $14,257,678 balanceMatures Sep 1, 2055. Servicer: Regions Bank | 04422108 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.