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Deficiency Records for Orchard Post Acute

A list of the most recent deficiencies for Orchard Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Orchard Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-08-14 2023-08-25 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-01-24 2023-02-03 Y
List the names and contact information of those in the facility. Fire Safety 2022-01-27 2022-02-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-27 2022-02-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-01-27 2022-02-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-01-27 2022-02-22 N
Provide a written emergency evacuation plan. Fire Safety 2022-01-27 2022-02-22 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-01-27 2022-02-22 N
Honor 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. Health 2022-01-21 2022-02-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-21 2022-02-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-01-21 2022-02-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-01-21 2022-02-17 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-01-21 2022-02-17 N
Ensure 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. Health 2022-01-21 2022-02-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-21 2022-02-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-21 2022-02-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-20 2019-06-07 N
Keep residents' personal and medical records private and confidential. Health 2019-03-20 2019-06-07 N
Honor 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. Health 2019-03-20 2019-06-07 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-03-20 2019-06-07 N
Ensure each resident receives an accurate assessment. Health 2019-03-20 2019-06-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-03-20 2019-06-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-03-20 2019-06-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-03-20 2019-06-07 N
Provide activities to meet all resident's needs. Health 2019-03-20 2019-06-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-20 2019-06-07 N
Assist a resident in gaining access to vision and hearing services. Health 2019-03-20 2019-06-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-03-20 2019-06-07 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-03-20 2019-06-07 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2019-03-20 2019-06-07 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2019-03-20 2019-06-07 N
Ensure that residents are free from significant medication errors. Health 2019-03-20 2019-06-07 N
Ensure 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. Health 2019-03-20 2019-06-07 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-03-20 2019-06-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-20 2019-06-07 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2019-03-20 2019-06-07 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-03-20 2019-06-07 N
Provide and implement an infection prevention and control program. Health 2019-03-20 2019-06-07 N
Implement a program that monitors antibiotic use. Health 2019-03-20 2019-06-07 N
Keep all essential equipment working safely. Health 2019-03-20 2019-06-07 N
Conduct testing and exercise requirements. Fire Safety 2019-04-11 2019-04-29 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-04-11 2019-04-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-11 2019-04-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-11 2019-04-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-04-13 2018-06-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-04-13 2018-06-07 N
Establish emergency prep training and testing. Fire Safety 2018-05-15 2018-05-31 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2018-05-15 2018-05-31 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2018-05-15 2018-05-31 N
Provide properly protected cooking facilities. Fire Safety 2018-05-15 2018-05-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-05-15 2018-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-05-15 2018-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-05-15 2018-05-31 N

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