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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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