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Deficiency Records for The Orchards at Harper Woods

A list of the most recent deficiencies for The Orchards at Harper Woods. 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 The Orchards at Harper Woods. 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?
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-03-07 2024-04-05 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-03-07 2024-04-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-07 2024-04-05 N
Provide appropriate foot care. Health 2024-03-07 2024-04-05 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 2024-03-07 2024-04-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-07 2024-04-05 N
Keep all essential equipment working safely. Health 2024-03-07 2024-04-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-03-07 2024-04-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-03-07 2024-04-05 Y
Respond appropriately to all alleged violations. Health 2024-03-07 2024-04-05 Y
Ensure each resident receives an accurate assessment. Health 2024-03-07 2024-04-05 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-03-07 2024-04-05 Y
Assist a resident in gaining access to vision and hearing services. Health 2024-03-07 2024-04-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-07 2024-04-05 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-03-07 2024-04-05 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-03-07 2024-04-05 Y
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 2024-03-07 2024-04-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-07 2024-04-05 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-03-07 2024-04-05 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-03-07 2024-04-05 Y
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-07 2024-04-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-02 2023-10-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-02 2022-12-28 Y
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 2022-12-02 2022-12-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-02 2022-12-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-02 2022-12-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-02 2022-12-28 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-12-02 2022-12-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-02 2022-12-28 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2022-12-02 2022-12-28 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-12-02 2022-12-28 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-30 2022-12-28 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-11-30 2022-12-28 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 2022-11-30 2022-12-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-30 2022-12-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-30 2022-12-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-30 2022-12-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-30 2022-12-28 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-11-30 2022-12-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-05-11 2022-05-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-11 2022-05-25 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2022-05-11 2022-05-25 Y
Provide and implement an infection prevention and control program. Health 2022-05-11 2022-05-25 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-02-03 2022-03-25 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-02-03 2022-02-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-03 2022-02-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-03 2022-02-28 Y
Provide or obtain dental services for each resident. Health 2022-02-03 2022-02-28 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-03 2022-02-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-03 2022-02-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-03 2022-02-28 Y
Provide and implement an infection prevention and control program. Health 2022-02-03 2022-02-28 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-10-07 2021-10-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-07 2021-10-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-07 2021-10-20 Y
Provide and implement an infection prevention and control program. Health 2021-10-07 2021-10-20 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2021-10-07 2021-10-20 Y
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 2020-02-13 2020-03-12 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2020-02-13 2020-03-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-02-13 2020-03-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-02-13 2020-03-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-13 2020-03-12 N
Provide enough food/fluids to maintain a resident's health. Health 2020-02-13 2020-03-12 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 2020-02-13 2020-03-12 N
Post nurse staffing information every day. Health 2020-02-13 2020-03-12 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-02-13 2020-03-12 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 2020-02-13 2020-03-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-02-13 2020-03-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-13 2020-03-12 N
Dispose of garbage and refuse properly. Health 2020-02-13 2020-03-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2020-02-13 2020-03-12 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 2020-02-11 2020-03-12 N
Have exits that are accessible at all times. Fire Safety 2020-02-11 2020-03-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-11 2020-03-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-02-11 2020-03-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-02-11 2020-03-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-02-11 2020-03-12 N

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