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Deficiency Records for The Orchards at Wayne
A list of the most recent deficiencies for The Orchards at Wayne. 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 Wayne. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-01 | 2024-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-01 | 2024-09-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-01 | 2024-08-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-01 | 2024-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-01 | 2024-08-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-01 | 2024-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-08-26 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-01 | 2024-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-01 | 2024-08-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-20 | 2024-04-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-20 | 2024-04-05 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-17 | 2023-06-30 | 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 | 2023-05-17 | 2023-06-30 | 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 | 2023-05-17 | 2023-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-22 | 2023-06-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-22 | 2023-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-22 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-22 | 2023-06-16 | N |
| Provide appropriate foot care. | Health | 2023-05-22 | 2023-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-22 | 2023-06-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-22 | 2023-06-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-22 | 2023-06-16 | N |
| Keep all essential equipment working safely. | Health | 2023-05-22 | 2023-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-22 | 2023-06-16 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-22 | 2023-06-16 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-18 | 2022-04-29 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-03-18 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-18 | 2022-04-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-18 | 2022-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-18 | 2022-04-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-18 | 2022-04-24 | 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 | 2022-03-18 | 2022-04-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-18 | 2022-04-24 | 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 | 2022-03-18 | 2022-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-23 | 2022-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-23 | 2022-04-22 | N |
| 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 | 2022-03-23 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-23 | 2022-04-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-03-23 | 2022-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-23 | 2022-04-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-23 | 2022-04-22 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-03-23 | 2022-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-23 | 2022-04-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-23 | 2022-04-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-23 | 2022-04-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2022-01-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-10 | 2022-01-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-10 | 2021-12-09 | Y |
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