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Deficiency Records for Orchard Creek Skilled Nursing
A list of the most recent deficiencies for Orchard Creek Skilled Nursing. 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 Creek Skilled Nursing. 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? |
|---|---|---|---|---|
| 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 | 2023-10-25 | 2023-12-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-25 | 2023-12-14 | 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 | 2023-10-25 | 2023-11-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-25 | 2023-11-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-25 | 2023-11-16 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-25 | 2023-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-11-16 | 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 | 2023-10-25 | 2023-11-16 | 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 | 2023-10-25 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-16 | 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 | 2023-10-25 | 2023-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-16 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-08 | 2022-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-08 | 2022-10-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-09-08 | 2022-10-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-09-08 | 2022-10-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-08 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2022-10-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-09 | 2021-08-06 | N |
| Develop a communication plan. | Fire Safety | 2021-06-09 | 2021-08-06 | 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 | 2021-06-09 | 2021-08-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-09 | 2021-08-06 | 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 | 2021-06-09 | 2021-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-09 | 2021-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-09 | 2021-08-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-09 | 2021-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-09 | 2021-07-16 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-06-09 | 2021-07-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-09 | 2021-07-16 | N |
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