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Deficiency Records for The Orchards Post-Acute

A list of the most recent deficiencies for The Orchards 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 The Orchards 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-17 2024-08-18 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-19 2024-07-15 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-19 2024-07-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-17 2024-06-22 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-05-06 2024-05-29 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-06 2024-05-29 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-03-28 2024-03-29 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-02-26 2024-03-22 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-26 2024-03-22 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 2024-02-26 2024-03-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-26 2024-03-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-02-26 2024-03-22 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-02-26 2024-03-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-26 2024-03-22 N
Meet other general requirements that are deficient. Fire Safety 2024-02-26 2024-03-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-02-26 2024-03-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-02-26 2024-03-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-26 2024-03-22 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-02-26 2024-03-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-26 2024-03-22 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-26 2024-03-22 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-15 2024-03-15 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 2024-02-15 2024-03-15 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-02-15 2024-03-15 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-02-15 2024-03-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-02-15 2024-03-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-15 2024-03-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-02-15 2024-03-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-15 2024-03-15 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-15 2024-03-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-15 2024-03-15 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2024-02-15 2024-03-15 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-02-15 2024-03-15 N
Ensure that residents are free from significant medication errors. Health 2024-02-15 2024-03-15 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 2024-02-15 2024-03-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-15 2024-03-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-15 2024-03-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-02-15 2024-03-15 N
Provide and implement an infection prevention and control program. Health 2024-02-15 2024-03-15 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-02-15 2024-03-15 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-15 2024-03-15 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 2024-02-05 2024-02-24 Y
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2024-01-22 2024-02-16 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-11-14 2023-11-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-06 2023-11-23 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-06 2023-10-20 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-10-02 2023-10-20 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-10-02 2023-10-20 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-10-02 2023-10-20 Y
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 2023-10-02 2023-10-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-05 2023-10-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-28 2023-09-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-21 2023-09-14 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-23 2023-09-13 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-07-26 2023-08-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-07-14 2023-07-28 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-05-15 2023-06-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-17 2023-06-05 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-02-08 2023-02-27 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-02-07 2023-02-24 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-01-05 2023-01-27 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-05 2023-01-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-06 2023-01-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-12 2023-01-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-12 2023-01-11 Y
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 2022-12-12 2023-01-11 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 2022-11-29 2022-12-22 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-10-19 2022-11-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-22 2022-10-21 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-09-28 2022-10-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-24 2022-09-06 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-08-24 2022-09-06 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2022-07-12 2022-08-01 Y
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 2022-07-12 2022-08-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-07 2022-07-28 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 2022-07-07 2022-07-28 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 2022-07-07 2022-07-28 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-07-07 2022-07-28 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-14 2022-05-23 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-04-14 2022-05-23 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 2022-04-14 2022-05-23 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-14 2022-05-23 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 2022-04-14 2022-05-23 N
Ensure each resident receives an accurate assessment. Health 2022-04-14 2022-05-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-14 2022-05-23 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 2022-04-14 2022-05-23 N
Provide enough food/fluids to maintain a resident's health. Health 2022-04-14 2022-05-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-14 2022-05-23 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-04-14 2022-05-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-14 2022-05-23 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-04-14 2022-05-23 N
Implement a program that monitors antibiotic use. Health 2022-04-14 2022-05-23 N
Keep all essential equipment working safely. Health 2022-04-14 2022-05-23 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-04-14 2022-05-23 N
Establish staff and initial training requirements. Fire Safety 2022-04-20 2022-05-09 N
Use approved construction type or materials. Fire Safety 2022-04-20 2022-05-09 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 2022-04-20 2022-05-09 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 2022-04-20 2022-05-09 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-20 2022-05-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-20 2022-05-09 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-20 2022-05-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-20 2022-05-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-20 2022-05-09 N
Have power receptacles that are properly grounded. Fire Safety 2022-04-20 2022-05-09 N
Have proper medical gas storage and administration areas. Fire Safety 2022-04-20 2022-05-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-07 2022-04-26 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 2022-03-28 2022-04-26 Y
Provide and implement an infection prevention and control program. Health 2022-03-28 2022-04-26 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-29 2022-04-11 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-01-24 2022-02-02 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-12-23 2022-01-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-23 2022-01-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-16 2022-01-04 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-12-16 2022-01-04 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2021-11-01 2021-11-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-01 2021-11-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-10-11 2021-11-01 Y
List the names and contact information of those in the facility. Fire Safety 2020-02-05 2020-02-25 N
Provide emergency officials' contact information. Fire Safety 2020-02-05 2020-02-25 N
Conduct testing and exercise requirements. Fire Safety 2020-02-05 2020-02-25 N
Have properly located and lighted "Exit" signs. Fire Safety 2020-02-05 2020-02-25 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 2020-02-05 2020-02-25 N
Provide properly protected cooking facilities. Fire Safety 2020-02-05 2020-02-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-02-05 2020-02-25 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2020-02-05 2020-02-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-05 2020-02-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-05 2020-02-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-02-05 2020-02-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-05 2020-02-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-02-05 2020-02-25 N
Have power receptacles that are properly grounded. Fire Safety 2020-02-05 2020-02-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-05 2020-02-25 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2020-02-05 2020-02-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-12-12 2020-02-05 N
Honor the resident's right to manage his or her financial affairs. Health 2019-12-12 2020-02-05 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 2019-12-12 2020-02-05 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 2019-12-12 2020-02-05 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-12-12 2020-02-05 N
Ensure each resident receives an accurate assessment. Health 2019-12-12 2020-02-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-12-12 2020-02-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-12 2020-02-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-12-12 2020-02-05 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2019-12-12 2020-02-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-12-12 2020-02-05 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 2019-12-12 2020-02-05 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 2019-12-12 2020-02-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-12-12 2020-02-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-12 2020-02-05 N
Provide and implement an infection prevention and control program. Health 2019-12-12 2020-02-05 N
Keep all essential equipment working safely. Health 2019-12-12 2020-02-05 N

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