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Deficiency Records for Orchards at Tulare

View the most recent health deficiencies and inspection results for Orchards at Tulare. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Orchards at Tulare. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-02-26 2026-04-02 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2026-03-09 2026-03-30 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 2026-03-03 2026-03-13 Y
Provide and implement an infection prevention and control program. Health 2025-11-24 2026-01-07 Y
Provide and implement an infection prevention and control program. Health 2025-05-08 2025-05-30 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-05-08 2025-05-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-05-08 2025-05-30 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2025-05-08 2025-05-30 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 2025-05-08 2025-05-30 N
Ensure medication error rates are not 5 percent or greater. Health 2025-05-08 2025-05-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-05-08 2025-05-30 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-05-08 2025-05-30 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 2025-05-08 2025-05-30 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 2025-05-08 2025-05-30 N
Assess the resident when there is a significant change in condition Health 2025-05-08 2025-05-30 N
Ensure each resident receives an accurate assessment. Health 2025-05-08 2025-05-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-05-08 2025-05-30 N
Provide enough food/fluids to maintain a resident's health. Health 2025-05-08 2025-05-30 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2025-05-08 2025-05-23 N
Have an alternate power supply for its alarm system. Fire Safety 2025-05-08 2025-05-23 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2025-05-08 2025-05-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-05-08 2025-05-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-05-08 2025-05-16 N
Provide properly protected cooking facilities. Fire Safety 2025-05-08 2025-05-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-05-08 2025-05-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-04-10 2025-05-13 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2025-03-26 2025-04-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-03-06 2025-03-13 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-12-11 2025-01-27 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2024-12-11 2025-01-27 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-01-16 2025-01-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-12-02 2025-01-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-02 2025-01-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-11-15 2024-12-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-11-15 2024-12-20 Y
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 2024-10-18 2024-12-13 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-10-18 2024-12-13 Y
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 2024-10-18 2024-12-13 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-10-24 2024-12-11 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-17 2024-11-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-08-22 2024-09-18 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-05-29 2024-07-17 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-18 2024-05-16 N
List the names and contact information of those in the facility. Fire Safety 2024-04-18 2024-05-16 N
Conduct testing and exercise requirements. Fire Safety 2024-04-18 2024-05-16 N
Use approved construction type or materials. Fire Safety 2024-04-18 2024-05-16 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 2024-04-18 2024-05-16 N
Provide properly protected cooking facilities. Fire Safety 2024-04-18 2024-05-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-18 2024-05-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-18 2024-05-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-18 2024-05-16 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-04-18 2024-05-16 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-04-18 2024-05-16 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-04-18 2024-05-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-04-18 2024-05-09 N
Assist a resident in gaining access to vision and hearing services. Health 2024-04-18 2024-05-09 N
Provide activities to meet all resident's needs. Health 2024-04-18 2024-05-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-18 2024-05-09 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-04-18 2024-05-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-18 2024-05-09 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 2024-04-18 2024-05-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-04-18 2024-05-09 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-04-18 2024-05-09 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-04-18 2024-05-09 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 2024-04-18 2024-05-09 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 2024-04-18 2024-05-09 N
Provide routine and 24-hour emergency dental care for each resident. Health 2024-04-18 2024-05-09 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 2024-04-18 2024-05-09 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 2024-04-18 2024-05-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-04-18 2024-05-09 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-04-18 2024-05-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-18 2024-05-09 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2024-04-18 2024-05-09 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-04-18 2024-05-09 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-04-18 2024-05-09 N
Provide and implement an infection prevention and control program. Health 2024-04-18 2024-05-09 N
Implement a program that monitors antibiotic use. Health 2024-04-18 2024-05-09 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-04-18 2024-05-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-18 2024-05-09 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 2024-04-09 2024-04-17 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2024-02-13 2024-02-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-13 2024-02-14 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2024-02-13 2024-02-14 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-30 2024-02-06 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 2024-01-24 2024-02-06 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-21 2024-01-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-21 2024-01-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-21 2024-01-20 Y
Provide and implement an infection prevention and control program. Health 2023-11-28 2023-12-06 Y
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 2023-11-13 2023-12-01 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-10-10 2023-10-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-19 2023-10-18 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-09-15 2023-10-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-14 2023-10-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-15 2023-09-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-10 2023-07-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-26 2023-07-27 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-27 2021-07-15 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-05-27 2021-07-15 N
List the names and contact information of those in the facility. Fire Safety 2021-05-27 2021-07-15 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 2021-05-27 2021-07-15 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 2021-05-27 2021-07-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-27 2021-07-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-05-27 2021-07-15 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2021-05-27 2021-07-15 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-05-27 2021-07-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-27 2021-06-28 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2021-05-27 2021-06-28 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-05-27 2021-06-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-05-27 2021-06-28 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 2021-05-27 2021-06-28 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 2021-05-27 2021-06-28 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 2021-05-27 2021-06-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-27 2021-06-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-27 2021-06-28 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-05-27 2021-06-28 N

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