Deficiency Records for Orchard Valley Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Orchard Valley Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-07 | 2023-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-11-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-24 | 2023-09-18 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-24 | 2023-09-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-24 | 2023-09-18 | 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 | 2023-08-24 | 2023-09-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-24 | 2023-09-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-24 | 2023-09-18 | 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 | 2023-07-27 | 2023-08-16 | Y |
| 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 | 2023-02-21 | 2023-03-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-21 | 2023-03-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-26 | 2023-02-26 | 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 | 2023-01-26 | 2023-02-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-26 | 2023-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-26 | 2023-02-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-02-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-26 | 2023-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-02-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-26 | 2023-02-26 | 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 | 2023-01-26 | 2023-02-26 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-26 | 2023-02-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-26 | 2023-02-26 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-26 | 2023-02-26 | 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 | 2023-01-26 | 2023-02-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-26 | 2023-02-26 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-13 | 2022-12-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-19 | 2022-07-14 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-13 | 2022-03-23 | 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 | 2022-01-13 | 2022-03-18 | 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 | 2022-01-13 | 2022-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-13 | 2022-02-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-20 | 2022-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-20 | 2022-01-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-29 | 2020-12-03 | 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 | 2020-10-29 | 2020-12-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-10-29 | 2020-12-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-29 | 2020-12-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-29 | 2020-12-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-29 | 2020-12-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-29 | 2020-11-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-10-12 | 2020-11-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-10-12 | 2020-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-12 | 2020-11-13 | 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 | 2020-10-12 | 2020-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-12 | 2020-11-10 | 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 | 2020-10-12 | 2020-11-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-10-12 | 2020-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-12 | 2020-11-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-12 | 2020-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-29 | 2020-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-29 | 2020-11-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-29 | 2020-11-03 | N |
