Deficiency Records for Prestige Care and Rehabilitation - The Orchards
Updated as of September 01, 2019
This is not the most recent data for Prestige Care and Rehabilitation - The Orchards. For the most recent information, click here.
A list of the most recent deficiencies for Prestige Care and Rehabilitation - The Orchards. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-10 | 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 | 2019-05-24 | 2019-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-07-10 | 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 | 2019-05-24 | 2019-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-07-10 | 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 | 2019-05-24 | 2019-07-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-24 | 2019-07-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-24 | 2019-07-10 | 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 ne | Health | 2019-05-24 | 2019-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Meet other general requirements. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-11-01 | 2019-01-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-10 | 2018-09-20 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2018-08-10 | 2018-09-20 | 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 | 2018-08-10 | 2018-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-10 | 2018-09-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-10 | 2018-09-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-10 | 2018-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-10 | 2018-09-20 | 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 | 2018-08-10 | 2018-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-10 | 2018-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-10 | 2018-09-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-10 | 2018-09-20 | 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 | 2018-08-10 | 2018-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-10 | 2018-09-20 | 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 | 2018-08-10 | 2018-09-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-10 | 2018-09-20 | 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 | Health | 2018-08-10 | 2018-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-10 | 2018-09-20 | 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 | 2018-08-10 | 2018-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-10 | 2018-09-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-10 | 2018-09-20 | N |
| Meet other general requirements. | Fire Safety | 2017-10-24 | 2017-12-12 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-10-24 | 2017-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-24 | 2017-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-24 | 2017-12-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-08 | 2017-07-17 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-06-08 | 2017-07-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-08 | 2017-07-17 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-08 | 2017-07-17 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-06-08 | 2017-07-17 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2017-06-08 | 2017-07-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-10 | 2017-03-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-10 | 2017-03-17 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-02-10 | 2017-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-10 | 2017-03-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-10 | 2017-03-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-10 | 2017-03-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-10 | 2017-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-10 | 2017-03-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-10 | 2017-03-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-10 | 2017-03-17 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-02-10 | 2017-03-17 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-10 | 2017-03-17 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-07 | 2016-10-17 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-07 | 2016-10-17 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-09-07 | 2016-10-17 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-09-07 | 2016-10-17 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-09-07 | 2016-10-17 | N |
