CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Orchard Gardens
View the most recent health deficiencies and inspection results for Orchard Gardens. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Orchard Gardens. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-21 | 2026-02-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-21 | 2026-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-21 | 2026-02-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-21 | 2026-02-09 | 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 | 2025-09-03 | 2025-10-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-03 | 2025-10-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-03 | 2025-10-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-04-01 | 2025-06-27 | 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 | 2025-04-01 | 2025-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-01 | 2025-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-01 | 2025-05-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-01 | 2025-05-15 | 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 | 2025-04-01 | 2025-05-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-04-01 | 2025-05-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-01 | 2025-05-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-04-01 | 2025-05-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-01 | 2025-05-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-01 | 2025-05-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-04-01 | 2025-05-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-01 | 2025-05-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-01 | 2025-05-15 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-04-01 | 2025-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-01 | 2025-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-05-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-08 | 2024-01-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-08 | 2024-01-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-08 | 2024-01-30 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-08 | 2024-01-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-20 | 2024-01-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-12 | 2023-10-18 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-12 | 2023-10-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-12 | 2023-10-18 | 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 | 2023-09-12 | 2023-10-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-12 | 2023-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-12 | 2023-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-12 | 2023-10-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-12 | 2023-10-18 | Y |
| 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 | 2023-09-12 | 2023-10-18 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-09-12 | 2023-10-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-12 | 2023-10-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-09-12 | 2023-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-12 | 2023-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-12 | 2023-10-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-12 | 2023-10-18 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-12 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-12 | 2023-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-09 | 2023-05-07 | Y |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-30 | 2022-03-21 | 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 | 2021-11-30 | 2022-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-30 | 2022-03-21 | 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 | 2021-11-30 | 2022-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2022-03-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-11-30 | 2021-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-30 | 2021-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-30 | 2021-12-30 | 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 | 2021-11-30 | 2021-12-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-30 | 2021-12-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-30 | 2021-12-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-30 | 2021-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-30 | 2021-12-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-11-30 | 2021-12-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-30 | 2021-12-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-30 | 2021-12-30 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-30 | 2021-12-30 | N |