A list of the most recent deficiencies for Orchard Park Rehab and Living. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-12 | 2023-11-26 | 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 | 2023-10-12 | 2023-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-11-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-11 | 2023-10-25 | 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 | 2023-10-11 | 2023-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-11 | 2023-10-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-11 | 2023-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-11 | 2023-10-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-27 | 2021-10-07 | 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 | 2021-07-27 | 2021-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-27 | 2021-10-04 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-07-27 | 2021-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-27 | 2021-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-27 | 2021-10-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-07-27 | 2021-09-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-07-27 | 2021-09-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-27 | 2021-09-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-27 | 2021-09-14 | 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 | 2021-07-27 | 2021-09-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-27 | 2021-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-27 | 2021-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-27 | 2021-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-27 | 2021-09-14 | 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 | 2021-07-29 | 2021-09-10 | 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 | 2021-07-29 | 2021-09-10 | 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 necessary and PRN use is limited. | Health | 2021-07-29 | 2021-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-19 | 2019-07-23 | 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 | 2019-06-19 | 2019-07-23 | 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 | 2019-06-19 | 2019-07-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-06-19 | 2019-07-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-19 | 2019-07-23 | 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 | 2019-06-20 | 2019-07-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-20 | 2019-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-20 | 2019-07-08 | N |
