Deficiency Records for The Orchards at Southgate
Updated as of October 01, 2016
This is not the most recent data for The Orchards at Southgate. For the most recent information, click here.
A list of the most recent deficiencies for The Orchards at Southgate. 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? |
|---|---|---|---|---|
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-07 | 2016-05-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-07 | 2016-05-06 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-07 | 2016-05-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-07 | 2016-05-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-07 | 2016-05-06 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-07 | 2016-05-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-02 | 2016-04-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-02 | 2016-04-04 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-02 | 2016-04-04 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-03-02 | 2016-04-04 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-02 | 2016-04-04 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-02 | 2016-04-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-03-02 | 2016-04-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-02 | 2016-04-04 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-02 | 2016-04-04 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-02 | 2016-04-04 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-03-02 | 2016-04-04 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-02 | 2016-04-04 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-02 | 2016-04-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-03-02 | 2016-04-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-03-02 | 2016-04-04 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-25 | 2015-09-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-25 | 2015-09-04 | Y |
| Let residents choose a personal doctor. | Health | 2015-06-03 | 2015-06-26 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-03 | 2015-06-26 | 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 | 2015-06-03 | 2015-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-03 | 2015-06-26 | Y |
| Let residents choose a personal doctor. | Health | 2015-06-03 | 2015-06-26 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-03 | 2015-06-26 | 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 | 2015-06-03 | 2015-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-03 | 2015-06-26 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Resident room doors of proper design and width. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Resident room doors of proper design and width. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-02-24 | 2015-03-30 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2015-02-19 | 2015-03-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-02-19 | 2015-03-06 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2015-02-19 | 2015-03-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-02-19 | 2015-03-06 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-11-10 | 2014-12-08 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-11-10 | 2014-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-02 | 2014-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-02 | 2014-10-24 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-07-02 | 2014-07-25 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-07-02 | 2014-07-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-06-12 | 2014-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-12 | 2014-07-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-06-12 | 2014-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-12 | 2014-07-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-29 | 2014-07-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-29 | 2014-07-04 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2014-04-25 | 2014-05-12 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2014-04-25 | 2014-05-12 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-01-31 | 2014-03-07 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2014-01-31 | 2014-03-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-01-31 | 2014-03-07 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2014-01-31 | 2014-03-07 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-01-31 | 2014-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-11 | 2013-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-11 | 2013-11-04 | Y |
