Deficiency Records for The Orchards at Southgate
Updated as of March 01, 2017
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? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2017-02-09 | 2017-02-24 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-09 | 2017-02-24 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-02-09 | 2017-02-24 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-02-09 | 2017-02-24 | N |
| 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 | 2017-02-09 | 2017-02-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-09 | 2017-02-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-02-24 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-09 | 2017-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-09 | 2017-02-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-09 | 2017-02-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-02-09 | 2017-02-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-09 | 2017-02-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-09 | 2017-02-24 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-02-09 | 2017-02-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-02-09 | 2017-02-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-09 | 2017-02-24 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-02-09 | 2017-02-24 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-02-09 | 2017-02-24 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-02-09 | 2017-02-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-09 | 2017-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-18 | 2016-09-12 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
