Deficiency Records for The Orchards at Southgate
Updated as of January 01, 2021
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-08 | 2020-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-01 | 2020-04-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-18 | 2020-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-19 | 2020-01-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-19 | 2020-01-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-19 | 2020-01-29 | 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 | 2019-12-19 | 2020-01-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-19 | 2020-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-19 | 2020-01-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-19 | 2020-01-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-19 | 2020-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-02 | 2019-07-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-02 | 2019-07-22 | Y |
| Post nurse staffing information every day. | Health | 2019-07-02 | 2019-07-22 | Y |
| Be properly staffed | Fire Safety | 2019-02-19 | 2019-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-19 | 2019-03-18 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-02-19 | 2019-03-18 | 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 | 2019-02-14 | 2019-03-18 | 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 | 2019-02-14 | 2019-03-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-14 | 2019-03-18 | N |
| Meet other general requirements. | Fire Safety | 2018-07-16 | 2018-08-03 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-16 | 2018-08-03 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2018-01-23 | 2018-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-25 | 2018-02-14 | 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 | 2018-01-25 | 2018-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-25 | 2018-02-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-25 | 2018-02-14 | 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 | 2018-01-25 | 2018-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-25 | 2018-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-25 | 2018-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-25 | 2018-02-14 | 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 | 2018-01-25 | 2018-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-25 | 2018-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-25 | 2018-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-25 | 2018-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-25 | 2018-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-25 | 2018-02-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-25 | 2018-02-14 | Y |
