Deficiency Records for The Orchards at Southgate
Updated as of May 01, 2022
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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-07 | 2022-04-29 | N |
Provide immediate access to any resident. | Health | 2022-04-07 | 2022-04-29 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-07 | 2022-04-29 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-07 | 2022-04-29 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-07 | 2022-04-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-04-29 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-07 | 2022-04-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-07 | 2022-04-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-04-29 | 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 | 2022-04-07 | 2022-04-29 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-04-29 | N |
Post nurse staffing information every day. | Health | 2022-04-07 | 2022-04-29 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-04-07 | 2022-04-29 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-04-07 | 2022-04-29 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-07 | 2022-04-29 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-07 | 2022-04-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-04-29 | N |
Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-04-29 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-07 | 2022-04-29 | 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 | 2022-04-07 | 2022-04-29 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-08 | 2022-04-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-27 | 2022-01-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-01-31 | 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 | 2021-11-23 | 2021-12-14 | 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 | 2021-11-23 | 2021-12-14 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-23 | 2021-12-14 | Y |
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-11-23 | 2021-12-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-13 | 2021-10-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-13 | 2021-10-26 | Y |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-10-13 | 2021-10-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-10-26 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-10 | 2021-08-17 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2021-08-10 | 2021-08-17 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-10 | 2021-08-17 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-22 | 2021-04-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-24 | 2021-04-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-24 | 2021-04-01 | Y |
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 |
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 |
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 |
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 |
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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |