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Deficiency Records for The Orchards at Douglas Cove
View the most recent health deficiencies and inspection results for The Orchards at Douglas Cove. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Orchards at Douglas Cove. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-05 | 2026-03-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-05 | 2026-03-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-05 | 2025-09-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-05 | 2025-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-05 | 2025-09-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-17 | 2025-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-17 | 2025-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-17 | 2025-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-17 | 2025-08-25 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-17 | 2025-08-25 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-07-17 | 2025-08-25 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-07-17 | 2025-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-17 | 2025-08-25 | N |
| Keep all essential equipment working safely. | Health | 2025-05-21 | 2025-06-16 | Y |
| Keep all essential equipment working safely. | Health | 2025-03-12 | 2025-04-15 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-03-12 | 2025-04-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-08-21 | 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 | 2024-07-18 | 2024-08-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-18 | 2024-08-21 | 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 | 2024-07-18 | 2024-08-21 | 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 | 2024-07-18 | 2024-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-18 | 2024-08-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-07-18 | 2024-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-18 | 2024-08-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-18 | 2024-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-18 | 2024-08-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-18 | 2024-08-21 | Y |
| 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 | 2024-07-18 | 2024-08-21 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-07 | 2023-07-14 | 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 | 2023-06-07 | 2023-07-14 | 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 | 2023-06-07 | 2023-07-14 | 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 | 2023-06-07 | 2023-07-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-07 | 2023-07-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-07 | 2023-07-06 | N |