A list of the most recent deficiencies for The Orchards at Harper Woods. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-07 | 2024-04-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-07 | 2024-04-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-04-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-07 | 2024-04-05 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-07 | 2024-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-07 | 2024-04-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-07 | 2024-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-07 | 2024-04-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-07 | 2024-04-05 | N |
| Provide appropriate foot care. | Health | 2024-03-07 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-07 | 2024-04-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-07 | 2024-04-05 | 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 | 2024-03-07 | 2024-04-05 | 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 | 2024-03-07 | 2024-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-07 | 2024-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-07 | 2024-04-05 | N |
| Keep all essential equipment working safely. | Health | 2024-03-07 | 2024-04-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-07 | 2024-04-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-07 | 2024-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-02 | 2023-10-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-02 | 2022-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2022-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2022-12-28 | Y |
| 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 | 2022-12-02 | 2022-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2022-12-28 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-12-02 | 2022-12-28 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-02 | 2022-12-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-30 | 2022-12-28 | 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 | 2022-11-30 | 2022-12-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-30 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2022-12-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-30 | 2022-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-30 | 2022-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-30 | 2022-12-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-30 | 2022-12-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-11 | 2022-05-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-11 | 2022-05-25 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-05-11 | 2022-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-05-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-03 | 2022-03-25 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-02-03 | 2022-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-03 | 2022-02-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-03 | 2022-02-28 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-02-03 | 2022-02-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-03 | 2022-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-03 | 2022-02-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-03 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-07 | 2021-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-10-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-07 | 2021-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-10-20 | Y |
| 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 | 2021-10-07 | 2021-10-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-15 | 2021-07-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-12 | 2021-05-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-12 | 2021-05-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-12 | 2021-05-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-12 | 2021-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-12 | 2021-05-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-12 | 2021-05-27 | 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 | 2020-02-13 | 2020-03-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-13 | 2020-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-03-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-13 | 2020-03-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-13 | 2020-03-12 | N |
| Post nurse staffing information every day. | Health | 2020-02-13 | 2020-03-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-13 | 2020-03-12 | 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 | 2020-02-13 | 2020-03-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-13 | 2020-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-12 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-13 | 2020-03-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-13 | 2020-03-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-02-11 | 2020-03-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-11 | 2020-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-03-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-11 | 2020-03-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-11 | 2020-03-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-11 | 2020-03-12 | N |
