A list of the most recent deficiencies for The Orchards at Warren. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-02 | 2023-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-02 | 2023-08-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-02 | 2023-08-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-02 | 2023-08-17 | 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 | 2023-08-02 | 2023-08-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-02 | 2023-08-17 | Y |
| 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 | 2023-08-02 | 2023-08-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-02 | 2023-08-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-17 | Y |
| 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 | 2023-08-01 | 2023-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-01 | 2023-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-01 | 2023-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-01 | 2023-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-01 | 2023-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-30 | 2023-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-30 | 2023-06-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-07-15 | 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 | 2022-05-19 | 2022-07-15 | 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 | 2022-05-19 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-07-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-19 | 2022-06-10 | 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 | 2022-05-19 | 2022-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-19 | 2022-06-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-05-19 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-19 | 2022-06-10 | Y |
| 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 | 2022-05-20 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-20 | 2022-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-20 | 2022-06-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-20 | 2022-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-20 | 2022-06-10 | 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 | 2022-03-18 | 2022-04-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-18 | 2022-04-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-18 | 2022-04-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-18 | 2022-04-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-18 | 2022-04-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-18 | 2022-04-13 | 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 | 2021-07-07 | 2021-08-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-07 | 2021-08-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-02 | 2021-07-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-02 | 2021-07-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-02 | 2021-07-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-16 | 2021-04-13 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-07 | 2019-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-09 | 2019-10-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-09 | 2019-10-28 | 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 | 2019-10-09 | 2019-10-28 | 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 | 2019-10-09 | 2019-10-28 | 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 | 2019-10-09 | 2019-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-09 | 2019-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-07 | 2019-10-26 | 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 | 2019-10-07 | 2019-10-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-07 | 2019-10-26 | N |
