A list of the most recent deficiencies for The Orchards at Wayne. 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? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-17 | 2023-06-30 | 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 | 2023-05-17 | 2023-06-30 | 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 | 2023-05-17 | 2023-06-30 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-22 | 2023-06-16 | 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 | 2023-05-22 | 2023-06-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-22 | 2023-06-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-22 | 2023-06-16 | N |
Provide appropriate foot care. | Health | 2023-05-22 | 2023-06-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-22 | 2023-06-16 | N |
Implement a program that monitors antibiotic use. | Health | 2023-05-22 | 2023-06-16 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-22 | 2023-06-16 | N |
Keep all essential equipment working safely. | Health | 2023-05-22 | 2023-06-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-22 | 2023-06-16 | Y |
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 | 2023-05-22 | 2023-06-16 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-18 | 2022-04-29 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-03-18 | 2022-04-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-18 | 2022-04-29 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-18 | 2022-04-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-18 | 2022-04-26 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-18 | 2022-04-25 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-18 | 2022-04-24 | 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 | 2022-03-18 | 2022-04-24 | N |
Install proper backup exit lighting. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-18 | 2022-04-24 | 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 | 2022-03-18 | 2022-04-24 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-18 | 2022-04-24 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-23 | 2022-04-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-23 | 2022-04-22 | 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 | 2022-03-23 | 2022-04-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-22 | 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 | 2022-03-23 | 2022-04-22 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2022-03-23 | 2022-04-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-23 | 2022-04-22 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-23 | 2022-04-22 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-03-23 | 2022-04-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-23 | 2022-04-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-22 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-23 | 2022-04-22 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-23 | 2022-04-22 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2022-01-14 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-10 | 2022-01-14 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-10 | 2021-12-09 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-10 | 2021-07-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-10 | 2021-07-27 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-10 | 2021-07-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-10 | 2021-05-25 | 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 | 2021-05-10 | 2021-05-25 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-10 | 2021-05-25 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-20 | 2021-05-03 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-20 | 2021-05-03 | 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 | 2019-11-21 | 2020-01-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2020-01-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-21 | 2020-01-14 | 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 | 2019-11-21 | 2020-01-14 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-21 | 2020-01-14 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-21 | 2020-01-14 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-21 | 2019-12-26 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-21 | 2019-12-26 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-11-21 | 2019-12-26 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-21 | 2019-12-26 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2019-12-26 | N |
Provide activities to meet all resident's needs. | Health | 2019-11-21 | 2019-12-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2019-12-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-21 | 2019-12-26 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-21 | 2019-12-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-12-26 | 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 | 2019-11-21 | 2019-12-26 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-11-21 | 2019-12-26 | N |
Dispose of garbage and refuse properly. | Health | 2019-11-21 | 2019-12-26 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-21 | 2019-12-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-26 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-11-21 | 2019-12-26 | 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 | 2019-11-21 | 2019-12-26 | 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 | 2019-11-21 | 2019-12-26 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2019-11-21 | 2019-12-26 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-21 | 2019-12-26 | N |