Deficiency Records for The Orchards at Northwest
Updated as of February 01, 2019
This is not the most recent data for The Orchards at Northwest. For the most recent information, click here.
A list of the most recent deficiencies for The Orchards at Northwest. 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? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-30 | 2018-11-20 | 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 | 2018-10-30 | 2018-11-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-08 | 2018-08-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-08 | 2018-08-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-06-13 | 2018-07-18 | 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 | 2018-06-13 | 2018-07-18 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-13 | 2018-07-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-13 | 2018-07-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-13 | 2018-07-18 | 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 | 2018-06-13 | 2018-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-13 | 2018-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-13 | 2018-07-18 | 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 | 2018-06-13 | 2018-07-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-06-13 | 2018-07-18 | 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 | 2018-06-13 | 2018-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-13 | 2018-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-13 | 2018-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-13 | 2018-07-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-13 | 2018-07-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-13 | 2018-07-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-13 | 2018-07-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-13 | 2018-07-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-13 | 2018-07-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-15 | 2018-07-11 | 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 | 2018-06-15 | 2018-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-04-21 | 2017-06-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-04-21 | 2017-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-21 | 2017-05-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-04-19 | 2017-05-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-19 | 2017-05-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-19 | 2017-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-19 | 2017-05-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-19 | 2017-05-16 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-04-19 | 2017-05-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-19 | 2017-05-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-19 | 2017-05-16 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-10-14 | 2016-11-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-30 | 2016-10-25 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-09-30 | 2016-10-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-30 | 2016-10-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-30 | 2016-10-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-02 | 2016-08-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-06 | 2016-07-23 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-03-24 | 2016-04-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-03-24 | 2016-04-19 | N |
| Provide housekeeping and maintenance services. | Health | 2016-03-24 | 2016-04-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-24 | 2016-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-24 | 2016-04-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-24 | 2016-04-19 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-03-24 | 2016-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-24 | 2016-04-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-24 | 2016-04-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-24 | 2016-04-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-24 | 2016-04-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-24 | 2016-04-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-24 | 2016-04-19 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-03-24 | 2016-04-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-24 | 2016-04-19 | N |
