Deficiency Records for The Orchards at Northwest
Updated as of April 01, 2022
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-17 | 2021-07-26 | 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 | 2021-06-16 | 2021-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-16 | 2021-07-13 | 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 | 2021-06-16 | 2021-07-13 | 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 | 2021-06-16 | 2021-07-13 | N |
| Provide or obtain dental services for each resident. | Health | 2021-06-16 | 2021-07-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-06-16 | 2021-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-16 | 2021-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-16 | 2021-07-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-16 | 2021-07-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-16 | 2021-07-13 | 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 | 2021-06-16 | 2021-07-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-17 | 2021-07-13 | 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 | 2021-06-17 | 2021-07-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-17 | 2021-07-13 | 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 | 2021-06-17 | 2021-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-17 | 2021-07-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-23 | 2021-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-23 | 2021-03-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-28 | 2020-08-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-26 | 2019-12-27 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-11-26 | 2019-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2019-12-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-26 | 2019-12-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-26 | 2019-12-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2019-12-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-09-24 | 2019-10-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-24 | 2019-10-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-24 | 2019-10-09 | Y |
| 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 | 2019-09-24 | 2019-10-09 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-24 | 2019-10-09 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-14 | 2019-09-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-11 | 2019-09-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-11 | 2019-09-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-11 | 2019-09-03 | 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 | 2019-07-11 | 2019-09-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-11 | 2019-09-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-11 | 2019-09-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-11 | 2019-09-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-11 | 2019-09-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-11 | 2019-08-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-11 | 2019-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-19 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-11 | 2019-08-19 | N |
| Keep all essential equipment working safely. | Health | 2019-07-11 | 2019-08-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-11 | 2019-08-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-29 | 2019-06-13 | 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 |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-13 | 2018-07-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-13 | 2018-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-13 | 2018-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 enough food/fluids to maintain a resident's health. | 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 safe, appropriate dialysis care/services for a resident who requires such services. | 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 |
| 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 |
