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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-18 | 2024-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-02-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-18 | 2023-12-08 | 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 | 2023-10-18 | 2023-12-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-28 | 2023-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-28 | 2023-11-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-18 | 2023-11-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-18 | 2023-11-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-18 | 2023-11-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-25 | 2022-10-28 | 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 | 2022-08-25 | 2022-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-26 | 2022-09-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-26 | 2022-09-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-26 | 2022-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-26 | 2022-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-26 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-26 | 2022-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-26 | 2022-09-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-26 | 2022-09-16 | Y |
| Keep all essential equipment working safely. | Health | 2022-08-26 | 2022-09-16 | Y |
| 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 |
