CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Orchards at Canterbury On The Lake
View the most recent health deficiencies and inspection results for The Orchards at Canterbury On The Lake. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Orchards at Canterbury On The Lake. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-20 | 2025-12-16 | 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 | 2025-10-24 | 2025-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-24 | 2025-10-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-10-24 | 2025-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-10-24 | 2025-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-31 | 2025-09-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-31 | 2025-08-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-31 | 2025-08-15 | 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 | 2025-07-31 | 2025-08-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-31 | 2025-08-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-07-31 | 2025-08-15 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-31 | 2025-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-31 | 2025-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-31 | 2025-08-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-07-31 | 2025-08-15 | 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 | 2025-07-31 | 2025-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-31 | 2025-08-15 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-07-31 | 2025-08-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-07-31 | 2025-08-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-31 | 2025-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-31 | 2025-08-15 | Y |
| 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 | 2025-07-31 | 2025-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-31 | 2025-08-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-31 | 2025-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-31 | 2025-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-31 | 2025-08-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-31 | 2025-08-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-07-31 | 2025-08-15 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-31 | 2025-08-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-15 | 2025-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-10 | 2025-04-25 | 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 | 2025-04-10 | 2025-04-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-10 | 2025-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-06 | 2025-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-28 | 2024-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-28 | 2024-10-13 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-09-17 | 2024-09-25 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-17 | 2024-09-25 | 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 | 2024-09-17 | 2024-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-17 | 2024-09-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-17 | 2024-09-25 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-17 | 2024-08-20 | 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 | 2024-07-17 | 2024-08-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-17 | 2024-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-17 | 2024-08-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-17 | 2024-08-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-17 | 2024-08-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-07-17 | 2024-08-20 | 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 | 2024-07-17 | 2024-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-17 | 2024-08-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-17 | 2024-08-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-17 | 2024-08-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-17 | 2024-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-08-20 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-07-17 | 2024-08-20 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-20 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-07-17 | 2024-08-20 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-17 | 2024-08-20 | 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 | 2024-07-17 | 2024-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-17 | 2024-08-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-03 | 2024-06-20 | Y |
| 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 | 2024-04-30 | 2024-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-30 | 2024-05-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-30 | 2023-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-20 | 2023-07-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-20 | 2023-07-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-07-20 | 2023-07-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-20 | 2023-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-20 | 2023-07-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-07-27 | 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 | 2023-07-20 | 2023-07-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-20 | 2023-07-27 | 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 | 2023-07-20 | 2023-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-20 | 2023-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-20 | 2023-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-29 | 2023-07-07 | Y |