Deficiency Records for The Orchards at Samaritan
Updated as of December 01, 2018
This is not the most recent data for The Orchards at Samaritan. For the most recent information, click here.
A list of the most recent deficiencies for The Orchards at Samaritan. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2018-10-03 | 2018-11-05 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-03 | 2018-11-05 | 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 | 2018-10-03 | 2018-11-05 | 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 | 2018-10-03 | 2018-11-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-03 | 2018-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-03 | 2018-11-05 | 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 | 2018-10-03 | 2018-11-05 | 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 | 2018-10-03 | 2018-11-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-03 | 2018-11-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-03 | 2018-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-03 | 2018-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-04 | 2018-10-30 | 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 | 2018-10-04 | 2018-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-04 | 2018-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-04 | 2018-10-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-04 | 2018-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-04 | 2018-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-08 | 2018-05-29 | 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 | 2018-04-11 | 2018-05-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-24 | 2018-02-13 | 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 | 2017-12-19 | 2018-01-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-14 | 2017-12-04 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-11 | 2017-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-11 | 2017-10-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-11 | 2017-10-30 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-11 | 2017-10-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-27 | 2017-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-27 | 2017-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-27 | 2017-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-27 | 2017-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-27 | 2017-09-08 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-07-26 | 2017-08-28 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-26 | 2017-08-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-26 | 2017-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-26 | 2017-08-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-26 | 2017-08-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-26 | 2017-08-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-26 | 2017-08-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-26 | 2017-08-28 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2017-07-26 | 2017-08-28 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-07-26 | 2017-08-28 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-26 | 2017-08-28 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-26 | 2017-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-26 | 2017-08-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-26 | 2017-08-28 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-22 | 2017-04-06 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-23 | 2016-06-25 | 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 | 2016-05-23 | 2016-06-25 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-23 | 2016-06-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-23 | 2016-06-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-23 | 2016-06-25 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-05-05 | 2016-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-05 | 2016-06-25 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-05 | 2016-06-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-05 | 2016-06-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-05 | 2016-06-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-05 | 2016-06-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-05 | 2016-06-25 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-05-05 | 2016-06-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-12-09 | 2015-12-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-09 | 2015-12-31 | Y |
