Deficiency Records for The Orchards at Samaritan
Updated as of August 01, 2021
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-11 | 2021-03-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-11 | 2021-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-11 | 2021-03-15 | 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 | 2020-12-02 | 2020-12-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-02 | 2020-12-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-19 | 2020-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-19 | 2020-09-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-07-16 | 2020-09-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-12 | 2020-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-12 | 2020-03-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-12 | 2020-03-06 | Y |
| 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 | 2019-08-22 | 2019-09-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-22 | 2019-09-18 | 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 | 2019-08-22 | 2019-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-09-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-22 | 2019-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-22 | 2019-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-22 | 2019-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-22 | 2019-09-18 | 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 | 2019-08-22 | 2019-09-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-09-18 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-06-25 | 2019-07-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-25 | 2019-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-02 | 2019-04-26 | 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 |
| Respond appropriately to all alleged violations. | Health | 2018-10-03 | 2018-11-05 | Y |
| 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 |
| 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 |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-26 | 2017-08-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-26 | 2017-08-28 | N |
| 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 | 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 |
| Have a program that investigates, controls and keeps infection from spreading. | 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 |
