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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-25 | 2023-06-06 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-12-07 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2023-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-07 | 2023-01-06 | 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 | 2022-12-07 | 2023-01-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-08 | 2022-12-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-08 | 2022-12-15 | 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 | 2022-12-08 | 2022-12-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-08 | 2022-12-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2022-12-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-15 | 2022-09-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-15 | 2022-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2021-12-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2021-12-09 | Y |
| Report COVID19 data to residents and families. | Health | 2021-12-08 | 2021-12-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-06 | 2021-10-14 | 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 | 2021-09-06 | 2021-10-14 | 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 | 2021-09-06 | 2021-10-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-06 | 2021-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-01 | 2021-09-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-01 | 2021-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-09-28 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-09-01 | 2021-09-28 | Y |
| 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 | 2021-09-01 | 2021-09-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-01 | 2021-09-28 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-09-01 | 2021-09-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-01 | 2021-09-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-09-28 | Y |
| 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 | N |
| 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 | 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 |
| 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 |
