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Deficiency Records for The Villages of Orleans Health and Rehab Center
View the most recent health deficiencies and inspection results for The Villages of Orleans Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Villages of Orleans Health and Rehab Center. Stay informed about quality of care issues.
| 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 | 2025-01-31 | 2025-04-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Meet other general requirements. | Fire Safety | 2025-01-31 | 2025-03-14 | 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 | 2025-01-31 | 2025-03-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-01-31 | 2025-03-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-31 | 2025-03-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-31 | 2025-03-14 | N |
| Post nurse staffing information every day. | Health | 2025-01-31 | 2025-03-14 | 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 | 2025-01-31 | 2025-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-31 | 2025-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-31 | 2025-03-14 | 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 | 2025-01-31 | 2025-03-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-31 | 2025-03-14 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-31 | 2025-03-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-31 | 2025-03-14 | 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 | 2025-01-31 | 2025-03-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-31 | 2025-03-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-12 | 2024-02-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-12 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-21 | 2023-10-15 | 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 | 2023-08-10 | 2023-09-15 | Y |
| Have a Compliance and Ethics Program. | Health | 2023-08-10 | 2023-09-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-21 | 2023-09-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-21 | 2023-09-08 | N |
| 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 | 2023-07-21 | 2023-09-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-21 | 2023-09-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-21 | 2023-09-08 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-07-21 | 2023-09-08 | 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 | 2023-07-21 | 2023-09-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-21 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-12-24 | 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 | 2021-10-25 | 2021-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-25 | 2021-12-24 | 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 | 2021-10-25 | 2021-12-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Meet other general requirements. | Fire Safety | 2021-10-25 | 2021-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-17 | Not Fixed | Y |