Deficiency Records for The Villages of Orleans Health and Rehab Center
Updated as of October 01, 2020
This is not the most recent data for The Villages of Orleans Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for The Villages of Orleans Health and Rehab Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2020-02-26 | 2020-07-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-26 | 2020-07-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-26 | 2020-07-08 | Y |
| Keep all essential equipment working safely. | Health | 2020-01-01 | 2020-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-24 | 2019-10-25 | Y |
| Keep all essential equipment working safely. | Health | 2019-07-15 | 2019-09-03 | 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 | 2019-07-09 | 2019-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-02 | 2019-05-25 | 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 | 2019-04-02 | 2019-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-11-16 | 2018-12-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-16 | 2018-12-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-16 | 2018-12-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-16 | 2018-12-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-11-16 | 2018-12-21 | 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 | 2018-11-16 | 2018-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-16 | 2018-12-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-16 | 2018-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-16 | 2018-12-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-16 | 2018-12-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-16 | 2018-12-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-16 | 2018-12-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-11-16 | 2018-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-16 | 2018-12-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-21 | 2018-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-21 | 2018-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-21 | 2018-03-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-15 | 2017-09-08 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-12 | 2017-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-22 | 2017-08-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-22 | 2017-08-21 | Y |
| 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 | 2017-07-12 | 2017-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-12 | 2017-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-12 | 2017-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-12 | 2017-08-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-12 | 2017-08-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-12 | 2017-08-17 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-12 | 2017-08-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-12 | 2017-08-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-12 | 2017-08-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-25 | 2016-06-17 | N |
| Maintain comfortable sound levels. | Health | 2016-04-25 | 2016-06-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-25 | 2016-06-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-25 | 2016-06-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-25 | 2016-06-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-25 | 2016-06-17 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-25 | 2016-06-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-25 | 2016-06-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-04-25 | 2016-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-25 | 2016-06-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-25 | 2016-06-17 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-04-25 | 2016-06-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-25 | 2016-06-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-25 | 2016-06-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-22 | Not Fixed | Y |
