Deficiency Records for Orchard Rehabilitation and Nursing Center
Updated as of August 01, 2018
This is not the most recent data for Orchard Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Orchard Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2018-03-05 | 2018-04-20 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-03-05 | 2018-04-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-05 | 2018-04-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-05 | 2018-04-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-03-05 | 2018-04-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-03-05 | 2018-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-05 | 2018-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-05 | 2018-04-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-10 | 2017-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-10 | 2017-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-10 | 2017-03-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-01-10 | 2017-03-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-10 | 2017-03-10 | 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 | 2017-01-10 | 2017-03-10 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-10 | 2017-03-10 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-01-10 | 2017-03-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-10 | 2017-03-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-10 | 2017-03-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-10 | 2017-03-10 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-09 | 2016-04-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-24 | 2016-03-25 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-24 | 2016-03-25 | 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 | 2016-02-09 | 2016-03-21 | 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 | 2016-02-09 | 2016-03-21 | 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 | 2016-02-09 | 2016-03-21 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-09 | 2016-03-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-09 | 2016-03-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-09 | 2016-03-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-09 | 2016-03-21 | 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 | 2016-02-09 | 2016-03-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-09 | 2016-03-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-09 | 2016-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-09 | 2016-03-21 | Y |
| Keep all essential equipment working safely. | Health | 2015-09-22 | 2015-10-05 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-04-25 | Not Fixed | Y |
