Deficiency Records for Orchard Rehabilitation and Nursing Center
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-25 | 2022-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-25 | 2022-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-25 | 2022-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-07 | 2021-05-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-21 | 2019-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-21 | 2019-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-21 | 2019-08-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-21 | 2019-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-21 | 2019-08-09 | 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 | 2019-06-21 | 2019-08-09 | 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 necessary and PRN use is limited. | Health | 2019-06-21 | 2019-08-09 | 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 | 2019-06-21 | 2019-08-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-21 | 2019-08-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-21 | 2019-08-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-21 | 2019-08-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-21 | 2019-08-09 | 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 necessary and PRN use is limited. | 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 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-03-05 | 2018-04-20 | N |
