Deficiency Records for Orchard View Post-Acute and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Orchard View Post-Acute and Rehabilitation 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-09 | 2023-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-03-08 | 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 | 2023-02-09 | 2023-03-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-09 | 2023-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-01 | 2022-09-23 | 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 | 2022-06-01 | 2022-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-01 | 2022-07-08 | 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 | 2022-06-01 | 2022-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-06-06 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-17 | 2022-03-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-26 | 2021-11-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-26 | 2021-11-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-26 | 2021-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-26 | 2021-11-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-26 | 2021-11-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-26 | 2021-11-29 | 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 | 2021-03-16 | 2021-04-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-16 | 2021-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-16 | 2021-04-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-16 | 2021-04-05 | 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 | 2021-03-16 | 2021-04-05 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-03-16 | 2021-04-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-03-16 | 2021-04-05 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-03-16 | 2021-04-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-03-16 | 2021-04-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-02 | 2020-01-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-19 | 2019-07-31 | 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 | 2019-06-19 | 2019-07-31 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-18 | 2019-07-31 | 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 | 2019-06-18 | 2019-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-18 | 2019-07-31 | N |
