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Deficiency Records for Orchard Park Health Care and Rehab Center
View the most recent health deficiencies and inspection results for Orchard Park Health Care and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Orchard Park Health Care and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-26 | 2026-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-12 | 2026-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-12 | 2026-01-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-08-25 | 2025-08-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-08-08 | 2025-08-11 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-08 | 2025-08-11 | Y |
| Meet other general requirements. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-12 | 2025-08-11 | 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 | 2025-06-12 | 2025-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-12 | 2025-08-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-08 | 2025-08-09 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-07-30 | 2025-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-12 | 2025-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-12 | 2025-07-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-12 | 2025-07-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide or obtain dental services for each resident. | Health | 2025-06-12 | 2025-07-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-06-12 | 2025-07-03 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-12 | 2025-07-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-12 | 2025-07-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-06-12 | 2025-07-03 | 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 | 2025-06-12 | 2025-07-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide activities to meet all resident's needs. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-12 | 2025-07-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-06-12 | 2025-07-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-12 | 2025-07-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-23 | 2025-05-07 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-09 | 2024-12-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-09 | 2024-11-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-09 | 2024-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-09 | 2024-11-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-09 | 2024-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-09 | 2024-10-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-09 | 2024-10-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-09 | 2024-10-14 | 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 | 2024-09-09 | 2024-10-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-09 | 2024-10-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-09-09 | 2024-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-09 | 2024-10-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-09 | 2024-10-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-09 | 2024-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-09-09 | 2024-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-09 | 2024-10-14 | 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 | 2024-09-09 | 2024-10-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-09 | 2024-10-14 | 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 | 2024-09-09 | 2024-10-14 | N |
| Provide or obtain dental services for each resident. | Health | 2024-09-09 | 2024-10-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-09-09 | 2024-10-14 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2024-09-09 | 2024-10-14 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-09-09 | 2024-10-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-09 | 2024-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-09 | 2024-10-14 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-09 | 2024-10-14 | 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 | 2024-09-09 | 2024-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-09 | 2024-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-19 | 2024-10-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-19 | 2024-10-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-09 | 2024-10-14 | 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 | 2024-09-09 | 2024-10-14 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-09-09 | 2024-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-09 | 2024-09-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-09-09 | 2024-09-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-09-09 | 2024-09-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-09 | 2024-09-20 | N |
| 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 | 2024-07-11 | 2024-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-11 | 2024-08-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-07 | 2024-06-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-07 | 2024-06-24 | Y |
| 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 | 2024-05-20 | 2024-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-02 | 2024-04-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-02 | 2024-04-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-02 | 2024-04-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-03-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-27 | 2023-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-27 | 2023-12-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-27 | 2023-12-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-27 | 2023-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-27 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-12-08 | N |
| 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 | 2023-10-27 | 2023-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | N |
| Post nurse staffing information every day. | Health | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-27 | 2023-12-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-27 | 2023-12-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-12-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-27 | 2023-12-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-27 | 2023-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-12-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-27 | 2023-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-27 | 2023-12-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-27 | 2023-12-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-27 | 2023-12-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-10-27 | 2023-12-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-27 | 2023-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-10-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-18 | 2023-06-14 | 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 | 2023-05-18 | 2023-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-11 | 2023-06-07 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2026-03-19 | Not Fixed | Y |