Deficiency Records for The Orchards Post-Acute
Updated as of August 01, 2016
This is not the most recent data for The Orchards Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for The Orchards Post-Acute. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-05-05 | 2016-06-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-05-05 | 2016-06-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-05-05 | 2016-06-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-05 | 2016-06-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-05 | 2016-06-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-05-05 | 2016-06-22 | 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 | 2016-05-05 | 2016-06-22 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-05-05 | 2016-06-22 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-05-05 | 2016-06-22 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-05-05 | 2016-06-22 | 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 | 2016-05-05 | 2016-06-22 | N |
| Keep all essential equipment working safely. | Health | 2016-05-05 | 2016-06-22 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-06-07 | 2016-06-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-07 | 2016-06-21 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-26 | 2016-06-21 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-26 | 2016-06-21 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-11 | 2016-06-08 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-11 | 2016-06-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-11 | 2016-06-08 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-05-11 | 2016-06-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-11 | 2016-06-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-05-05 | 2016-06-06 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-05-05 | 2016-06-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-05 | 2016-06-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-05 | 2016-06-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-05 | 2016-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-25 | 2016-06-02 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-22 | 2016-05-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-21 | 2016-05-12 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-03-15 | 2016-04-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-03-15 | 2016-04-04 | Y |
| Tell 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 | 2016-03-10 | 2016-03-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-01 | 2016-03-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-17 | 2016-02-26 | Y |
| 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 | 2016-01-29 | 2016-02-22 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-29 | 2016-02-22 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-25 | 2016-02-05 | Y |
| Approved construction type or materials. | Fire Safety | 2015-11-17 | 2015-12-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-17 | 2015-12-11 | N |
| An automatic smoke detection system in all hallways. | Fire Safety | 2015-11-17 | 2015-12-11 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-17 | 2015-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-11-05 | 2015-12-08 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-11-05 | 2015-12-08 | 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 | 2015-11-05 | 2015-12-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-05 | 2015-12-08 | N |
| Provide housekeeping and maintenance services. | Health | 2015-11-05 | 2015-12-08 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-11-05 | 2015-12-08 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-11-05 | 2015-12-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-11-05 | 2015-12-08 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-05 | 2015-12-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-05 | 2015-12-08 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-05 | 2015-12-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-05 | 2015-12-08 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-05 | 2015-12-08 | 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 | 2015-11-05 | 2015-12-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-05 | 2015-12-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-05 | 2015-12-08 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-11-05 | 2015-12-08 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2015-11-05 | 2015-12-08 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-09-23 | 2015-10-05 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-27 | 2015-09-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-03-27 | 2015-09-09 | 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 | 2015-03-27 | 2015-09-09 | 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 | 2015-03-27 | 2015-09-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-27 | 2015-09-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-03-27 | 2015-09-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-03-27 | 2015-09-09 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-07-29 | 2015-08-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-23 | 2015-08-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-03-27 | 2015-07-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-03-27 | 2015-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-27 | 2015-07-21 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-25 | 2015-07-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-03-27 | 2015-05-28 | 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 | 2015-03-27 | 2015-05-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-03-27 | 2015-05-28 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-03-27 | 2015-05-28 | N |
| Provide housekeeping and maintenance services. | Health | 2015-03-27 | 2015-05-28 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-03-27 | 2015-05-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-03-27 | 2015-05-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-03-27 | 2015-05-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-03-27 | 2015-05-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-03-27 | 2015-05-28 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-03-27 | 2015-05-28 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-03-27 | 2015-05-28 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-03-27 | 2015-05-28 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-03-27 | 2015-05-28 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-03-27 | 2015-05-28 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-03-27 | 2015-05-28 | Y |
| Approved construction type or materials. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-08 | 2015-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-02 | 2015-04-21 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-02-04 | 2015-02-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-01-08 | 2015-02-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-01-08 | 2015-02-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2014-12-23 | 2015-01-08 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-11-19 | 2014-12-02 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2014-10-14 | 2014-10-29 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2014-09-25 | 2014-10-29 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-29 | 2014-10-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-04-21 | 2014-06-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-04-21 | 2014-06-19 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-04-29 | 2014-06-05 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2014-05-01 | 2014-05-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-04-14 | 2014-05-01 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-04-14 | 2014-05-01 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-04-14 | 2014-05-01 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-03-05 | 2014-04-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-19 | 2014-04-02 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2014-03-17 | 2014-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-01-27 | 2014-02-27 | Y |
| Provide housekeeping and maintenance services. | Health | 2013-10-02 | 2013-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-10-02 | 2013-10-30 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-10-04 | 2013-10-23 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2013-08-15 | 2013-09-06 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-08-08 | 2013-08-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-08-08 | 2013-08-23 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-05 | Not Fixed | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2014-02-20 | Not Fixed | Y |
