Deficiency Records for The Orchards Post-Acute
Updated as of April 01, 2018
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2018-02-20 | 2018-02-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-02-15 | 2018-02-28 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-24 | 2018-02-13 | 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 | 2018-01-11 | 2018-02-09 | 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 | 2018-01-11 | 2018-02-09 | 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 | 2018-01-11 | 2018-02-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-01-11 | 2018-02-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-01-11 | 2018-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-11 | 2018-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-10 | 2017-09-05 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-08-10 | 2017-09-05 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-10 | 2017-09-05 | 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 | 2017-08-10 | 2017-09-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-10 | 2017-09-05 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-12-19 | 2017-05-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-19 | 2017-05-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-19 | 2017-05-15 | N |
| Hire a qualified dietician. | Health | 2016-12-19 | 2017-05-15 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-12-19 | 2017-05-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-21 | 2017-04-03 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-06 | 2017-03-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-19 | 2017-03-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-19 | 2017-03-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-19 | 2017-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-19 | 2017-03-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-19 | 2017-03-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-19 | 2017-03-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-19 | 2017-03-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-19 | 2017-03-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-19 | 2017-03-30 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-10-20 | 2016-11-03 | Y |
| Hire a qualified dietician. | Health | 2016-10-20 | 2016-11-03 | 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 | 2016-07-18 | 2016-07-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-12 | 2016-07-19 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-07 | 2016-07-15 | Y |
| 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 |
| 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 |
| Provide written records when a resident is transferred or discharged. | Health | 2015-11-03 | 2015-11-19 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-09-23 | 2015-10-05 | 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 |
| Try to resolve each resident's complaints quickly. | Health | 2015-06-25 | 2015-07-08 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-04-07 | 2015-04-20 | Y |
