Deficiency Records for Orchard Park Post Acute Nursing and Rehabilitation

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Updated as of May 01, 2020

This is not the most recent data for Orchard Park Post Acute Nursing and Rehabilitation. For the most recent information, click here.

A list of the most recent deficiencies for Orchard Park Post Acute Nursing and Rehabilitation. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2019-11-07 2019-11-26 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-11-07 2019-11-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-11-07 2019-11-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-07 2019-11-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-07 2019-11-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-11-06 2019-11-07 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-05-16 2019-06-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-05-16 2019-06-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-16 2019-05-17 Y
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install Health 2019-05-16 2019-05-17 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-11-01 2018-11-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-11-01 2018-11-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-01 2018-11-05 N
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 2018-11-01 2018-11-05 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-11-01 2018-11-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-11-01 2018-11-02 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 2018-11-01 2018-11-02 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 ne Health 2018-11-01 2018-11-02 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 2018-11-01 2018-11-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-10-31 2018-11-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-10-31 2018-11-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-06-28 2018-06-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-06-28 2018-06-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2017-12-13 2017-12-21 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2017-12-13 2017-12-21 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2017-10-11 2017-11-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2017-10-11 2017-11-02 N
Try to resolve each resident's complaints quickly. Health 2017-10-11 2017-11-02 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2017-10-11 2017-11-02 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-10-11 2017-11-02 N
Post nurse staffing information/data on a daily basis. Health 2017-10-11 2017-11-02 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 2017-10-11 2017-11-02 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2017-10-11 2017-11-02 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-10-11 2017-11-02 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-10-11 2017-11-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2017-10-11 2017-10-12 N
Provide properly protected cooking facilities. Fire Safety 2017-10-11 2017-10-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-11-06 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-10-31 Not Fixed N