Deficiency Records for Orchard Park Post Acute Nursing and Rehabilitation
Updated as of October 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 and maintain the bed rail. | 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 necessary and PRN use is limited. | 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 |