Deficiency Records for Orchard Park Post Acute Nursing and Rehabilitation
Updated as of October 01, 2022
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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-03 | 2021-11-11 | 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 | 2021-11-04 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-11-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-03 | 2021-11-05 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-08-24 | 2020-09-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-08-24 | 2020-09-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-24 | 2020-09-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-08-24 | 2020-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-08-24 | 2020-09-24 | 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 | 2020-08-24 | 2020-09-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-24 | 2020-09-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-24 | 2020-09-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-17 | 2020-08-31 | Y |
| 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 | 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 |
| 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 |
