Deficiency Records for Focused Care at Orange
Updated as of September 01, 2021
This is not the most recent data for Focused Care at Orange. For the most recent information, click here.
A list of the most recent deficiencies for Focused Care at Orange. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-11-25 | 2020-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-04 | 2020-11-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-18 | 2020-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-18 | 2020-02-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-19 | 2020-02-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-02-19 | 2020-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-19 | 2020-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-19 | 2020-02-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-19 | 2020-02-20 | 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 | 2020-02-19 | 2020-02-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-02-19 | 2020-02-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-19 | 2020-02-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-19 | 2020-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-19 | 2020-02-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-19 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-19 | 2020-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-19 | 2020-02-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-19 | 2020-02-20 | N |
| Keep all essential equipment working safely. | Health | 2020-02-19 | 2020-02-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-19 | 2020-02-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-19 | 2020-02-20 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-25 | 2019-09-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-27 | 2019-05-15 | N |
| Keep all essential equipment working safely. | Health | 2019-03-27 | 2019-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-27 | 2019-04-18 | 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 | 2019-03-27 | 2019-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-27 | 2019-04-18 | 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 | 2019-03-27 | 2019-04-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-27 | 2019-04-18 | 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 | 2019-03-27 | 2019-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-27 | 2019-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-04-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-25 | 2019-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-25 | 2019-04-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-03-27 | 2019-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-27 | 2019-04-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-27 | 2019-03-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-24 | 2018-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-24 | 2018-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-24 | 2018-05-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-27 | 2018-05-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-27 | 2018-05-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-27 | 2018-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-27 | 2018-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-27 | 2018-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-27 | 2018-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-27 | 2018-05-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-27 | 2018-05-18 | 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 | 2018-04-27 | 2018-05-18 | N |
