Inspection Results » Orange Healthcare & Wellness Centre, LLC

Health Inspection on January 30, 2019 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-26)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2019-02-26)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-02-26)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-26)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-02-26)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-26)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-26)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-02-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-26)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-26)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-26)
   • 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 (Corrected 2019-02-26)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-02-26)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-26)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2019-02-26)
   • 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. (Corrected 2019-02-26)
   • 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. (Corrected 2019-02-26)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-26)
   • Keep residents' personal and medical records private and confidential. (Corrected 2019-02-26)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-02-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-26)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-26)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-26)