Inspection Reports for
Orchard Park Senior Living

The department reviewed records and conducted interviews, confirming that the Make-Up Air Unit was malfunctioning and scheduled for repair within approximately two weeks. No deficiencies were issued during the visit.

Complaint was unsubstantiated after investigation; the resident's death was natural and no lack of supervision was found.

Based on interviews and records reviewed, the resident was considered independent with no agreement for care or supervision, and the cause of death was natural. The complaint was found to be unsubstantiated and no deficiencies were issued.

Complaint investigation regarding alleged intoxication of a staff member while on duty; investigation ongoing and requires further follow-up.

The Licensing Program Analyst met with the Administrator and residents to investigate the complaint. At the time of the report, the complaint required further investigation.

The complaint was to investigate if Staff (S1) was intoxicated while on duty. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

Based on interviews with the administrator, staff, and residents, there was no evidence that the staff member was intoxicated while on duty. The allegation was determined to be unsubstantiated and no deficiencies were issued.

Since 9/4/2025, the facility received 20 complaints. Findings were delivered for complaints, and appeal rights were provided for substantiated complaints.

Findings were delivered for the complaints during the meeting, and an exit interview was conducted with appeal rights provided for substantiated complaints.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations regarding meal service timeliness and food quantity.

The investigation included interviews with staff and residents. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegations were unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated as there was insufficient evidence to prove the alleged violation regarding staffing for food service needs.

The investigation included interviews with staff and residents. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation was unsubstantiated and no deficiencies were issued.

The complaint alleged that the facility did not have an emergency disaster plan in place and that staff were transporting residents while under the influence of marijuana. The investigation concluded these allegations were unsubstantiated.

The investigation found no preponderance of evidence to prove the alleged violations occurred; therefore, the allegations were unsubstantiated and no deficiencies were issued.

The complaint alleged that staff do not ensure that residents' dietary needs are met. The investigation concluded the allegation was unsubstantiated.

The investigation included interviews with staff and residents and a review of resident files. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint involved allegations that staff did not answer residents' call buttons in a timely manner and did not provide residents with activities. The complaint was unsubstantiated.

The investigation included interviews with staff and residents and record reviews. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The investigation included interviews with staff and residents and a facility tour. The door was observed to be in good repair. There was insufficient evidence to substantiate the allegations, and no deficiencies were issued.

The complaint alleged that staff were smoking marijuana in the facility. The allegation was unsubstantiated after investigation.

The investigation included interviews with staff and residents and a review of records. The allegation was found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint was unsubstantiated after investigation. No violations were found to have occurred.

The investigation included interviews with staff and residents, review of facility records, and room tours. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint was unsubstantiated based on the investigation findings.

The investigation included interviews with staff and residents. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation was unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated after investigation. No deficiencies were issued.

The investigation included interviews with staff and residents. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegations were unsubstantiated and no deficiencies were issued.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

The investigation included interviews, record reviews, and facility tours, which found the kitchen and dining areas clean and free of pests. The allegations were unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint was unsubstantiated after investigation. Allegations included lack of supervision causing resident elopement and failure to follow fire emergency procedures.

The investigation found no preponderance of evidence to substantiate the allegations. Observations and interviews revealed no violations, and no deficiencies were issued.

The complaint alleged that the licensee was not ensuring the facility elevator was kept in good repair. After investigation including interviews and elevator inspection, the allegation was found unsubstantiated due to lack of preponderance of evidence.

The Licensing Program Analyst observed a slight knock in the elevator but found no major safety issues compromising resident safety or preventing elevator use. The allegation was unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The investigation found that one resident had a physician's written order for bed rails and two residents were competent to self-administer medications. There was insufficient evidence to substantiate the allegations, and no deficiencies were issued.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The investigation found that one resident had a physician's written order for bed rails and that two residents were capable of self-administering medications despite medications being accessible. There was insufficient evidence to substantiate the allegations, and no deficiencies were issued.

The complaint included allegations such as staff not providing requested records to a resident’s representative, preventing private phone calls, not meeting toileting needs, improper storage of personal hygiene items, improper disposal of soiled briefs, lack of dignity and respect towards residents, and overcharging residents for services. The investigation found these allegations unsubstantiated.

The investigation included interviews, record reviews, and facility observations. Although the allegations may have occurred, there was insufficient evidence to substantiate the claims, resulting in an unsubstantiated finding with no deficiencies issued.

The complaint included allegations that staff did not provide requested records to a resident’s representative, prevented residents from receiving private phone calls, failed to meet residents' toileting needs, improperly stored personal hygiene items, improperly disposed of soiled briefs, did not treat residents with dignity or respect, and overcharged residents for services. The investigation found no preponderance of evidence to prove these violations.

The investigation included interviews with staff, review of records, and observation of the facility. Although the allegations may have occurred, there was insufficient evidence to substantiate the claims. No deficiencies were issued and the complaint was determined to be unsubstantiated.

The facility was found to be clean, well-furnished, and safe with no passageway obstructions or fire hazards. Food storage, laundry, and bathroom facilities were adequate and operational. Resident and staff files were reviewed and found complete. No deficiencies were issued during this inspection.

The facility was found to be clean, well-furnished, and safe with no passageway obstructions or fire hazards. Resident rooms and common areas were adequately furnished and maintained. Food storage and temperatures were appropriate, and medications were securely stored. No deficiencies were issued during this inspection.

The complaint was related to personal rights. The allegation was unsubstantiated after investigation.

The investigation found no preponderance of evidence to substantiate the alleged violation. The allegation was determined to be unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated based on the investigation findings; there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation included interviews with staff, residents, and the facility administrator, as well as a tour of the facility and food supply inspection. Residents reported no issues with food, and an adequate supply of food was observed. The allegations were found to be unsubstantiated and no deficiencies were issued.

The complaint involved allegations related to personal rights. The investigation was unsubstantiated as there was insufficient evidence to prove the alleged violation occurred.

The investigation found no preponderance of evidence to substantiate the alleged violations; therefore, the complaint was unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated based on the investigation findings; there was no preponderance of evidence to prove the alleged violations occurred.

The investigation included interviews with staff, residents, and the facility administrator, a review of records, a tour of the facility, and observation of food supply and meal service. Residents reported no issues with the food, and an adequate supply of food was observed. The allegation was found to be unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated after investigation. Allegations included hazards in the facility and non-compliance with residents' care plans. Interviews and observations did not support the allegations.

The investigation found no preponderance of evidence to substantiate the allegations. Observations included dining tables placed over outlets which staff ensured were kept covered to prevent exposure. No deficiencies were issued and the complaint was unsubstantiated.

The complaint was unsubstantiated after investigation. Allegations included hazards in the facility and non-compliance with residents' care plans, but no evidence was found to prove violations.

The investigation included interviews with the General Manager and Health Services Director, a facility tour, and records review. The allegations were found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint was unsubstantiated after investigation. The allegations involved odor and carpet cleanliness related to a resident's incontinent dog. The facility had taken corrective measures and the resident moved out prior to the visit.

The investigation found no visible stains or abnormal odors upon observation. Although the General Manager confirmed past urine stains from a resident's incontinent dog, the facility took corrective actions including cleaning and informing the resident's family. The resident and dog moved out prior to the visit. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation found no visible stains on the carpet and no abnormal odors. The General Manager confirmed that any stains were from a resident's incontinent dog, which has since moved out. Maintenance staff cleaned the spots promptly, and a housekeeping schedule was submitted. The allegations were unsubstantiated and no deficiencies were issued.

The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred.

The Department reviewed records, interviewed the General Manager, toured the facility, and checked the elevator status. The elevator repair is anticipated by 02/14/2025, and residents use stairwells and evacuation chairs assisted by staff. The allegation was found unsubstantiated with no deficiencies issued.

The complaint alleged that staff yelled at a resident. After investigation, the allegation was unsubstantiated.

The investigation included record reviews and interviews with staff, residents, and the facility administrator. The allegation was found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint was unsubstantiated after investigation. Allegations included residents being left in soiled diapers, untimely staff response to call bells, unmet resident needs, and inadequate food service. Interviews and record reviews did not support these claims.

The investigation included record reviews and interviews with staff, residents, and the facility administrator. The findings showed no preponderance of evidence to substantiate the allegations, and no deficiencies were issued.

The complaint alleged that staff yelled at a resident. After investigation, the allegation was determined to be unsubstantiated.

The investigation included record reviews and interviews with staff, residents, and the administrator. The allegation was found to be unsubstantiated due to lack of preponderance of evidence, and no deficiencies were issued.

The complaint investigation was unsubstantiated based on the evidence reviewed and interviews conducted. Allegations included residents left in soiled diapers, untimely call bell response, unmet resident needs, and inadequate food service, none of which were substantiated.

After reviewing records and conducting interviews with staff, residents, and the facility administrator, no preponderance of evidence was found to substantiate the allegations. Residents reported their needs were met, staff responded to call pendants, and no concerns were found with food service. No deficiencies were issued.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The Department reviewed records, interviewed the General Manager, toured the facility, and checked the elevator status. The elevator repair service date was anticipated to be 2025-02-14. Residents used stairwells and evacuation chairs assisted by staff. The allegation was unsubstantiated and no deficiencies were issued.

The complaint alleging staff do not treat residents with dignity or respect was investigated and found unsubstantiated due to lack of preponderance of evidence.

The investigation included record reviews and interviews with staff, residents, and the Administrator. All staff completed training on residents' personal rights, and the interviewed parties did not confirm the allegation. The complaint was found to be unsubstantiated and no deficiencies were issued.

The complaint alleged that staff do not treat residents with dignity or respect. The investigation found no evidence to support this allegation, resulting in an unsubstantiated finding.

Based on records review and interviews with staff, residents, and the Administrator, all staff completed training on residents' personal rights and there was no preponderance of evidence to substantiate the allegation. The complaint was determined to be unsubstantiated and no deficiencies were issued.

The Licensing Program Analyst met with the Administrator Pamela Mazon and returned the file. An exit interview was conducted with no deficiencies or violations noted.

The Licensing Program Analyst returned the resident's file to the administrator and conducted an exit interview. No deficiencies or violations were noted in the report.

Complaint visit conducted; no health and safety concerns observed during this visit.

The facility was toured and found to have a comfortable temperature, sufficient furnishings, adequate lighting, and cleanliness with no unpleasant odors. Passageways were clear, fire extinguishers were up to date, and fire and carbon monoxide detectors were operational. Residents appeared groomed and appropriately dressed with no health and safety concerns observed during the visit.

Complaint visit with a Case Management Health & Safety check conducted; no health and safety concerns observed.

The facility was toured and found to have a comfortable temperature, sufficient furnishings, adequate lighting, and was clean with no unpleasant odors. Passageways were clear, fire extinguishers and detectors were present and operational, and residents appeared groomed and appropriately dressed. No health and safety concerns were observed during the visit.

The complaint investigation was conducted based on allegations that staff did not ensure residents' rooms were kept free of malodors, the facility was overcharging residents for services not provided, and staff did not ensure soiled linens were removed from residents' rooms. The first two allegations were found to be unfounded, and the third was unsubstantiated.

The investigation found the allegations of malodors and overcharging to be unfounded, with evidence showing proper notification of rate changes and no malodors except during incontinent episodes. The allegation regarding removal of soiled linens was unsubstantiated due to insufficient evidence.

The complaint investigation was conducted by Licensing Program Analyst Les Xiong. The allegations included staff not ensuring residents' rooms are free of malodors, overcharging residents for services not provided, and failure to remove soiled linens. The first two allegations were found to be unfounded, and the third was unsubstantiated due to lack of preponderance of evidence.

The investigation found the allegations of malodors and overcharging to be unfounded, with evidence showing proper notification of rate changes and no malodors except during incontinence. The allegation regarding removal of soiled linens was unsubstantiated due to insufficient evidence.

The complaint included allegations that staff do not ensure residents' needs are met, facility food services are inadequate, staff do not keep residents' rooms clean, and the licensee did not provide a notice of fee increase with a general description of additional costs. All allegations were investigated and found unsubstantiated.

All allegations investigated, including staff not ensuring residents' needs are met, inadequate food services, unclean resident rooms, and failure to provide notice of fee increase, were found to be unsubstantiated based on observations, interviews, and records review.

The complaint included allegations that staff do not ensure residents' needs are met, facility food services are inadequate, staff do not keep residents' rooms clean, and the licensee did not provide a notice of fee increase with a general description of additional costs. All allegations were found unsubstantiated due to lack of preponderance of evidence.

The investigation found all allegations unsubstantiated based on interviews, observations, and record reviews conducted on 2023-03-29. No citations were issued during this visit.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The investigation found that it could not be proven or disproven that the facility's lack of care or neglect of supervision resulted in injury to the resident. The allegation was unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The investigation found that it could not be proven or disproven that the facility's lack of care or neglect of supervision resulted in injury to the resident. The allegation was determined to be unsubstantiated and no deficiencies were issued.

The facility was observed to maintain infection control measures including facial coverings, visitor log-in and temperature checks, hand sanitizer availability, social distancing, and adequate food and PPE supplies. Ten percent of resident rooms and bathrooms were toured with some minor observations such as lack of non-skid mats and hand washing postings. No deficiencies were issued during this inspection.

The facility was observed to maintain proper infection control measures including facial coverings, social distancing, and adequate PPE supplies. No deficiencies were issued during this inspection.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove or disprove the alleged violations occurred.

The investigation found that it could not be proven or disproven that the facility failed to seek medical attention or notify the responsible party regarding the resident's change in condition. Staff did seek immediate medical attention and notified the responsible party when a strong odor in the resident's urine was observed. The allegations were unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated based on interviews and medical record reviews. There was no preponderance of evidence to prove or disprove the alleged violations.

The investigation found that it could not be proven or disproven that the facility failed to seek medical attention or notify the responsible party regarding the resident's condition change. Staff did seek immediate medical attention and notified the responsible party when a strong odor in the resident's urine was observed. The allegations were unsubstantiated and no deficiencies were issued.

Complaint was regarding a resident sustaining a fall while in care. The complaint was found to be unfounded after investigation and dismissed.

The investigation found that the resident did fall but did not report it to staff, and no falls were recorded in October 2021. The resident was admitted to the hospital for cellulitis unrelated to a fall. The complaint was determined to be unfounded and dismissed.

Complaint was regarding a resident sustaining a fall while in care. The complaint was found to be unfounded after investigation including interviews and record review.

The investigation found that the resident fell but did not report it to facility staff, and there were no reported falls in October 2021. The resident was admitted to the hospital for cellulitis unrelated to a fall. The complaint was determined to be unfounded and dismissed.

The facility was found clean and compliant with no deficiencies observed. COVID-19 guidelines were in place, supplies and medications were adequate, and staff training and resident records were up to date.

The facility was found clean with no fire clearance issues, adequate supplies, and proper infection control measures in place. No deficiencies were observed during the inspection.

The facility was found clean with no obstructions or fire clearance issues. COVID-19 guidelines were observed, including visitor screening and mask use. Medication, food, cleaning, and PPE supplies were adequate. Ten percent of bedrooms and staff records were reviewed. No deficiencies were observed, but technical advisory notes were provided regarding COVID-19 precautions.

The facility was found clean with no obstructions or fire clearance issues. Infection control measures including mask use, social distancing, and hand hygiene were observed. No deficiencies were noted during the inspection, though technical advisory notes were provided regarding COVID-19 precautions and N95 respirator fit testing.

The visit was triggered by a complaint that a resident (R1) had money stolen from their apartment by facility staff. The report requested documentation and video evidence related to the incident.

No deficiencies were issued during this visit. The Licensing Program Analyst requested submission of resident records and video related to the incident.

The visit was triggered by a complaint of money stolen from resident R1's apartment by facility staff on 03/24/2021.

No deficiencies were issued during this unannounced telephone visit. The Licensing Program Analyst requested submission of resident records and video evidence related to the incident.