Inspection Reports for Orchard View Manor

A complaint investigation survey was conducted from 01/22/2026 through 01/23/2026 due to allegations of roof leaks and water damage affecting the facility.

The facility failed to provide a safe, functional, sanitary, and comfortable environment due to active water leaks from the roof penetrating ceiling tiles and electrical fixtures, causing hazardous conditions and necessitating evacuation of 125 residents. The fire panel was tampered with, leading to a fire watch and evacuation orders.

The complaint investigation was substantiated. The roof was leaking and a large laundry cart and wastebasket were full of dirty water. The leaking water caused damage and safety risks, leading to evacuation of residents and a fire watch due to tampering with the fire panel.

A complaint investigation survey was conducted from 01/22/2026 through 01/23/2026 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint alleging roof leaks and water damage.

The facility failed to provide a safe, functional, sanitary, and comfortable environment due to active water leaks from the roof penetrating ceiling tiles and electrical fixtures, causing hazardous conditions and compromising life safety systems. This resulted in an emergency evacuation of 125 residents.

The complaint investigation was substantiated. The complaint involved roof leaks and water damage causing unsafe conditions, confirmed by surveyor observations and staff interviews.

A complaint survey was conducted from 1/8/2026 through 1/12/2026 to determine compliance with 42 CFR Part 483, Requirements for Long-Term Care Facilities, following a community-reported complaint regarding biohazardous waste and garbage management.

The facility was found to have immediate jeopardy related to failure to maintain an effective infection prevention and control program, improper storage and disposal of biohazardous waste and sharps, accumulation of garbage blocking exit routes, and failure to maintain emergency preparedness and fire safety systems. Corrective actions and audits were planned and initiated.

The complaint investigation was substantiated. The complaint alleged improper storage and disposal of biohazardous waste and garbage blocking exit routes. The facility was found noncompliant with multiple regulatory requirements, including infection control and safety hazards.

A complaint investigation survey was conducted from 1/8/2026 through 1/12/2026 to determine compliance with 42 CFR Part 483, Requirements for Long-Term Care Facilities, based on a community-reported complaint regarding biohazardous waste and trash blocking exit routes and other safety concerns.

The facility was found to have immediate jeopardy deficiencies related to infection prevention and control, specifically failure to maintain safe storage and disposal of biohazardous waste and sharps, resulting in hazardous conditions on four units. Additional deficiencies included improper disposal and accumulation of garbage blocking exit routes, failure of the governing body to ensure oversight of waste management, and failure to maintain an effective infection prevention and control program. The facility also failed to maintain proper emergency preparedness documentation and fire safety systems.

The complaint investigation was initiated based on a community-reported complaint submitted to the Rhode Island Department of Health on 1/7/2026 alleging biohazardous waste and trash blocking exit routes and other safety hazards. The complaint was substantiated with findings of unsecured biohazardous waste, accumulation of garbage blocking exits, and failure of the governing body to ensure proper waste management.

A complaint investigation survey was conducted on 09/24/2025 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint regarding a resident who sustained a fall.

The investigation found that the facility failed to provide appropriate treatment and services for a resident who sustained a fall, including inadequate documentation of the fall, delayed notification to the physician, and failure to complete required assessments and monitoring post-fall.

The complaint investigation was substantiated based on findings that the facility failed to meet quality of care requirements related to a resident fall incident on 09/19/2025, including inadequate assessment, documentation, and notification.

A complaint investigation survey was conducted at Orchard View Manor on 09/17/2025 to determine compliance with 42 CFR Part 483, requirements for Long Term Care Facilities.

A deficiency was identified related to dialysis care, specifically that the facility failed to ensure residents requiring dialysis received services consistent with professional standards of practice and their care plans. Documentation and medication administration for Sevelamer Carbonate were not consistently followed for two residents.

The complaint investigation was based on intake ID references 2617672 and 2613179. The investigation found that Resident #1 and Resident #3, both diagnosed with CKD and receiving dialysis three times a week, had issues with medication administration and fluid restriction compliance related to Sevelamer Carbonate. The Director of Nursing was unable to provide evidence that fluid restrictions and medication administration orders were consistently followed.

A follow-up Life Safety survey was conducted at the facility to verify correction of previous deficiencies.

All previous deficiencies were corrected, and no new deficiencies were identified during this follow-up survey.

A complaint investigation survey was conducted at Orchard View Manor on 08/21/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.

No deficiency was identified as a result of this complaint investigation survey.

The survey was complaint-related with intake ID reference numbers 2594991. No deficiencies were found.

This document is a Plan of Correction related to a complaint investigation survey conducted to determine compliance with nursing home regulations, specifically regarding radiology and diagnostic services.

The facility failed to provide timely diagnostic x-ray services for a resident, resulting in delayed diagnosis and treatment. The nursing staff received in-service education on diagnostic services policy, and corrective actions include auditing STAT x-ray orders and ensuring timely completion of orders.

The visit was triggered by a complaint investigation (intake ID reference numbers 2587830 and 2581543) regarding failure to provide timely diagnostic x-ray services to a resident who sustained a fall and was admitted to the hospital with a hip fracture.

A life safety code survey was conducted on July 31, 2025, to assess compliance with fire safety regulations and related standards.

The facility was found not in compliance with life safety code regulations, including issues with self-closing doors and the emergency power supply system generator maintenance and testing. Deficiencies were identified related to fire rated cross corridor doors not closing and latching properly, and failure to document generator load testing to meet required standards.

A complaint investigation survey was conducted at this Nursing Home from 07/30/2025 through 07/31/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.

No deficiencies were identified as a result of this complaint investigation survey.

The survey was complaint-related, involving intake ID reference numbers 2568226, 2567920, 178496, 178497, and 2572806. No deficiencies were found.

A follow-up to a previous Recertification survey was conducted to verify correction of prior deficiencies.

All previous deficiencies related to the health survey were corrected and no new deficiencies were identified during this follow-up survey.

A revisit survey was conducted on July 31, 2025, to assess correction of previous deficiencies cited on June 26, 2025, during a Life Safety Code survey.

The facility was found not to be in compliance with all regulations surveyed. Deficiencies included doors with self-closing devices that did not close and latch properly, and failure to maintain the Emergency Power Supply System (EPSS) generator according to required standards.

A recertification survey and complaint investigation survey ACTS reference number 101421 was conducted from 06/23/2025 through 06/26/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities, State licensure and emergency preparedness surveys.

Deficiencies were identified related to accident hazards with loose shower safety rails, pain management issues including medication reconciliation and monitoring, food safety violations including unlabeled and undated food items, infection control breaches, life safety code violations including doors with self-closing device failures, unsecured handrails, pest control program deficiencies, and maintenance issues with fire alarm systems and emergency power supply.

A complaint survey was conducted at the nursing home to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.

No deficiencies were identified during the complaint survey conducted on 05/29/2025.

The complaint survey referenced ACTS number 101014 and was conducted to assess compliance with regulatory requirements. No deficiencies were found.

A follow-up to a previous complaint survey was conducted at this facility to verify correction of prior deficiencies.

All previous deficiencies were corrected and no new deficiencies were identified during this follow-up survey.

A complaint survey was conducted at the nursing home to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities.

No deficiencies were identified during the complaint survey.

The survey was conducted based on complaint reference numbers 100516 and 100588. No deficiencies were found, indicating no substantiated issues.

A complaint survey was conducted at this Nursing Home to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.

No deficiencies were identified during the complaint survey.

The complaint survey, ACTS reference number 100440, was conducted to investigate compliance. No deficiencies were found, indicating no substantiated issues.

A complaint survey was conducted on 04/02/2025 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities, based on complaint allegations with ACTS reference numbers 100196, 100223, 100172, and 100146.

Deficiencies were identified related to failure to meet professional standards of quality in comprehensive care plans, failure to provide therapeutic diets and fluid restrictions as ordered by physicians, failure to maintain accurate and complete resident medical records, and failure to maintain a safe, functional environment due to a cracked glass door panel.

The visit was complaint-related with ACTS reference numbers 100196, 100223, 100172, and 100146. The complaint survey identified multiple deficiencies as described in the findings.

A complaint survey was conducted on 3/26/2025 through 3/27/2025 to determine compliance with 42 C.F.R. Part 483, Requirements for Long Term Care Facilities, based on a community reported complaint alleging that 23 residents did not have functioning call lights.

The facility was found to have inadequate resident call systems, with approximately 30 residents lacking functioning call lights and using hand bells instead. The issue has been ongoing for months, posing safety concerns, and the call light system requires replacement and repair.

The complaint investigation was substantiated, revealing that 23 residents lacked functioning call lights and used hand bells as an alternative. Multiple staff interviews confirmed the ongoing issue and safety concerns.

A complaint survey was conducted at this nursing home on 01/29/2025 to determine compliance with 42 C.F.R. Part 483, requirements for Long Term Care Facilities.

No deficiencies were identified during the complaint survey.

The survey was conducted based on complaint ACTS reference numbers 99358, 99273, 99294. No deficiencies were found.

An off-site desk audit was conducted to review all previous deficiencies cited on December 3, 2024.

Based on an acceptable plan of correction and supporting documentation, all previous deficiencies have been corrected and the facility is in compliance with all regulations surveyed.

A complaint survey was conducted at Orchard View Manor from 11/29/2024 through 12/3/2024 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint alleging that a resident fell, experienced increased pain, and impaired mobility.

The facility failed to meet professional standards of quality related to comprehensive care plans and ensuring proper x-ray procedures were followed for a resident. Specifically, the facility did not ensure all ordered x-rays were obtained, and documentation was incomplete, leading to inadequate assessment of the resident's condition.

The complaint alleged that the resident fell, experienced increased pain, and impaired mobility. The investigation found that the resident was admitted to the hospital with new fractures after incomplete x-rays were obtained and inadequate documentation was provided by the facility.

A complaint survey was conducted from 10/23/2024 through 10/24/2024 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities.

The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice relative to physician's orders for one resident who was a new admission. Specifically, an antibiotic order (Keflex 500 mg) was not transcribed or administered as ordered.

The complaint survey referenced multiple ACTS numbers and was substantiated by findings that the facility did not follow physician's orders for medication administration for Resident ID #1, a new admission with diagnoses including UTI and dementia.

A follow-up to a previous complaint survey was conducted at this facility to verify correction of prior deficiencies.

All previous deficiencies were corrected and no new deficiencies were identified during this follow-up survey.

A Complaint/Incident Investigation Survey was conducted from 2024-09-10 through 2024-09-12 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint regarding a resident's suicide attempt on 2024-09-07.

The survey identified Immediate Jeopardy level deficiencies related to failure to provide 1:1 supervision for a resident who attempted suicide, failure to notify appropriate parties including family and physician, failure to send the resident for psychiatric evaluation, and failure to ensure resident safety and adequate supervision. The facility implemented a corrective action plan and completed in-service training on trauma informed consent and suicide attempt/threat policies.

The investigation was initiated due to a community reported complaint submitted to the Rhode Island Department of Health alleging that Resident ID #1 attempted suicide on 2024-09-07 with a belt around their neck and the family was not informed. The complaint was substantiated with findings of failure to provide adequate supervision and notification.

A complaint survey was conducted at Orchard View Manor on 09/06/2024 to determine compliance with 42 C.F.R. Part 483 requirements for Long Term Care Facilities.

No deficiencies were identified during the complaint survey.

The survey was complaint-related with ACTS reference numbers 97121, 97247, and 97355. No deficiencies were found.

A complaint investigation survey was conducted at the facility on 08/05/2024 to determine compliance with Federal and State Laws and Regulations.

No deficiencies were identified during the complaint investigation survey.

Complaint investigation survey referenced ACTS numbers 96880, 96936, and 96966; no deficiencies were found.

An off-site desk audit was conducted on July 29, 2024, to review all previous deficiencies cited on July 2, 2024.

Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected and the facility is in compliance with all regulations surveyed.

An off-site desk audit was conducted on July 29, 2024, to review all previous deficiencies cited on June 24 and June 26, 2024.

Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected. The facility is in compliance with all regulations surveyed.

A complaint investigation survey was conducted at the facility on 07/24/2024 to determine compliance with Federal and State Laws and Regulations.

No deficiencies were identified during the complaint investigation survey.

Complaint investigation survey, ACTS reference numbers 96708, 96751.

A complaint investigation survey was conducted from 7/1/2024 through 7/2/2024 to determine compliance with Federal and State Laws and Regulations based on a complaint alleging concerns about the status of Resident ID #1's left lateral lower leg wound.

The facility failed to provide necessary treatment and services to prevent pressure ulcers for Resident ID #1, who developed an actual pressure injury. The wound physician's recommendations were not implemented timely, resulting in untreated pressure wounds for up to 19 days. Interviews confirmed lack of treatment orders until the surveyor brought attention to the wounds.

The complaint was received from the Rhode Island Department of Health on 6/27/2024 alleging concerns about Resident ID #1's left lateral lower leg wound status while being evaluated in the Emergency Department of an acute care hospital. The complaint was substantiated based on record reviews and interviews.

A recertification survey and complaint investigation survey were conducted at Orchard View Manor from 6/24/2024 through 6/26/2024 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.

Deficiencies were cited in multiple areas including failure to post survey results in a readily accessible area, failure to keep residents free from abuse, failure to meet professional standards for care plans, failure to obtain weekly weights as ordered, failure to provide treatment and care for residents with deep vein thrombosis, failure to ensure dialysis services met professional standards, failure to complete annual performance reviews for nursing assistants, failure to maintain food safety and sanitation standards, failure to conduct required fire drills, and failure to maintain an infection prevention and control program.

A complaint investigation survey was conducted at Orchard View Manor from 04/19/2024 through 04/23/2024 based on complaint reference numbers 95216, 95291, 95177, and 95269.

The facility failed to provide adequate supervision to prevent elopements for Resident ID #4, who eloped multiple times resulting in hospital transfers. The facility also failed to assess the resident's elopement risk and implement interventions. Additionally, the facility failed to report elopements to the licensing agency within required timeframes and did not follow their own policies related to elopements and AMA discharges.

The complaint investigation was substantiated. The facility failed to provide adequate supervision and failed to report elopements involving Resident ID #4, resulting in immediate jeopardy findings.

A complaint investigation survey was conducted at Orchard View Manor on 02/15/2024 to determine compliance with Federal and State Laws and Regulations, specifically regarding baseline care plans and quality of care.

The facility failed to develop and implement baseline care plans within 48 hours of admission for 3 residents reviewed, and failed to promptly identify and intervene during an acute change in a resident's condition related to a fall. Deficiencies were found in comprehensive person-centered care planning and quality of care.

The complaint investigation survey reference number 94385 was conducted to assess compliance with baseline care planning and quality of care requirements. Findings substantiated that baseline care plans were not completed timely for residents #1, #2, and #3, and that the facility failed to promptly identify and intervene in a resident's acute condition change related to a fall.

An off-site desk audit was conducted on January 30, 2024, to review all previous deficiencies cited on January 3, 2024.

Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected and the facility is in compliance with all state regulations surveyed.

A complaint investigation survey was conducted from 01/02/2024 through 01/03/2024 to determine compliance with Federal and State Laws and Regulations based on complaint reference numbers 93630, 93612, 93611, 93596, 93586, and 93604.

Deficiencies were identified related to Resident Rights and Resident Records. The facility failed to treat a hospice resident with respect and dignity during assistance with eating, and failed to maintain accurate medical records for the resident's breakfast meal intake.

The complaint alleged that nursing staff failed to assist a resident's roommate who had woken up hungry, and staff did not save or wake the resident to eat dinner. The investigation found the resident required extensive assistance with eating, and staff did not provide adequate feeding assistance or document meal intake accurately.

A complaint investigation survey was conducted at Orchard View Manor on 12/05/2023 to determine compliance with Federal and State Laws and Regulations related to accident hazards, supervision, and devices.

The facility failed to ensure a resident's environment was free of accident hazards, resulting in a resident falling out of bed due to inadequate assistance and mattress air deflation. The resident required assistance of two staff members for bed mobility, but care plans and documentation did not clearly reflect this need.

The complaint investigation was substantiated with findings that the facility did not provide adequate supervision and assistance devices to prevent accidents, specifically for Resident ID #1 who fell out of bed on 12/2/2023.

A complaint investigation survey was conducted on 11/09/2023 to determine compliance with Federal and State Laws and Regulations based on complaint reference numbers 92915, 92841, and 92847.

The survey found deficiencies related to failure to provide necessary ADL care, specifically showers, to a resident unable to carry out activities of daily living. Documentation and evidence showed the resident did not receive showers regularly from 9/28/2023 to 10/28/2023, and staff failed to complete weekly shower audits as required.

The complaint alleged that a resident was not being washed well and certain areas were rarely being washed. The complaint was investigated and deficiencies were cited based on observations, record reviews, and staff interviews.

A complaint investigation was conducted from 10/30/2023 to 10/31/2023 to determine compliance with Federal and State Laws and Regulations based on complaint reference numbers 92789 and 92732.

The facility failed to report an accident resulting in hospitalization for two residents within the required timeframe. A resident was admitted to the hospital with injuries from a fall that was not reported to the Rhode Island Department of Health as required. The Director of Nursing acknowledged the failure to report the incident.

The complaint involved an alleged unwitnessed head first fall from bed on 10/26/23 resulting in head laceration, loss of consciousness, and hospitalization. The facility did not report the incident to the Rhode Island Department of Health as required.

A follow-up to a previous recertification survey was conducted at this facility to verify correction of prior deficiencies.

All previous deficiencies were corrected and no new deficiencies were identified during this follow-up survey.

A Recertification Survey was conducted at this Nursing Home between 06/26/2023 through 07/06/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

The survey identified multiple deficiencies including failures in medication self-administration, accuracy of assessments, services provided meeting professional standards, infection control, emergency preparedness, and life safety code compliance. Immediate Jeopardy was identified but removed after corrective actions. The facility failed to ensure proper treatment, care, and documentation in several areas affecting resident safety and quality of care.

A Complaint/Incident Investigation Survey was conducted at Orchard View Manor on 04/03/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

The survey was conducted for ACTS Reference Numbers 89606 and 89529. No deficiencies were found.

An off-site desk audit was conducted on January 31, 2023 for all previous deficiencies cited on December 22, 2022.

Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected. The facility is in compliance with all regulations surveyed.

A follow-up to a previous complaint investigation survey was conducted at this facility.

All previous deficiencies were corrected and no new deficiencies were identified.

A Complaint/Incident Investigation Survey and a Follow up to a previous survey were conducted at this Nursing Home on 01/10/2023 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

The survey was conducted as a complaint/incident investigation with reference numbers 88599 and 88512, and included a follow-up to a previous survey.

A Complaint/Incident Investigation Survey and Focus Infection Control Survey were conducted on 12/09/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, triggered by a community reported complaint to the Rhode Island Department of Health on 12/7/2022 alleging that many CNAs did not clean residents properly.

Deficiencies were cited related to failure to provide reasonable accommodation of resident needs and preferences for showers, and failure to develop and implement comprehensive person-centered care plans for residents requiring mechanical lifts and Hoyer lifts. Interviews and record reviews revealed residents did not receive showers as scheduled and care plans did not reflect safe transfer methods using Hoyer lifts.

The complaint was substantiated based on record review and staff interviews indicating that CNAs did not clean residents well and residents did not receive showers as scheduled.

A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, triggered by allegations that a resident did not receive their afternoon Clonazepam dose during their stay.

Deficiencies were cited related to failure to ensure residents were free from significant medication errors, specifically that one resident did not receive 28 ordered afternoon doses of Clonazepam as documented in medication administration records and hospital discharge orders.

The complaint was substantiated as the facility failed to ensure a resident received his/her ordered afternoon Clonazepam doses from 10/14/2022 through 11/10/2022, totaling 28 missed doses. The Director of Nursing was unable to provide evidence that the doses were administered as ordered.

A complaint/incident investigation survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

A state deficiency was identified related to dietetic services where the facility continued to serve resident meals on dinnerware that was not of good quality, specifically using 6-ounce Styrofoam cups and 5-ounce plastic cups instead of durable and aesthetically pleasing materials.

Complaint investigation ACTS Reference Numbers 87195, 87188, 87190, 87194 survey was conducted. State deficiencies were identified.

A complaint/incident investigation survey was conducted at Orchard View Manor on 08/23/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

A state deficiency was identified related to the facility's failure to serve resident meals on dinnerware of good quality, specifically the use of Styrofoam plates and plastic silverware instead of durable and aesthetically pleasing materials. The dietary department was found to be using Styrofoam plates and plastic utensils regularly, substituting them when dinnerware ran out.

The investigation was conducted following complaint reference numbers 86345 and 86354. The deficiency was substantiated based on observations and staff interviews confirming the use of Styrofoam plates and plastic utensils during meal service.

An off-site desk audit was conducted on June 24, 2022, to review all previous deficiencies cited on June 3, 2022.

Based on an acceptable plan of correction and supporting documentation, all deficiencies have been corrected. The facility is in compliance with all regulations surveyed.

A Recertification, COVID-19 Vaccination Compliance, and Complaints Investigation Survey was conducted at Orchard View Manor from 05/31/2022 through 06/03/2022 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.

Multiple deficiencies were cited related to professional standards of care, accident hazards and supervision, nutrition and hydration maintenance, respiratory care, oxygen administration, food safety, and environmental conditions. The facility failed to meet several regulatory requirements as evidenced by record reviews, staff interviews, and observations.

A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities and vaccine requirements per C19 Health Care Staffing Vaccination guidelines.

No deficiencies were cited as a result of this survey.

The survey was conducted based on complaint/incident references 84345, 84204, 83988, and 83936.

A Complaint/Incident Investigation Survey was conducted at this Nursing Home to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

The survey was conducted as a complaint/incident investigation with ACTS Reference Numbers 83753 and 82571. No deficiencies were found.

A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

The facility failed to ensure that a resident with mental disorder or psychosocial adjustment difficulty received appropriate treatment and services to attain the highest practicable mental and psychosocial well-being. Deficiencies were cited related to treatment and services for mental/psychosocial concerns.

The investigation was complaint-driven, referenced as ACTS Reference Number 82579. The complaint was substantiated as deficiencies were cited related to treatment and services for mental/psychosocial concerns.

A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

The survey was conducted as a complaint/incident investigation with ACTS Reference Numbers 81126, 81109, and 80981. No deficiencies were found.

A Complaint/Incident Investigation Survey was conducted at this Nursing Home on 08/16/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

The survey was conducted as a complaint/incident investigation under ACTS Reference Number 80976. No deficiencies were found.

A COVID-19 Focused Infection Control Survey and a federal complaint investigation survey were conducted by the Center for Health Facilities and Regulation on 06/17/2021.

The facility was found to be in compliance with 42 CFR §483.80 Infection Control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.

The visit was triggered by a federal complaint investigation survey numbers 78589 and 78727.

An off-site desk audit was conducted on March 18, 2021, to review all previous deficiencies cited on March 4, 2021.

Based on an acceptable plan of correction, all deficiencies have been corrected and the facility is in compliance with all regulations surveyed.

A Recertification Survey was conducted at Orchard View Manor from 03/01/2021 through 03/04/2021 to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, including state licensure and emergency preparedness surveys.

The facility was determined to not be in compliance with the requirements and deficiencies were identified related to tube feeding management, medication labeling and storage, and infection prevention and control practices including PPE use and hand hygiene.

A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

The survey was complaint/incident investigation related, with multiple ACTS reference numbers listed. No deficiencies were found.

A Complaint/Incident Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities.

No deficiencies were cited as a result of this survey.

Complaint/Incident Investigation Survey, ACTS Reference Number 78025, conducted to determine compliance with regulatory requirements.

An off-site desk audit was conducted on January 20, 2021 for all previous deficiencies cited on December 28, 2020.

Based on an acceptable plan of correction, all deficiencies have been corrected. The facility is in compliance with all regulations surveyed.

A COVID-19 focused infection control survey was conducted by the Center for Health Facilities and Regulation to assess compliance with infection control regulations and CDC recommended practices.

The facility was found not to be in compliance with 42 CFR §483.80 Infection Control regulations, specifically failing to ensure staff utilized personal protective equipment (PPE) properly and residents practiced social distancing.