Dogwood Village of Orange County Health and Rehab

In the surveyor’s words

From the most serious findings on record at Dogwood Village of Orange County Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF655Mar 5, 2025

  Based on resident interview, staff interview, facility document and clinical record review, the facility staff failed to implement the baseline care plan for one of 47 residents in the survey sample, Resident #147. The findings include: For Resident #147 (R147), the facility staff failed to implement her baseline care plan for medication administration. Based on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to follow a physician's order for one of 46 residents in the survey sample, Resident #147. The findings include: On 3/4/25 at 8:55 a.m., R147 was observed sitting up in a chair beside her bed. […]

• No harm, potential for more than minimal, patternF684Mar 5, 2025

  Based on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to follow a physician's order for one of 46 residents in the survey sample, Resident #147. The findings include: On 3/4/25 at 8:55 a.m., R147 was observed sitting up in a chair beside her bed. She stated she has Parkinson's disease (1) and has not received her Sinemet (medication to treat Parkinson's) on time the past few days. She stated when she does not receive the medication timely, she experiences increased pain. A review of R147's clinical record, including physician orders and March 2023 MARs (medication administration records), revealed the following medication due times/administration times: Sinemet (to treat Parkinson's) 3/2/25 2:00 a.m./given at 5:29 a.m. […]

• No harm, potential for more than minimal, patternF804Mar 5, 2025

  Based on observation and staff interview, it was determined that the facility staff failed to serve food at a palatable temperature for one of six facility units observed, South Ground unit. The findings include: On 03/04/2025 at t approximately 12:50 p.m. a test tray consisting of pork, stewed tomatoes, lima beans and chicken noodle soup were placed in a food cart and sent to the South Ground unit. The cart was followed by another surveyor and OSM, (other staff member)#2, Director of Dining Services OSM # 4 and , Dietary Supervisor. At approximately 1:05 p.m., the last lunch tray was served to a resident on South Ground unit and OSM #2 was asked to remove the test tray from the food cart, and OSM #4 proceeded to take the temperatures of the food. […]

• No harm, potential for more than minimal, patternF812Mar 5, 2025

  Based on observation, staff interview, and facility document review, facility staff failed to store food in a sanitary manner in one of one facility kitchens and failed to maintain clean dishware, food storage containers and food serving pans in a sanitary manner in one of one facility kitchens. The findings include: 1. On 03/03/25 at approximately 6:15 p.m., an observation of the kitchen's walk-in refrigerator revealed a two-pound bag of Swiss cheese cubes on a shelf available for use. Further observation revealed a Use-By date on the bag of 1/31/25. 2. […]

• No harm, potential for more than minimal, patternF910Mar 5, 2025

  Based on observation, resident interview, staff interview, and clinical record review, the facility staff failed to provide privacy in 71 of 88 resident rooms. The findings include: For 71 of 88 rooms, the facility staff failed to provide closets in each resident's designated area of semi-private rooms. Residents had to enter other residents' side of the room to obtain personal belongings from their closets. Observations of resident rooms were conducted during the survey. In the semi-private rooms where two residents resided, built-in closets for both residents were located on Resident A's side of the room. […]