Orange Health Care Center

In the surveyor’s words

From the most serious findings on record at Orange Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF712Jul 21, 2025

  Based on the review of clinical records, review of facility policy/procedures and interviews for three sampled residents (Residents #4, #8, and #34) reviewed for physician visits, the facility failed to ensure that the physician made alternating visits with the APRN’s every sixty days. The findings include: 1. Resident #4 was admitted to the facility 8/1/22 with diagnoses of type 2 diabetes mellitus, chronic kidney disease (CKD), peripheral vascular disease, and atrial fibrillation. […]

• No harm, potential for more than minimal, patternF761May 25, 2023

  Based on a observation of one of two medication storage rooms, facility policy and staff interview, the facility failed to remove 4 of 4 expired intravenous (IV) solution bags from the storage stock. The findings include: A tour of the A Wing medication storage room on [DATE] at 11:54 AM with the DNS and Infection Preventionist identified the following: a. A 1-liter solutions bag of 0.9% Sodium Chloride was located in the black IV-Emergency (E) Box, had an expiration date of ,d+[DATE] (2 months past the expiration date). b. A 1-liter solution bag of 5% Dextrose was located in the black IV-E Box had an expiration date of ,d+[DATE] (5 months past the expiration date). c. […]

• No harm, potential for more than minimal, patternF812May 25, 2023

  Based on a tour of the Dietary Department with the Dietary Manager and staff interview, the facility failed to ensure the kitchen and kitchen storage areas were maintained in a sanitary manner. The findings include: A tour of the Dietary Department with the Dietary Manager on 5/22/23 at 10:45 AM identified the following: a. The kitchen ceiling fan and the white pipe below it were noted to have a moderate accumulation of black and gray dust-like particles. b. The kitchen ceiling above the coffee machine was noted to have brown drip stains. c. The hatchway stairs (which led to the food storage room in the basement) were noted to have dry leaves and a heavy accumulation of black stains and debris on the step corners adjacent to the walls. d. […]

• No harm, potential for more than minimal, patternF578Apr 19, 2021

  Based on clinical record review, review of facility documentation and interviews for 1 of 2 sampled residents (Resident #39) reviewed for advanced directives, the facility failed to ensure that physician's orders for DNR were kept current on subsequent physician's orders. The findings include: Resident #39's diagnoses included type 2 diabetes mellitus, hypernatremia, hypokalemia, chronic obstructive pulmonary disease, dementia, seizure disorder, metabolic encephalopathy, hypertension, and hyperlipidemia. The quarterly MDS assessment dated [DATE] identified Resident #39 had severe cognitive impairment and required extensive to total assistance with all activities of daily living with the omission of eating. […]

• No harm, potential for more than minimal, patternF730Apr 19, 2021

  Based on review of facility documentation, facility policy and interviews, the facility failed to ensure that required yearly in service training was completed related to caring for cognitively impaired residents. The findings include: An interview and review of the required yearly nurse aide training with RN #1 dated 4/15/21 at 10:20 AM identified that there was no training related to dementia and the care of the cognitively impaired resident conducted for the past year (2020). RN #1 identified that the dementia training should have been started at the time the facility was impacted by the pandemic. […]