Orange Healthcare & Wellness Centre, LLC

In the surveyor’s words

From the most serious findings on record at Orange Healthcare & Wellness Centre, LLC, in the surveyor’s own words.

• Actual harm, isolatedF686Sep 21, 2022

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure the necessary care and services were provided to prevent the development and worsening of a pressure ulcer for three of three sampled residents (Residents 1, 2, and 3) and eight nonsampled residents (Residents LL, MM, NN, OO, PP, QQ, RR, and SS). * Resident 1 was incontinent and was admitted to the facility on [DATE], without a pressure ulcer. Resident 1 developed an unstageable pressure ulcer at the sacrococcyx (tailbone) area on 8/19/22, that had progressed to a Stage 4 on 9/7/22 (19 days after). […]

• No harm, potential for more than minimal, patternF761Jan 9, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure proper medication storage was followed in one of three nurse stations (Nurse Station A), one of two medication rooms (Medication Room A), two of two medication carts (Medication Cart A and Treatment Cart A), and one of two medication refrigerators (Medication Refrigerator A) observe. * Multiple medications were left unattended at Nurse Station A, after the pharmacy delivery. * The facility failed to maintain the recommended medication refrigerator temperatures in Medication Room A. * The facility failed to keep Treatment Cart A free of unnecessary items such as batteries, tools, and insulin syringes. […]

• No harm, potential for more than minimal, patternF812Jan 9, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen as evidenced by the following: * A stainless-steel blender was stored wet. * Time Temperature Control for Safety (TCS) Foods (food that require time and temperature controls to limit the growth of illness causing bacteria) was not handled safely as the leftover chicken was not maintained at the proper temperature. In addition, there was no documentation of the leftover chicken cooked on the previous day on the cooling down log. […]

• No harm, potential for more than minimal, patternF880Jan 9, 2026

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure appropriate infection control practices were followed.* The facility failed to test the water supply, and inspect the HVAC filters per the facility's water management program.* The clean linen cart for transferring clean linen in the laundry room had frayed edges and peeling layered duct tape and a non-cleanable surface. * The facility failed to ensure one of three blood glucose monitors (a portable device to measure blood sugar levels at home using a tiny blood sample) was cleaned and disinfected according to the manufacturer's instructions after the blood glucose monitor was used on Residents 3, 33, and 40. […]

• No harm, potential for more than minimal, patternF700Sep 12, 2024

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to complete the assessments, attempt the least restrictive alternative measures, obtain the physician's orders and informed consents, and initiate care plans for the use of side rails for five of six sampled residents reviewed for side rail use (Residents 45, 47, 64, 78, and 601). This failure had the potential to put the residents at risk for serious injuries. Findings: Review of the facility's P&P titled Bed Rails revised 5/2024 showed the facility will use bed rails as mobility enablers. Prior to the use of a bed rail, staff will attempt the use of appropriate alternatives. […]