Orchard Grove Health Campus

In the surveyor’s words

From the most serious findings on record at Orchard Grove Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 20, 2025

  This citation pertains to Complaint #2587468Based on interview and record review the facility failed to ensure a resident with a known fall risk received necessary interventions to prevent falls, ensure the resident was properly lifted off the ground following the fall and transferred timely to the hospital following the fall for one (R701) of two residents reviewed for falls, resulting in R701 being transferred to the hospital and treated for a nondisplaced oblique fracture, pain and dehydration.Findings include:A complaint was filed with the State Agency (SA) that alleged on or about 7/23/25, R701 who was admitted to the facility following a fall at home that resulted in a fracture to the right hip leading to hip replacement, fell again at the facility and sustained a fracture to the… […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure proper food safety and equipment storage within the food service area, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen. Findings include: On 07/07/2026 during an initial observation of the kitchen with Dietary Manager (DM) G between 9:00 AM-9:45 AM, the following items were observed: In the reach-in cooler, there were 2 opened gallons of whole milk, with a manufacturer's best-by date of 7/6, but with a handwritten sticker noting a use-by date of 7/12. In addition, there were 2 unopened gallons of whole milk with a manufacturer's use-by date of 7/6. […]

• No harm, potential for more than minimal, widespreadF812Mar 22, 2023

  Based on observation, interview, and record review, the facility failed to ensure food items dated and discarded when expired, failed to store raw potentially hazardous food items appropriately, and failed to maintain a ceiling vent cover in a sanitary manner. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On [DATE] between 7:20 AM-7:50 AM, the following items were observed: In the walk-in cooler, there was a container of mousse with a use-by date of ,d+[DATE]. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure handwashing by dietary staff, failed to maintain ceiling ventilation covers in a sanitary manner, failed to hold wiping cloths in a chemical sanitizer solution, failed to store food items 6 inches above the floor, and failed to store potentially hazardous cold food items at 41 degrees Fahrenheit or below, resulting in the increased potential for cross contamination and foodborne illness. These deficient practices had the potential to affect all residents that consume food from the kitchen. […]

• No harm, potential for more than minimal, isolatedF657Jul 9, 2026

  Based on observation, interview, and record review, the facility failed to revise the care plan for three residents (R4, R62, R63) of three reviewed for timeliness of person-centered care plans. Findings include:R4 A review of the medical record revealed that R4 admitted into the facility on 5/14/2026 with the following medical diagnoses, Spinal Stenosis and Osteomyelitis of vertebra, lumbar region. Further review of the Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) assessment of 13/15, indicating an intact cognition. R4 also required staff assistance with bed mobility and transfers. […]