Orchard Pointe Health Campus

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Jan 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure food that was at proper temperature in 2 of 2 observations. Food prepared in the kitchen was consumed by 57 of 57 residents who resided in the facility. Findings include: During a continuous observation on 1/6/25 from 09:24 AM to 10:00 AM the following observation was made: The temperature of the alcohol cooler was 62 deg. Several bottles of various types of alcohol, one case of bottled water, and a cheese tray were found to be inside. Employee 2, indicated the cheese tray would be thrown away. In an interview on 01/06/25 at 02:17 PM, a resident's family member indicated the resident had complained her food was served cold sometimes. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and serving practices for 3 of 3 observations. Food prepared in the kitchen was consumed by 57 of 57 residents who resided in the facility. Findings include: During a continuous observation on [DATE] from 09:24 AM - 10:00 AM the following observations were made: The drying rack had clear, round, lids stacked with moisture in between lids. The floor in the dishwashing area and dry pantry had dry, brown, particles in sizes from grains of sand to grains of rice. , Observations of the dry pantry included the following: An opened bottle of molasses had must a use by date of [DATE]. There were 2 onions sprouting green leaves, one with 4 inches of green growth. […]

• No harm, potential for more than minimal, patternF880Jan 10, 2025

  Based on observation, interview, and record review the facility failed to ensure sanitary handling of personal protective gowns for 2 of 8 residents reviewed (Resident 34 and Resident 45) and proper hand hygiene in meal service in the assisted dining room. This practice affected 7 of 10 residents who ate their meals in the assisted dining room. Findings include: 1. During an observation, on 1/7/24 at 10:32 AM, upon opening the door to Resident 45's room a yellow, disposable gown drifted into the doorway of Resident 45's door touching the doorframe, handle and door. The gown was hanging on the wall on Resident 45's roommate's side of the room near his belongings. Resident 45's bed was empty. Water was heard running in the shower of the attached bathroom. […]

• No harm, potential for more than minimal, patternF880Jan 4, 2021

  Based on observation, interview, and record review, the facility failed to ensure infection prevention procedures regarding personal protective equipment (PPE) to prevent the potential spread of COVID-19 according to current Centers for Disease Control (CDC) guidelines. This had the potential to affect 33 of 49 residents residing in the facility. Findings include The facility policy titled COVID-19 Guideline for PPE Standard of Practice (SOP), indicated A. Guidelines for Approved facemasks . 2. All staff are always required to wear Approved Facemasks . while they are in the the facility. Yellow Zone . Staff should leave the resident care area if they need to remove the facemask. Green Zone . […]

• No harm, potential for more than minimal, isolatedF692Apr 14, 2026

  Based on interview and record review, the facility failed to ensure a therapeutic diet, ordered by the physician to treat heart failure, was provided to 1 of 3 residents reviewed for nutritional needs (Resident D). Findings include:On 4/14/26 at 1:15 P.M., Resident D's record was reviewed. Diagnoses included hypertensive (high blood pressure) heart and chronic kidney disease with heart failure. An admission Minimum Data Set (MDS) assessment, dated 3/11/26, indicated Resident D had no cognitive impairment and no rejection of care. The MDS indicated she had not been prescribed a therapeutic diet (example: low salt) prior to or since admission to the facility. […]