Orchard Post Acute

In the surveyor’s words

From the most serious findings on record at Orchard Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure food storage was stored under sanitary conditions in accordance with professional standards for food service safety when: 1. A large plastic container of rice was in the dry storage pantry without a label and did not have an opened date or an expiration date. 2. Freezer 1 of 2 was observed without an internal thermometer. Refrigerator 1 of 3 was observed without an internal thermometer (a tool used to measure how hot or cold something is). These failures had the potential to contribute to the growth of foodborne pathogens (a tiny organism, like a germ, that could cause disease. […]

• No harm, potential for more than minimal, widespreadF658Jul 26, 2024

  Based on observation, interview and record review, the facility failed to ensure services provided met professional standards of quality for five of 15 sampled residents (Resident 19, Resident 24, Resident 38, Resident 40 and Resident 337) when: 1. Resident 40 was administered 2.5L/min (two point five liter- unit of measurement)/min (minute) oxygen via nasal cannula (NC- plastic device used to deliver supplemental oxygen) instead of 3L/min of oxygen per physician's order. This failure resulted in Resident 40's oxygen needs going unmet and caused Resident 40 received oxygen at different rate. 2. […]

• No harm, potential for more than minimal, widespreadF761Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to safely store, and label drugs and supplies in accordance with acceptable standards of practice when: 1. One medication cart (out of four) was left unlocked and unattended by Licensed Vocational Nurse (LVN) 3. This failure resulted in a potential for residents and staff to have unauthorized access to medications. 2. One emergency kit (E-kit- emergency medication stored in container) was found without second zip tie in the medication storage room. This failure had the potential for unauthorized access to medication and missing medication. 3. A package containing hearing aid batteries were stored with medication in the medication cart number 4. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was stored and/or prepared in accordance with professional standards for food services safety for 91 of 96 residents when: 1. A plastic container of dry bran cereal was uncovered in the dry food storage. 2. An uncovered Styrofoam cup with brown liquid was left on top of an ice chest in the dry food storage. 3. No air gap (an unobstructed vertical space between the water outlet and the flood level of a fixture), under the sink where food was being prepared. 4. The food thermometer (a tool to measure temperature), was not calibrated (verifying the capability and performance of an item of measuring and test equipment by comparison to traceable measurement standards), prior to use during lunch service. 5. […]

• No harm, potential for more than minimal, widespreadF814Jul 26, 2024

  Based on observation, interview and record review, the facility failed to follow their policy and procedure Food-Related Garbage and Refuse Disposal for one of three outside trash bins, when one of the trash bins was uncovered, and a large amount of plastic and debris was noted on the ground behind the trash bin. This failure had the potential to attracts animals, insects and pests which could lead to infestations, unsanitary conditions, and the spread of disease. Findings: During an observation on 7/22/24 at 2:24 p.m. behind the facility in the trash bin storage area, a trash bin was observed with the lid open and large amounts of thin clear plastic and other debris was noted behind the trash bins along the fence. During an interview on 7/23/24 at 2:30 p.m. […]