Orchards Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Orchards Skilled Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 4, 2024

  Based on observation, interview, and facility P&P review, the facility failed to ensure the food safety and sanitary requirements were met in the kitchen as evidenced by: * The facility failed to ensure the meat thawing process was followed. * The facility failed to ensure the expired food was discarded. * Time/Temperature Control for Safety (TCS) foods (food that required time and temperature controls to limit the growth of illness causing bacteria) were not monitored to ensure the proper cool down process was followed. * Two of two ice machines were not clean. * The facility failed to ensure hair and beard restraints were worn by dietary personnel inside the main kitchen. * The facility failed to ensure the food preparation equipment were in good condition. […]

• No harm, potential for more than minimal, patternF812Apr 17, 2025

  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 facility failed to ensure the kitchen utensils had smooth cleanable surface and in good condition. * The facility failed to ensure the cutting boards were kept in a sanitary condition and with cleanable surface. These failures had the potential for cross contamination and foodborne illnesses to the residents consuming the foods prepared in the facility's kitchen. Findings: Review of the facility's Resident Diet Information dated 4/14/25, showed 38 of 40 residents consumed the foods prepared in the kitchen. 1. […]

• No harm, potential for more than minimal, patternF812Aug 3, 2023

  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 facility failed to ensure the proper labeling and dating of the foods in the kitchen was utilized once the food item was opened. * The facility failed to ensure the proper labeling and dating of the foods in refrigerator was in placed for the residents' food brought in by visitors. In addition, the facility failed to ensure the food items were discarded after 72 hours. * The facility failed to ensure a proper sanitary condition of the ice machine. * The facility failed to ensure hair restraints were correctly worn by the dietary staff working in the kitchen. […]

• No harm, potential for more than minimal, patternF908Aug 3, 2023

  Based on observation, interview, facility document review, and equipment instruction manual, the facility failed to maintain essential equipment in safe operating condition. * The facility failed to ensure the ice machine was cleaned and sanitized according to the manufacturer's specification. The facility used a sanitizing spray to clean and sanitize the ice machine, instead of the Hoshizaki Scale Away solution to clean and sodium hypochlorite solution (chlorine bleach) solution to sanitize the ice machine as per the ice machine instruction manual. This failure had the potential for the equipment to not function in the way it was intended, which could cause food borne illnesses for the residents. […]

• No harm, potential for more than minimal, isolatedF689Jul 16, 2026

  Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure one of 13 final sampled resident (Resident 2) remained free from accident hazards. * Resident 2's bilateral floor mats were not in place as ordered. This failure had the potential to put the resident at risk for further injury in the event of a possible fall.Findings: Review of the facility's P&P titled Falls Intervention Policy and Procedure revised 1/29/26, showed the residents' care plans will address interventions based on the resident's fall risk and other input as appropriate. On 7/14/26 at 0916 hours, Resident 2 was observed in bed with Sitter 1 at his bedside. Resident 2's floor mats were observed propped up against the wall, not on the floor next to his bed. […]