The Orchards at Redford

In the surveyor’s words

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

• Actual harm, isolatedF684Mar 16, 2021

  This citation pertains to Intake: MI 487. Based on interview and record review the facility failed to consistently document, assess, and monitor for a change in condition for one sampled resident (R901) reviewed for a change in condition, resulting in a delay in treatment and hospitalization . Findings include: On 3/16/2021 at 9:32 AM, Family Member A explained that R901 was taken from the facility to the ER (emergency room ) on 3/9/2021 for a mental status change, and explained that once there, R901 was diagnosed with severe dehydration, and a urinary tract infection. Family Member A also explained that after speaking to the physician at the hospital, they felt as though R901 had been neglected. Family Member A indicated that R901 has yet to be discharged from the hospital. […]

• No harm, potential for more than minimal, widespreadF851Apr 9, 2026

  Based on interview and record review, the facility failed to submit mandatory staffing data (direct care staffing information) to Centers for Medicare and Medicaid (CMS) based on the Pay Roll Based Journal (PBJ) data, affecting all 72 residents who resident in the facility. Findings include: Per a review of the PBJ report for the Fiscal year 2026 1st quarter (July1,2025- September 30,2025). The facility also triggered for a one star staffing rating (indicating a lack of reported staffing or inadequate staffing). On 4/9/6 at 12:30 pm in an interview with Staffing Scheduler F and Human Resources (HR) Director L about the PBJ report and submission. HR L stated The facility failed to submit their quarterly staffing numbers to CMS due to a clerical error. […]

• No harm, potential for more than minimal, widespreadF880Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), to include flushing all inactive fixtures to eliminate stagnation, resulting in the potential for increased risk of respiratory infection among all residents in the facility. Findings include: On 4/8/26 at 9:30 AM, Maintenance Supervisor I was queried regarding the facility's Water Management Program. Maintenance Supervisor I stated they test annually, water temps done daily, flushing of unused fixtures is done by environmental services, and that the building has been checked for plumbing dead legs. […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observation, interview, and record review the facility failed to maintain sanitary conditions in the primary kitchen, the [NAME] house, and [NAME] house resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting 75 residents who receive meal services (2 nothing by mouth residents, or NPO) out of the facility's total census of 77 residents. Findings include: 1. On 2/13/24 between 9:45 AM, and 10:52 AM, the following non-food contact surfaces in the kitchen were observed soiled and with visible debris on their surfaces: On the flooring underneath the fryer, the top and sides of the fryer, and sides of the oven next to the fryer. On the ovens stainless steel backsplash. […]

• No harm, potential for more than minimal, widespreadF921Feb 15, 2024

  Based on observation and interview the facility failed to provide a safe, functional, and sanitary environment for the facilities census of 77 residents and its staff resulting in an increased potential for harm. Findings include: On 2/13/24 at 10:36 AM, cracked window glass was observed in the transitional care units dining room. At this time the surveyor inquired with Dietary Director, Staff N, on the current state of the window to which they stated, I was unaware of it. I will let the maintenance staff and our Director of Nursing know about it right away. […]