The Orchards at Wayne

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 3, 2024

  This citation pertains to intake number MI00147248. Based on interview and record review, the facility failed to initiate a Code [NAME] (Notification for a missing resident) in a timely manner for one resident (R703) that was missing from the facility, after identifying that the resident had left the faciity on [DATE], unbeknownst to staff, of five residents reviewed for elopement, resulting in the potential for serious injury or death from the resident being outside and unsupervised for an extended period of time. […]

• Actual harm, isolatedF686Nov 10, 2021

  This citation pertains to MI 859 and MI 861. Based on observation, interview, and record review, the facility failed to prevent development of a pressure ulcer (open area on skin) for one resident (Resident #602) of three residents reviewed for pressure ulcers, resulting in a Stage 4 pressure ulcer, infection, and the potential for continued skin breakdown. Findings include: Review of a Pressure Ulcer & Skin Management policy with no implementation date revealed, A resident who enters the facility without pressure ulcers does not develop pressure ulcers unless the resident's clinical condition demonstrates that they were unavoidable; and a resident having pressure ulcers receives necessary treatment and services to promote healing, prevent infection and reduce the risk of new pressure… […]

• Actual harm, isolatedF600May 10, 2021

  This citation pertains to intakes MI 414 and MI 32. Based on observation, interview and record review the facility failed to prevent physical abuse, effecting one resident (R#115) out of nine residents reviewed for abuse, resulting in a traumatic hematoma of R#115's lower left leg, and evolving into a chronic vascular ulcer (an opening related to decrease circulation). Findings include: Review of statement dated 12/5/20 at 8:20 am and signed by Administrator V documented: Administrator met the resident to discuss the incident that he had encountered with the cena (competency evaluated nursing assistant), the resident indicated he was up in his wheelchair in his room drinking water and then the cena pushed his wheelchair into the bed and his left leg hit the metal on the bed and patient… […]

• Actual harm, isolatedF684May 10, 2021

  This citation has two Deficient Practice Statements (DPS). DPS#1 pertains to intakes: MI 303, MI 717, MI 821, MI 414. Based on observation, interview, and record review, the facility failed to conduct wound care assessments and treatments in accordance to the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: R#114: During an observation and interview on 5/3/21 at 12:30 PM R#114 was observed laying semi-upright in her bariatric bed, with a soiled brief. During interview R#114 said, I have been left wet for long periods of time and now I have a bed sore on my backside. The resident went on to say, I'm not getting my bedsore treated every other day, like I'm supposed to. They say they do not have enough staff to help turn and reposition me. […]

• Actual harm, isolatedF686May 10, 2021

  Based on observation, interview and record review, the facility failed to: 1.) perform wound care per physician't orders, 2.) provide care to prevent the development and/or worsening of pressure ulcers, consistent with professional standards of practice, and 3.) perform wound care timely to increase opportunties for healing a pressure ulcers for 5 out of 11 residents (Resident #105, #109, #107, #102 and #103) reviewed for pressure injuries, resulting in the worsening of a pressure ulcer for Resident #105, the development of avoidable pressure ulcers, feelings of embaraassment, and the potential for infection and overall deterioration in health status. […]