The Village at Orchard Ridge

In the surveyor’s words

From the most serious findings on record at The Village at Orchard Ridge, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF883Mar 6, 2024

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to implement a complete pneumococcal immunization program for five of five resident immunization reviews, Residents #6, #10, #12, #3, and #1. The findings include: 1. For Resident #6 (R6), the facility staff failed to obtain and document the resident's current pneumococcal immunization status. A review of R6's clinical record failed to reveal documentation regarding the resident's pneumococcal immunization status or documentation that R6 was offered the immunization. On 3/5/24 at 2:00 p.m., a request for R6's pneumococcal immunization information was made to the facility administration. […]

• No harm, potential for more than minimal, isolatedF657Mar 6, 2024

  Based on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 17 residents in the survey sample; Resident #8. The findings include: For Resident #8, the facility staff failed to review and revise the comprehensive care plan for the use of side rails. On 3/05/24 at 8:23 AM, Resident #8 was observed in bed with bilateral padded grab bars up. A review of the clinical record revealed Side Rail Assessment forms dated 9/19/22, 12/19/22 and 3/19/23. […]

• No harm, potential for more than minimal, isolatedF658Mar 6, 2024

  Based on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice for administering medications for one of 17 residents in the survey sample, Resident #19. The findings include: For Resident #19 (R19), the facility staff failed to administer Simvastatin (1) as ordered by the physician. On 3/5/24 at 9:21 a.m., R19 was interviewed. She stated she did not think she had received all her correct medications when she was first admitted to the facility. […]

• No harm, potential for more than minimal, isolatedF684Mar 6, 2024

  Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to follow physicians' orders to promote the highest level of well-being for two of 17 residents in the survey sample, Residents #20 and #10. The findings include: 1. For Resident #20 (R20), the facility staff failed to obtain daily weights as ordered by the physician. A review of R20's clinical record revealed he was admitted with diagnoses including congestive heart failure and edema (swelling). A review of R20's physician's orders revealed an order dated 3/1/24 for daily weights related to his congestive heart failure. Further review of R20's clinical record revealed no evidence of a weight on 3/1/24 or 3/2/24. […]