ORCHARD REHABILITATION & HEALTHCARE CENTER

Nursing Home Inspector

629 STATE HIGHWAY 21 SOUTH
HAYNEVILLE, AL 36040
Lowndes County
Phone: 334-548-5995
Provider Number: 015442
Last Inspection: 02/09/2017

About the Nursing Home

Number of Beds: 72
Number of Residents: 72
Beds Available: 0
Percent Occupancy: 100%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

33

Facility
33

County
14

AL
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

33

2017
7

2016
41

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/9/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 3/16/2017
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 3/16/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 3/16/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/16/2017
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/16/2017
 
Failed To: Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated : Minimal 3 3/16/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/16/2017
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 3/16/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/16/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 3/16/2017
 

1/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/18/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 2/18/2016
 

1/8/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 2/23/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 2/23/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 2/23/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 2/23/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 2/23/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/23/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 2/23/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/23/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 2/23/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/23/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 2/23/2015
 
Failed To: Provide bedrooms that don't allow residents to see each other when privacy is needed. Isolated : Minimal 3 2/23/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 2/23/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg AL State Avg
Number of Residents 72 72.00 98.51
Registered Nurses 0.74 0.74 0.70
Licensed Practical / Vocational Nurses 0.60 0.60 0.97
Certified Nursing Assistants 2.50 2.50 2.60
Total Staff Hours 3.84 3.84 4.28

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% AL State Avg%
of high risk long-stay residents with pressure ulcers 4 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99 99 93
of long-stay residents experiencing one or more falls with major injury 0 0 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 3 3 8
of long-stay residents who received an antianxiety or hypnotic medication 15 15 29
of long-stay residents who received an antipsychotic medication 21 21 18
of long-stay residents who self-report moderate to severe pain 0 0 5
of long-stay residents who were physically restrained 2 2 0
of long-stay residents whose ability to move independently worsened 29 29 15
of long-stay residents whose need for help with daily activities has increased 25 25 12
of long-stay residents with a catheter inserted and left in their bladder 2 2 2
of long-stay residents with a urinary tract infection 4 4 3
of low risk long-stay residents who lose control of their bowels or bladder 47 47 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 100 83
of short-stay residents who had an outpatient emergency department visit 7 7 11
of short-stay residents who made improvements in function 73 73 61
of short-stay residents who newly received an antipsychotic medication 0 0 2
of short-stay residents who self-report moderate to severe pain 0 0 12
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97 97 80
of short-stay residents who were rehospitalized after a nursing home admission 14 14 21
of short-stay residents with pressure ulcers that are new or worsened 1 Not Available   53