ORCHARD MANOR, INC

Nursing Home Inspector

20 ORCHARD DRIVE
GROVE CITY, PA 16127
Mercer County
Phone: 724-458-7760
Provider Number: 395793
Last Inspection: 07/13/2017

About the Nursing Home

Number of Beds: 121
Number of Residents: 110
Beds Available: 11
Percent Occupancy: 91%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non 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

 

23

Facility
19

County
23

PA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

23

2017
31

2016
37

2015

Medicare Ratings

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

 

Details by Inspection Date

7/13/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Minimal 4 9/11/2017
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 9/11/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 9/11/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/11/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 9/11/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/11/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/11/2017
 

8/26/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 10/21/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 10/3/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 10/3/2016
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 10/3/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/3/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 10/3/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/3/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/3/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 10/3/2016
 

7/16/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. Pattern : Potential 3 9/11/2015
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 9/11/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 9/11/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/11/2015
 
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 9/11/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/11/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/11/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/11/2015
 
Failed To: Make sure that all required doctor visits are made personally. Isolated : Minimal 3 9/11/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 9/11/2015
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 9/11/2015
 

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 PA State Avg
Number of Residents 110 78.69 110.03
Registered Nurses 0.64 0.91 0.94
Licensed Practical / Vocational Nurses 1.09 1.01 0.85
Certified Nursing Assistants 2.13 2.19 2.26
Total Staff Hours 3.86 4.11 4.05

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% PA State Avg%
of high risk long-stay residents with pressure ulcers 5 4 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 96 94
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 96 95
of long-stay residents experiencing one or more falls with major injury 3 4 3
of long-stay residents who have depressive symptoms 6 3 2
of long-stay residents who lose too much weight 8 7 7
of long-stay residents who received an antianxiety or hypnotic medication 19 20 22
of long-stay residents who received an antipsychotic medication 23 15 15
of long-stay residents who self-report moderate to severe pain 17 10 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 22 22 20
of long-stay residents whose need for help with daily activities has increased 14 12 15
of long-stay residents with a catheter inserted and left in their bladder 2 1 1
of long-stay residents with a urinary tract infection 4 5 3
of low risk long-stay residents who lose control of their bowels or bladder 62 56 56
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 83 83
of short-stay residents who had an outpatient emergency department visit 10 11 10
of short-stay residents who made improvements in function 69 62 64
of short-stay residents who newly received an antipsychotic medication 3 2 1
of short-stay residents who self-report moderate to severe pain 23 22 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 84 82
of short-stay residents who were rehospitalized after a nursing home admission 13 19 20
of short-stay residents with pressure ulcers that are new or worsened 1 46 52