THE VILLAGE AT ORCHARD RIDGE

Nursing Home Inspector

100 PROCESSION WAY
WINCHESTER, VA 22603
Frederick County
Phone: 540-431-2800
Provider Number: 495415
Last Inspection: 03/29/2017

About the Nursing Home

Number of Beds: 20
Number of Residents: 9
Beds Available: 11
Percent Occupancy: 45%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
Ownership: Non profit - Church related
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

 

9

Facility
22

County
27

VA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2017
8

2016
35

2015

Medicare Ratings

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

 

Details by Inspection Date

3/29/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 5/1/2017
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Isolated : Minimal 3 5/1/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/1/2017
 

3/24/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 4/29/2016
 
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 4/29/2016
 

4/16/2015 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 4/30/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 5/1/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/4/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/1/2015
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/30/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 5/1/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Potential 3 4/30/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 4/30/2015
 
Failed To: Dispose of garbage and refuse properly. Widespread : Minimal 5 5/1/2015
 

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 VA State Avg
Number of Residents 9 33.67 96.74
Registered Nurses 3.74 2.18 0.75
Licensed Practical / Vocational Nurses 0.73 1.00 1.04
Certified Nursing Assistants 3.75 2.91 2.20
Total Staff Hours 8.22 6.09 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% VA State Avg%
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 6 5
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 96 93
of long-stay residents experiencing one or more falls with major injury 19 97 94
of long-stay residents who have depressive symptoms 0 10 3
of long-stay residents who received an antipsychotic medication 19 5 2
of long-stay residents who were physically restrained 0 4 7
of long-stay residents with a catheter inserted and left in their bladder 0 19 23
of long-stay residents with a urinary tract infection 0 12 15
of short-stay residents assessed and appropriately given the pneumococcal vaccine 100 3 6
of short-stay residents who had an outpatient emergency department visit 6 0 0
of short-stay residents who made improvements in function 84 30 20
of short-stay residents who newly received an antipsychotic medication 0 20 16
of short-stay residents who self-report moderate to severe pain 9 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79 2 4
of short-stay residents who were rehospitalized after a nursing home admission 9 38 53
of short-stay residents who were successfully discharged to the community 63 92 85
of short-stay residents with pressure ulcers that are new or worsened 0 8 12