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Prestige Care & Rehabilitation - The Orchards

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 127
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 11/18/2011

Date of last standard health inspection: 11/18/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in ID: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in ID: 0 - 7

Inspection, 01/08/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/08/2011 03/00/2012 2 Some
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/08/2011 03/00/2012 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/08/2011 03/00/2012 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2011 03/00/2012 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/08/2011 03/00/2012 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/08/2011 03/00/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Offer other nutritional food to each resident who will not eat the food served. 01/08/2011 03/00/2012 2 Some
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/08/2011 03/00/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/08/2011 03/00/2012 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/08/2011 03/00/2012 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/08/2011 03/00/2012 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/08/2011 03/00/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/08/2011 03/00/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/08/2011 03/00/2012 2 Few
Allow residents to self-administer drugs if determined safe. 01/08/2011 03/00/2012 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/08/2011 03/00/2012 2 Few

Inspection, 02/02/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2010 01/06/2011 3 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2010 01/06/2011 2 Some
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/02/2010 01/06/2011 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/02/2010 01/06/2011 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 02/02/2010 01/06/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/02/2010 01/06/2011 2 Few

Inspection, 01/01/2007

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/01/2007 01/04/2008 2 Some

Inspection, 00/01/2007

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/01/2007 03/00/2007 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2007 03/00/2007 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2007 03/00/2007 2 Few

Inspection, 00/01/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/01/2003 01/08/2003 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/01/2003 01/08/2003 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/01/2003 01/08/2003 2 Some
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 00/01/2003 01/08/2003 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/01/2003 01/08/2003 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/01/2003 01/08/2003 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2003 01/08/2003 2 Few
Properly care for residents needing special services 00/01/2003 01/08/2003 colostomy including: injections
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2003 01/08/2003 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2003 01/08/2003 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2003 01/08/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/01/2003 01/08/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 00/01/2003 01/08/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2003 01/08/2003 2 Few
Reasonably accommodate the needs and preferences of each resident. 00/01/2003 01/08/2003 2 Few
Immediately tell the resident 00/01/2003 01/08/2003 and a family member of situations (injury/decline/ the resident's doctor

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in ID Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 50 78
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 23 hours 43 minutes 1 hour 24 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 22 hours 55 minutes 54 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 22 hours 52 minutes 30 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 24 hours 49 minutes 3 hours 1 minute

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/22/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 09/22/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in ID: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in ID: 0 - 0

Inspection, 01/08/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/08/2010 01/01/2011 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/08/2010 00/02/2011 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/08/2010 00/02/2011 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/08/2010 00/02/2011 2 Some

Inspection, 00/01/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/01/2010 02/05/2010 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2010 02/05/2010 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 00/01/2010 02/05/2010 2 Few

Inspection, 02/02/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/02/2009 02/07/2010 2 Some
Automatic sprinkler systems that have been maintained in working order. 02/02/2009 02/07/2010 2 Few
 

1014 Burrell Avenue
Lewiston, ID 83501

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