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The Orchard
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20 Delfae Drive
Warsaw, VA 22572
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 80 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| 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: 01/12/2012
| Date of last standard health inspection: | 01/12/2012 |
| 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 VA: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in VA: | 0 - 16 |
Inspection, 01/04/2007
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Operate and provide services according to Federal, State, and local laws and professional standards. | 01/04/2007 | 02/05/2008 | 2 | Few |
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. | 01/04/2007 | 02/05/2008 | 2 | Few |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/04/2007 | 02/05/2008 | 2 | 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. | 01/04/2007 | 02/05/2008 | 2 | Few |
| Develop policies and procedures for influenza and pneumococcal immunizations. | 01/04/2007 | 02/05/2008 | 2 | 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. | 01/04/2007 | 02/05/2008 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/04/2007 | 02/05/2008 | 2 | Few |
Inspection, 02/04/2003
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 02/04/2003 | 00/06/2005 | 1 | Some |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/04/2003 | 00/06/2005 | 2 | Few |
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. | 02/04/2003 | 00/06/2005 | 1 | Many |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/04/2003 | 02/07/2004 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 02/04/2003 | 00/06/2005 | 2 | Few |
| 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. | 02/04/2003 | 00/06/2005 | 1 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/04/2003 | 02/07/2004 | 3 | Few |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 02/04/2003 | 00/06/2005 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 02/04/2003 | 00/06/2005 | 2 | Some |
| Use a registered nurse at least 8 hours a day, 7 days a week. | 02/04/2003 | 02/05/2003 | 2 | Many |
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. | 02/04/2003 | 00/06/2005 | 2 | Few |
Inspection, 02/09/2002
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 02/09/2002 | 01/05/2003 | 2 | 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. | 02/09/2002 | 01/05/2003 | 2 | Few |
Inspection, 01/02/2001
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. | 01/02/2001 | 02/05/2002 | 2 | Few |
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. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/02/2001 | 02/05/2002 | 2 | Few |
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. | 01/02/2001 | 02/05/2002 | 2 | Few |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 01/02/2001 | 00/00/0000 | 2 | Few |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/02/2001 | 02/05/2002 | 2 | Some |
| Ensure that residents are safe from serious medication errors. | 01/02/2001 | 02/05/2002 | 3 | Few |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Ensure that residents are safe from serious medication errors. | 01/02/2001 | 02/05/2002 | 3 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/02/2001 | 02/05/2002 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/02/2001 | 01/05/2003 | 2 | Some |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/02/2001 | 00/00/0000 | 2 | Some |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/02/2001 | 02/05/2002 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Assess in a timely manner the resident when the resident enters the nursing home. | 01/02/2001 | 02/05/2002 | 2 | Few |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 01/02/2001 | 02/05/2002 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/02/2001 | 02/05/2002 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 01/02/2001 | 02/05/2002 | 2 | Some |
| Give residents a notice of rights, rules, services and charges. | 01/02/2001 | 02/05/2002 | 2 | Some |
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 VA | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 1 out of 5 stars |
| Total Number of Residents | 85 | 98 | 78 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 9 hours 33 minutes | 1 hour 6 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 8 hours 31 minutes | 21 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 8 hours 57 minutes | 44 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 10 hours 8 minutes | 1 hour 56 minutes |
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: 01/27/2012
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 01/27/2012 |
| 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 VA: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in VA: | 0 - 0 |
Inspection, 02/01/2007
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/01/2007 | 02/07/2008 | 2 | Few |
Inspection, 01/01/2004
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/01/2004 | 00/02/2006 | 2 | Few |
| Portable fire extinguishers. | 01/01/2004 | 00/02/2006 | 2 | Few |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/01/2004 | 00/02/2006 | 2 | Few |
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. | 01/01/2004 | 00/02/2006 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/01/2004 | 00/02/2006 | 2 | Few |
Inspection, 02/07/2001
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/07/2001 | 00/00/0000 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/07/2001 | 00/00/0000 | 2 | Few |
