ORCHARD CREEK SKILLED NURSING

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Orchard Creek Skilled Nursing. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Michigan are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/29/2010.

Administration

Hire a Qualified Activities Director. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Hire a Qualified Activities Director. Inspection Date: 10/14/2009 Correction Date: 10/26/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 09/29/2010 Correction Date: 11/22/2010

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/14/2009 Correction Date: 10/26/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/13/2008 Correction Date: 09/25/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/13/2008 Correction Date: 09/25/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 10/14/2009 Correction Date: 10/26/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/14/2009 Correction Date: 10/26/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 08/13/2008 Correction Date: 09/25/2008

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 08/13/2008 Correction Date: 09/25/2008
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 09/29/2010 Correction Date: 10/26/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Orchard Creek Skilled Nursing, as well as complaints by residents or their family in the previous three years.

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 03/11/2009 Correction Date: 04/03/2009

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Complaint Filed: 08/04/2009 Correction Date: 11/03/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 08/04/2009 Correction Date: 11/03/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Orchard Creek Skilled Nursing had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/29/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/14/2009 Correction Date: 10/31/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/13/2008 Correction Date: 09/23/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 10/14/2009 Correction Date: 10/31/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/29/2010 Correction Date: 09/30/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 08/13/2008 Correction Date: 09/23/2008

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/29/2010 Correction Date: 09/30/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/14/2009 Correction Date: 10/31/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/29/2010 Correction Date: 09/30/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 08/13/2008 Correction Date: 09/23/2008
Proper Medical Gas Storage and Administration Areas. Inspection Date: 09/29/2010 Correction Date: 09/30/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/29/2010 Correction Date: 09/30/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 08/13/2008 Correction Date: 09/23/2008

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 08/13/2008 Correction Date: 09/23/2008