ORCHARD GROVE EXTENDED CARE CENTER

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 Grove Extended Care Center. 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

Special Care High

Clinically Complex

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 03/04/2011.

Administration

Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job. Inspection Date: 02/26/2010 Correction Date: 04/16/2010
Train All Employees on What to Do in an Emergency. Inspection Date: 02/26/2010 Correction Date: 04/16/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 03/04/2011 Correction Date: 04/12/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/26/2010 Correction Date: 04/16/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/26/2010 Correction Date: 04/16/2010
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/04/2011 Correction Date: 04/12/2011
Provide Needed Housekeeping and Maintenance. Inspection Date: 03/04/2011 Correction Date: 04/12/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/04/2011 Correction Date: 04/12/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/26/2010 Correction Date: 04/16/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 03/04/2011 Correction Date: 04/12/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 02/26/2010 Correction Date: 04/16/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 03/04/2011 Correction Date: 04/12/2011

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 04/09/2009 Correction Date: 05/05/2009

Resident Assessment

Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 02/26/2010 Correction Date: 04/16/2010

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Have a Private Telephone Available for Use. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/09/2009 Correction Date: 05/05/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 03/04/2011 Correction Date: 04/12/2011

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 Grove Extended Care Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 11/03/2010 Correction Date: 11/19/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others. Complaint Filed: 03/31/2011 Correction Date: 04/20/2011

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 11/03/2010 Correction Date: 11/19/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 11/03/2010 Correction Date: 11/19/2010

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 Grove Extended Care Center 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 03/03/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/14/2009 Correction Date: 04/27/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System. Inspection Date: 04/14/2009 Correction Date: 05/15/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 04/14/2009 Correction Date: 04/23/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/14/2009 Correction Date: 04/15/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/25/2010 Correction Date: 04/15/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/25/2010 Correction Date: 04/15/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/03/2011 Correction Date: 03/31/2011

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/14/2009 Correction Date: 09/30/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 02/25/2010 Correction Date: 04/15/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/25/2010 Correction Date: 04/15/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/03/2011 Correction Date: 03/31/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 03/03/2011 Correction Date: 03/31/2011

Fire Alarm Systems

An Automatic Smoke Detection System in All Hallways. Inspection Date: 04/14/2009 Correction Date: 04/15/2009
Properly Maintained Smoke Detectors. Inspection Date: 04/14/2009 Correction Date: 04/15/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System. Inspection Date: 04/14/2009 Correction Date: 05/15/2009
An Automatic Smoke Detection System in All Hallways. Inspection Date: 02/25/2010 Correction Date: 04/15/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/14/2009 Correction Date: 04/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/25/2010 Correction Date: 04/15/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/03/2011 Correction Date: 03/31/2011
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 03/03/2011 Correction Date: 03/31/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 04/14/2009 Correction Date: 05/15/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/25/2010 Correction Date: 04/15/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 04/14/2009 Correction Date: 04/28/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/14/2009 Correction Date: 04/15/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 04/14/2009 Correction Date: 04/15/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/25/2010 Correction Date: 04/15/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 03/03/2011 Correction Date: 03/31/2011