Orchard Rehabilitation & Nursing Center received 19 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on August 26, 2022. The Medina nursing home’s citations resulted from a total of four inspections by state surveyors. The violations they describe include the following:
1. The nursing home failed to provide provide treatment and services of an adequate level to prevent and heal pressure ulcers and bedsores. Section 483.25(c) of the Federal Code requires nursing home facilities to ensure that residents who enter without pressure sores do not develop pressure sores unless unavoidable; it also requires that that residents with pressure sores receive adequate treatment and services. An April 2022 citation found that Orchard Rehabilitation & Nursing Center failed to ensure such. The citation specifically describes a resident with a pressure ulcer for whom the facility’s Wound Consultant recommended that their heel be “floated in bed to off-load pressure.” According to the citation, the facility did not ensure the resident’s heel was floated per that recommendation. In an interview, the wound consultant stated that “if the heel was not being floated as recommended it could have attributed to the wound[‘]s deterioration.” A plan of correction undertaken by the facility included the education of nursing staff.
2. The nursing home did not provide an adequate quality of care. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with a high level of treatment and care, “in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents’ choices.” An April 2021 citation found that Orchard Rehabilitation & Nursing Center failed to ensure such. The citation specifically describes a resident for whom “infection control practices were not maintained during a wound care treatment.” Among other things, the citation states, a nurse cleansed the resident’s wound before lowering their extremity onto a “soiled pillow case.” A plan of correction undertaken by the facility included the replacement of the soiled linen and the re-education of “every nurse” regarding the facility’s “Clean/Aseptic Dressing Change policy.”
3. Section 483.80 of the Federal Code requires nursing homes to prevent diseases and infections by establishing and maintaining an infection prevention and control program. A February 2021 citation found that Orchard Rehabilitation & Nursing Center failed to ensure such. The citation specifically describes a failure to prevent that staff wore appropriate personal protective equipment in a Covid-positive unit. The citation states further that five staff members were not adequately screened for Covid-19 symptoms. A plan of correction undertaken by the facility included the posting of correct signage on the Covid-positive unit and the re-education of all facility staff concerning Covid-19 screenings.
The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents. Please contact us to discuss in the event you have a potential case involving neglect or abuse.