Federal Nursing-Home Survey Record
The Orchards at Harper Woods
Does The Orchards at Harper Woods have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), The Orchards at Harper Woods (CCN 235480), in Harper Woods, MI, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 12 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2025-03-25. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 3.2
Deficiency timeline — full federal history
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Observe each nurse aide's job performance and give regular training.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
38 citations from earlier inspection cycles — historical, not current (expand)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Provide enough food/fluids to maintain a resident's health.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide appropriate foot care.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Keep all essential equipment working safely.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide enough food/fluids to maintain a resident's health.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Ensure each resident receives an accurate assessment.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide care and assistance to perform activities of daily living for any resident who is unable.
Assist a resident in gaining access to vision and hearing services.
Provide appropriate foot care.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Document what happened
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