Facility profile · CCN 505093
Orchard Park Health Care & Rehab Center
108 federal citations on record , and 1 federal enforcement actions totaling $101,384.
Record summary
Federal record · Q1 2026108
Total citations
108
Last 3 years
2
Actual harm+
1
Federal penalties
$101,384
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
108 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 12, 2026 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jan 12, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 25, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint |
| Aug 8, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Jul 30, 2025 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint |
| Jun 12, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Jun 12, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 12, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard |
| Jun 12, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jun 12, 2025 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Jun 12, 2025 | F761 | 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. | E | Standard |
| Jun 12, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jun 12, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Standard |
| Jun 12, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jun 12, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 12, 2025 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Jun 12, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jun 12, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 12, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jun 12, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jun 12, 2025 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| Jun 12, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Jun 12, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Apr 23, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Sep 19, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Sep 19, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 9, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Sep 9, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint |
| Sep 9, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Sep 9, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 9, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Sep 9, 2024 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | Standard |
| Sep 9, 2024 | F843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | Standard |
| Sep 9, 2024 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Sep 9, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 9, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Sep 9, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Sep 9, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Sep 9, 2024 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Sep 9, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Sep 9, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Sep 9, 2024 | F758 | 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. | E | Standard |
| Sep 9, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Sep 9, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Sep 9, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Sep 9, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 9, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 9, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 9, 2024 | F688 | 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. | G | Standard |
| Sep 9, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 9, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 9, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Sep 9, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Sep 9, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Sep 9, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Sep 9, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Sep 9, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Sep 9, 2024 | F584 | 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. | E | Standard |
| Sep 9, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Sep 9, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Jul 11, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Jul 11, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Jul 11, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jun 7, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jun 7, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint |
| May 20, 2024 | F584 | 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. | E | Complaint |
| Apr 2, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| Apr 2, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 2, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Jan 31, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Oct 27, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint |
| Oct 27, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Oct 27, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Oct 27, 2023 | F688 | 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. | D | Complaint |
| Oct 27, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 27, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Oct 27, 2023 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Oct 27, 2023 | F584 | 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. | E | Complaint |
| Oct 27, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | C | Standard |
| Oct 27, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 27, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Oct 27, 2023 | F758 | 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. | D | Standard |
| Oct 27, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Oct 27, 2023 | F732 | Post nurse staffing information every day. | C | Standard |
| Oct 27, 2023 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Oct 27, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 27, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Oct 27, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Oct 27, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Oct 27, 2023 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Oct 27, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Oct 27, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 27, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Oct 27, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Oct 27, 2023 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Oct 27, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Oct 27, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Oct 27, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Oct 27, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Sep 19, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $101,384 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 9, 2024 | Fine | $101,384 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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