Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 235354

The Orchards At Three Rivers

62 federal citations on record , including 1 at the Immediate Jeopardy level.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
62
Total citations
57
Last 3 years
3
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care18 Care Planning9 Administration6 Abuse & Neglect6 Infection Control6

Most common F-tags at this facility

F6897 F8804 F6843 F6563 F6573

Citation history

62 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Dec 23, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Dec 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Dec 23, 2025F803Ensure 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.EComplaint
Dec 23, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 23, 2025F584Honor 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.EComplaint
Dec 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Nov 25, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EComplaint
Nov 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Nov 25, 2025F610Respond appropriately to all alleged violations.EComplaint
Nov 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Nov 25, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Oct 30, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Oct 30, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Oct 30, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint
Oct 30, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Oct 30, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 30, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Oct 30, 2025F730Observe each nurse aide's job performance and give regular training.FComplaint
Oct 30, 2025F679Provide activities to meet all resident's needs.DComplaint
Oct 30, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.JComplaint
Oct 30, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 4, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 4, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
Aug 4, 2025F761Ensure 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.DComplaint
Aug 4, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Aug 4, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 4, 2025F659Provide care by qualified persons according to each resident's written plan of care.EComplaint
Apr 3, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Apr 3, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 3, 2025F803Ensure 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.FComplaint
Apr 3, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Apr 3, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 3, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Nov 15, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Nov 15, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard
Nov 15, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Nov 15, 2024F887Educate 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.DStandard
Nov 15, 2024F880Provide and implement an infection prevention and control program.FStandard
Nov 15, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Nov 15, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Nov 15, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 13, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 13, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 21, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Oct 4, 2023F880Provide and implement an infection prevention and control program.DStandard
Oct 4, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 4, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jul 14, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Jul 14, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 14, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 14, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 14, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
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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