ORCHARDS AT TULARE
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$132,586
Outcome
ORCHARDS AT TULARE in TULARE, CA was fined $132,586 by CMS across 2 separate penalties following 85 deficiency citations identified during federal surveys.
Details
ORCHARDS AT TULARE (TULARE, CA) — $132,586 in CMS Fines
Outcome: ORCHARDS AT TULARE in TULARE, CA was fined $132,586 by CMS across 2 separate penalties following 85 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide and implement an infection prevention and control program.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- 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.
- 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.
- Assess the resident when there is a significant change in condition
- Ensure each resident receives an accurate assessment.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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