The Orchards at Warren
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Wound Care
Penalty
$21,273
Outcome
The Orchards at Warren in Warren, MI was fined $21,273 by CMS following 36 deficiency citations identified during federal surveys.
Details
The Orchards at Warren (Warren, MI) — $21,273 in CMS Fines
Outcome: The Orchards at Warren in Warren, MI was fined $21,273 by CMS following 36 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Keep all essential equipment working safely.
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Reasonably accommodate the needs and preferences of each resident.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Provide appropriate foot care.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 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.
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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