The Orchards at Big Rapids
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Medication Error
Resident Neglect
Wound Care
Penalty
$55,711
Outcome
The Orchards at Big Rapids in Big Rapids, MI was fined $55,711 by CMS following 28 deficiency citations identified during federal surveys.
Details
The Orchards at Big Rapids (Big Rapids, MI) — $55,711 in CMS Fines
Outcome: The Orchards at Big Rapids in Big Rapids, MI was fined $55,711 by CMS following 28 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide safe and appropriate respiratory care 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.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works