The Orchards at Northwest
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Penalty
$15,889
Outcome
The Orchards at Northwest in Detroit, MI was fined $15,889 by CMS following 41 deficiency citations identified during federal surveys.
Details
The Orchards at Northwest (Detroit, MI) — $15,889 in CMS Fines
Outcome: The Orchards at Northwest in Detroit, MI was fined $15,889 by CMS following 41 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 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.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Provide enough food/fluids to maintain a resident's health.
- Provide safe and appropriate respiratory care for a resident when needed.
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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