THE ORCHARDS POST-ACUTE

Nursing Home Bakersfield, CA Medicare and Medicaid
1/5
Overall Rating
1/5
Certified Beds
150
Residents
142
Total Fines
$9,223

Ratings & Quality

Overall
1/5
Health Inspection
1/5
Staffing
3/5
Quality
2/5

Staffing Details

RN Hours per Resident per Day0.49
Total Nurse Hours per Resident per Day3.87
Number of Certified Beds150
Number of Residents142

Inspection Deficiencies (90)

0921 2025-04-29 D Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2025-04-29

0607 2025-03-25 E Not Corrected

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction date: 2025-04-28

0550 2025-03-13 E Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2025-04-03

0552 2025-03-13 E Not Corrected

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction date: 2025-04-03

0584 2025-03-13 D Not Corrected

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.

Correction date: 2025-04-03

0623 2025-03-13 E Not Corrected

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction date: 2025-04-03

0636 2025-03-13 D Not Corrected

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Correction date: 2025-04-03

0656 2025-03-13 D Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2025-04-03

0658 2025-03-13 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2025-04-03

0690 2025-03-13 D Not Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction date: 2025-04-03

0695 2025-03-13 D Not Corrected

Provide safe and appropriate respiratory care for a resident when needed.

Correction date: 2025-04-03

0725 2025-03-13 E Not Corrected

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction date: 2025-04-03

0730 2025-03-13 E Not Corrected

Observe each nurse aide's job performance and give regular training.

Correction date: 2025-04-03

0745 2025-03-13 D Not Corrected

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Correction date: 2025-04-03

0755 2025-03-13 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2025-04-03

0756 2025-03-13 E Not Corrected

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction date: 2025-04-03

0761 2025-03-13 E Not Corrected

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.

Correction date: 2025-04-03

0880 2025-03-13 F Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-04-03

0881 2025-03-13 F Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2025-04-03

0919 2025-03-13 D Not Corrected

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction date: 2025-04-03

0921 2025-03-13 D Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2025-04-03

0626 2025-01-16 D Not Corrected

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Correction date: 2025-01-17

0658 2024-12-11 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2025-01-16

0693 2024-12-11 G Not Corrected

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Correction date: 2025-01-16

0726 2024-12-11 D Not Corrected

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.

Correction date: 2025-01-16

0689 2024-09-27 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2024-10-04

0686 2024-08-28 D Not Corrected

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction date: 2024-09-26

0690 2024-08-27 D Not Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction date: 2024-09-26

0609 2024-07-17 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2024-08-18

0812 2024-06-19 E Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2024-07-15

0925 2024-06-19 E Not Corrected

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction date: 2024-07-15

0677 2024-06-17 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2024-06-22

0580 2024-05-06 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2024-05-29

0755 2024-05-06 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2024-05-29

0676 2024-03-28 D Not Corrected

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Correction date: 2024-03-29

0558 2024-02-15 E Not Corrected

Reasonably accommodate the needs and preferences of each resident.

Correction date: 2024-03-15

0584 2024-02-15 E Not Corrected

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.

Correction date: 2024-03-15

0636 2024-02-15 E Not Corrected

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Correction date: 2024-03-15

0638 2024-02-15 E Not Corrected

Assure that each resident’s assessment is updated at least once every 3 months.

Correction date: 2024-03-15

0645 2024-02-15 D Not Corrected

PASARR screening for Mental disorders or Intellectual Disabilities

Correction date: 2024-03-15

0656 2024-02-15 E Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2024-03-15

0658 2024-02-15 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2024-03-15

0677 2024-02-15 D Not Corrected

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction date: 2024-03-15

0692 2024-02-15 D Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2024-03-15

0698 2024-02-15 E Not Corrected

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction date: 2024-03-15

0742 2024-02-15 D Not Corrected

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Correction date: 2024-03-15

0745 2024-02-15 D Not Corrected

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Correction date: 2024-03-15

0760 2024-02-15 D Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2024-03-15

0761 2024-02-15 D Not Corrected

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.

Correction date: 2024-03-15

0812 2024-02-15 D Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2024-03-15

0842 2024-02-15 D Not Corrected

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction date: 2024-03-15

0867 2024-02-15 E Not Corrected

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Correction date: 2024-03-15

0880 2024-02-15 F Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-03-15

0919 2024-02-15 D Not Corrected

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction date: 2024-03-15

0921 2024-02-15 E Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2024-03-15

0584 2024-02-05 E Not Corrected

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.

Correction date: 2024-02-24

0914 2024-01-22 D Not Corrected

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Correction date: 2024-02-16

0557 2023-11-14 E Not Corrected

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Correction date: 2023-11-24

0658 2023-11-06 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-11-23

0697 2023-10-06 D Not Corrected

Provide safe, appropriate pain management for a resident who requires such services.

Correction date: 2023-10-20

0658 2023-10-02 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-10-20

0725 2023-10-02 D Not Corrected

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Correction date: 2023-10-20

0806 2023-10-02 D Not Corrected

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Correction date: 2023-10-20

0838 2023-10-02 F Not Corrected

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Correction date: 2023-10-20

0609 2023-09-05 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2023-10-06

0689 2023-08-28 D Not Corrected

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction date: 2023-09-16

0658 2023-08-23 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-09-13

0684 2023-08-21 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2023-09-14

0607 2023-07-26 D Not Corrected

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction date: 2023-08-28

0609 2023-07-14 D Not Corrected

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction date: 2023-07-28

0684 2023-05-17 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2023-06-05

0800 2023-05-15 D Not Corrected

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Correction date: 2023-06-20

0692 2023-02-08 D Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2023-02-27

0658 2023-02-07 D Not Corrected

Ensure services provided by the nursing facility meet professional standards of quality.

Correction date: 2023-02-24

0550 2022-04-14 D Not Corrected

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction date: 2022-05-23

0561 2022-04-14 D Not Corrected

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction date: 2022-05-23

0578 2022-04-14 D Not Corrected

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.

Correction date: 2022-05-23

0580 2022-04-14 D Not Corrected

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction date: 2022-05-23

0584 2022-04-14 E Not Corrected

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.

Correction date: 2022-05-23

0641 2022-04-14 D Not Corrected

Ensure each resident receives an accurate assessment.

Correction date: 2022-05-23

0684 2022-04-14 D Not Corrected

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction date: 2022-05-23

0690 2022-04-14 D Not Corrected

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction date: 2022-05-23

0692 2022-04-14 D Not Corrected

Provide enough food/fluids to maintain a resident's health.

Correction date: 2022-05-23

0755 2022-04-14 D Not Corrected

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction date: 2022-05-23

0810 2022-04-14 D Not Corrected

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Correction date: 2022-05-23

0812 2022-04-14 F Not Corrected

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction date: 2022-05-23

0813 2022-04-14 E Not Corrected

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Correction date: 2022-05-23

0881 2022-04-14 D Not Corrected

Implement a program that monitors antibiotic use.

Correction date: 2022-05-23

0908 2022-04-14 D Not Corrected

Keep all essential equipment working safely.

Correction date: 2022-05-23

0921 2022-04-14 D Not Corrected

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction date: 2022-05-23

Penalties & Fines

Date Type Fine Amount
2024-12-11 Fine $9,223

About THE ORCHARDS POST-ACUTE

THE ORCHARDS POST-ACUTE is a medicare and medicaid certified nursing home in Bakersfield, California. The facility has 150 certified beds and currently houses 142 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 90 inspection deficiencies on record. Total fines assessed: $9,223 across 1 penalties. Registered nurse hours are 0.49 per resident per day.