SeniorHomeViolations
B+
80/100

Cascades at Orchard Park Inspection Report, Violations & Safety Grade (Orem, Utah)

740 North 300 East, Orem, Utah 84057

Phone: 8012240921

CMS Overall:4/5

Overview & Bed Count

Certified Beds
52
Avg Residents/Day
37.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Utah
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityUtah AvgDifference
RN Hours per Resident per Day1.161.24-0.08
Total Nurse Hours per Resident per Day3.424.08-0.65
CMS Staffing Rating2/53.2/5-
Nursing Staff Turnover79.7%50%-

Health Citation History

25 health citations on record

DateCategoryDescriptionSeverity
2025-03-06Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-03-06Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2025-03-06Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-03-06Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-10-19Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2023-10-19Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2023-10-19Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2023-10-19Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-10-19Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-10-19Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-10-19Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-10-19Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2022-01-13Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2022-01-13Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.E – Moderate Harm Potential
2022-01-13Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2022-01-13Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.E – Moderate Harm Potential
2022-01-13Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2022-01-13Infection Control DeficienciesPerform COVID19 testing on residents and staff.E – Moderate Harm Potential
2022-01-13Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E – Moderate Harm Potential
2022-01-13Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2022-01-13Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2022-01-13Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2022-01-13Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-01-13Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2022-01-13Administration DeficienciesConduct 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.D – Moderate Harm Potential

Fire Safety Citation History

2 fire safety citations on record

DateCategoryDescriptionSeverity
2023-10-19Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2022-01-13Emergency Preparedness DeficienciesConduct testing and exercise requirements.D – Moderate Harm Potential

Total Penalties & Fines

$11,992
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2023-10-19Fine$11,992-

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