Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Orange Health Care Center during CMS and state inspections, most recent first.
The facility did not ensure that physician visits alternated with APRN visits every sixty days as required, resulting in only APRNs conducting routine and follow-up visits for several residents with complex medical conditions. Staff interviews confirmed that the physician only completed initial admission visits and did not document subsequent required visits, and the facility could not provide a policy on physician visit requirements.
Staff did not promptly inform a resident, the resident's doctor, and a family member about important events such as injury, decline, or room changes that affected the resident, as required by regulations.
A resident with multiple chronic conditions was discharged home, but the facility did not notify the Ombudsman's office as required. Review of records showed that for several months, only hospitalizations and involuntary discharges were reported, not routine discharges. Interviews with staff revealed they were unaware of the requirement to report all discharges and transfers to the Ombudsman.
The facility did not complete the care plan within 7 days of the comprehensive assessment, and the care plan was not prepared, reviewed, and revised by a team of health professionals as required.
Three residents with wounds or skin conditions did not receive care according to physician orders, including failure by staff to set alternating pressure mattresses to the correct weight and to verify settings as required. One resident with a surgical wound experienced several days of excessive bleeding and frequent dressing changes, but staff did not notify the physician or surgical team in a timely manner, instead only documenting the issue in a notification binder. Facility policy for wound care and monitoring was not followed, and there was a lack of regular assessment and communication regarding changes in wound status.
Failure to Alternate Physician and APRN Visits as Required
Penalty
Summary
The facility failed to ensure that residents were seen by a physician at the required intervals, specifically not alternating physician visits with those of Advanced Practice Registered Nurses (APRNs) every sixty days as mandated. Clinical record reviews for three residents with complex medical histories, including diabetes, chronic kidney disease, dementia, and chronic obstructive pulmonary disease, revealed that after the initial admission visit by the physician, subsequent required visits were conducted only by APRNs. There was no documentation of physician visits or assessments in the residents' charts for extended periods, in some cases spanning over two years. Interviews with facility staff, including the Director of Nursing Services (DNS), APRNs, and the Medical Director, confirmed that the physician was not conducting or documenting the required alternating visits. The Medical Director stated that she only completed the initial admission visits and considered further documentation redundant due to the APRNs' involvement. She also indicated that she was aware of the regulatory requirement for 60-day physician visits but cited resource constraints and the independent practice status of the APRNs as reasons for not adhering to the requirement. The APRNs confirmed that they were responsible for the majority of routine and follow-up visits, including annual comprehensive assessments and 60-day interval visits. The facility was unable to provide a policy outlining the requirements for physician visits and annual physicals when requested. The lack of physician documentation and failure to alternate visits between the physician and APRNs as required led to the deficiency. The findings were based on clinical record reviews, staff interviews, and the absence of relevant facility policies.
Failure to Immediately Notify Resident, Physician, and Family of Significant Events
Penalty
Summary
Facility staff failed to immediately notify the resident, the resident's physician, and a family member about situations that affected the resident, such as injury, decline, or changes in room assignment. This lack of timely communication was observed and documented by surveyors during the review of facility practices and records. The deficiency centers on the facility's failure to ensure that all required parties were promptly informed when significant events impacting the resident occurred, as mandated by regulations.
Failure to Notify Ombudsman of Resident Discharges
Penalty
Summary
The facility failed to notify the Ombudsman's office of a resident's discharge, as required by regulation. Specifically, a resident with diagnoses including rheumatoid arthritis, anemia, and type 2 diabetes mellitus was discharged home with medications and home care services in place. Although the discharge paperwork was reviewed and signed with the resident, a review of the facility's records and the Ombudsman's office reports revealed that the required notification of this discharge was not sent. Further review of transfer notices from January to June showed that no routine discharges were reported to the Ombudsman's office during this period, only hospitalizations. Interviews with facility staff revealed a lack of awareness regarding the requirement to report all discharges and transfers to the Ombudsman's office. The Director of Admissions, responsible for sending these notifications, stated she had only been reporting hospitalizations and involuntary discharges, not routine discharges, and was unaware of the broader reporting requirement. The Administrator also confirmed that the facility did not have a policy for reporting all transfers and discharges, and had only been following the practice of reporting hospitalizations and involuntary discharges.
Failure to Timely Develop and Review Comprehensive Care Plan
Penalty
Summary
The facility failed to develop the complete care plan within 7 days of the comprehensive assessment. The care plan was not prepared, reviewed, and revised by a team of health professionals as required. This deficiency was identified based on the review of facility records and documentation, which showed that the care planning process did not meet the specified timeline and team involvement requirements.
Failure to Follow Wound Care Orders and Timely Physician Notification
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, resident preferences, and goals for three residents with non-pressure skin conditions, including surgical wounds and moisture-associated skin damage. For two residents with orders for alternating pressure mattresses, staff did not ensure the mattresses were set to the correct weight as ordered. Observations revealed that the mattresses were set to 375 pounds, while the residents' actual weights were significantly lower. Nursing staff signed off on the medication administration record (MAR/TAR) indicating the mattress settings were checked, but interviews revealed that staff did not actually verify or adjust the settings as required, instead only confirming that the mattresses were plugged in and operational. The Director of Nursing Services (DNS) confirmed that the settings were incorrect and that proper procedure was not followed. For a resident admitted with surgical wounds following a coronary artery bypass graft, the facility failed to ensure timely management and monitoring of the post-surgical wound. The resident experienced several days of excessive bleeding from a surgical site, requiring dressing changes far more frequently than ordered. Despite this, nursing staff did not notify the physician, APRN, or surgical team in a timely manner, instead only placing entries in a notification binder. Interviews with staff revealed a lack of clarity regarding responsibility for surgical wound management, with some staff believing the outside surgical team was responsible, while others indicated the facility's medical staff should have been notified. The delay in notification and assessment resulted in a lack of timely intervention for the resident's deteriorating wound condition. Facility policy required that residents with wounds be identified, assessed, and provided appropriate treatment, with ongoing monitoring and evaluation. However, the facility did not follow its own policy for surgical wounds, as the wounds were not regularly assessed or managed by the facility's physician, APRN, or wound care nurse. Documentation and interviews confirmed that the facility did not obtain or document wound culture results, and there was a lack of follow-up on changes in the resident's wound status. The failure to monitor, assess, and communicate changes in wound condition led to delays in treatment and appropriate medical intervention.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Orange
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| West Haven Center For Nursing & Rehabilitation | 1.8 mi | ★★★★★ | 2 | 0 |
| Apple Rehab West Haven | 2.5 mi | ★★★★★ | 37 | 1 |
| Advanced Center For Nursing & Rehabilitation | 3.8 mi | ★★★★★ | 20 | 1 |
| Civita Care Center At West River | 4 mi | ★★★★★ | 0 | 0 |
| Grimes Center | 4.1 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.