Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Orchard View Rehabilitation & Skilled Nursing Ctr during CMS and state inspections, most recent first.
Surveyors found multiple food service deficiencies across several kitchens, including expired and unlabeled food, improperly stored dry goods, and ice machine filters with a thick gray fuzzy substance. Staff personal items and beverages were also stored in resident food areas, and the DM and dietary staff were observed without proper hair or beard coverings while handling food.
Improper Dumpster Waste Disposal and Cleanup: Surveyors observed a compact garbage dumpster leaking a brown liquid substance from an exposed hole, with blue gloves, a plastic drink can, cardboard, plastic container tops, plastic bags, and cigarette butts scattered around the dumpster area. The Maintenance Tech JJ, DON, and Maintenance Director stated the garbage grounds should be cleaned daily and deep cleaned monthly, and that the area should be checked by the end of the day to ensure it was clean.
The facility failed to ensure medications were not left at the bedside for three residents who had no self-administration orders or assessments. R7 had nasal spray, saline laxative, and analgesic cream in the room despite moderate cognitive impairment; R124 had a roll-on cooling pain relief product within reach and stated she used it independently; and R57 had artificial tear eye drops at bedside and also stated she used them independently. The ADON, LPN, and DON confirmed the items were in the rooms without orders for self-administration.
Missing Stop Date for PRN Psychotropic Medication: A resident received PRN Klonopin repeatedly without the required 14-day stop date. The MD order for clonazepam had no stop date, and the MAR showed multiple administrations over the review period. The ADON and DON both acknowledged the oversight and confirmed the medication should have had a 14-day stop date.
A facility failed to develop person-centered care plans for two residents receiving psychotropic medications. One resident had diagnoses including major depressive disorder and a mental disorder, with an MDS showing antipsychotic use and a CAA trigger for psychotropic drug use, but no care plan for the antipsychotic. Another resident’s MDS and physician orders showed use of an antipsychotic and an antidepressant for depression, yet these medications were not included in the care plan, as confirmed by the MDS Coordinator and DON.
A resident with multiple cardiopulmonary diagnoses and an order for PRN nebulizer treatment had nebulizer equipment left uncovered on the nightstand during repeated observations. No plastic storage bag was present in the room, and both an LPN and the DON confirmed the mask, tubing, and mouthpiece should be bagged when not in use.
Expired medication was found in a medication room, and medications prescribed to a resident were left unattended on top of a medication cart in a hallway. An LPN confirmed the cart medications should have been secured inside the cart, and the DON confirmed medications should never be left unattended on top of a cart. Staff also confirmed the expired medication was present in the room.
Infection control procedures were not followed during care for three residents. An LPN completed fingerstick glucose testing, then placed the used glucometer on the med cart without a barrier, cleaned it with one germicidal wipe, and did not sanitize her hands before returning to the resident’s room. During wound care for a resident with a sacral pressure ulcer and severe cognitive impairment, the Wound Care Nurse left a used towel on the bedside table and did not sanitize the table after the procedure. During catheter care for a resident with an indwelling urinary catheter and EBP orders, a CNA performed the care correctly in several respects but did not wear a gown despite EBP signage directing staff to wear gloves and gowns for high-contact care.
Food Storage, Labeling, and Hygiene Deficiencies in Multiple Kitchens
Penalty
Summary
Food service practices were not followed in multiple kitchens, including the Main Kitchen, Rehabilitation Kitchen, Meadows Terrace Kitchen, Grove Terrace Kitchen, and Garden View Kitchen. Surveyors observed opened food items in dry storage that were not properly stored, food items that were not labeled or dated, and food items that were expired or not discarded by expiration date. In the Main Kitchen, the walk-in refrigerator contained expired lettuce dated 03/01/2026, the dry storage room had a Pork Roast Gravy Mix that was not properly stored and labeled, and both ice machine filters had a thick gray fuzzy substance. In the Rehabilitation Kitchen, cheese, lettuce, tomatoes, and unknown items wrapped in foil were not labeled, and staff beverages and a lunch container with green and gray fuzzy substance were stored with resident food items. In the Meadows Terrace Kitchen, pancakes were expired with a written date of 02/10/2026, an unknown foil-wrapped item was not labeled, a frozen corndog was not properly stored or labeled, and a bag of French toast sticks was not labeled. In the Garden View Kitchen, French toast sticks were not labeled in the refrigerator.
Improper Dumpster Waste Disposal and Cleanup
Penalty
Summary
Dispose of garbage and refuse properly: the facility failed to ensure perishable waste was disposed of properly and kept free from leaks for one of two garbage dumpsters. During observations on 03/06/2026 at 8:04 AM and 03/07/2026 at 10:43 AM, surveyors saw a brown liquid substance leaking from an exposed hole on the side of the compact garbage dumpster. The surrounding dumpster area also contained blue gloves, a plastic drink can, cardboard, plastic container tops, plastic bags, and cigarette butts. During a walk-through observation and interview on 03/07/2026 at 12:55 PM, Maintenance Tech JJ and the DON stated the garbage should be cleaned daily and deep cleaned once a month. On 03/08/2026 at 9:45 AM, the Maintenance Director confirmed the dumpster grounds should be cleaned out daily and checked by the end of the day to ensure the grounds were clean.
Medications Left at Bedside Without Self-Administration Orders
Penalty
Summary
The facility failed to ensure medications were not left at the bedside of three sampled residents who were not assessed for medication self-administration. The facility policy titled, Self-administered medications, treatments, stated that self-administration is permitted by physician order and that the RN Manager assesses resident competency and documents the resident's wishes. However, the record showed no self-administration orders or assessments for R7, R124, or R57, and no care plan for self-administration for R124 or R57. R7 had diagnoses including metabolic encephalopathy, pneumonia, spinal stenosis of the cervical region, and type 2 diabetes without complications, and an MDS BIMS score of 10 indicating moderate cognitive impairment. During observation, nasal spray was found on the bedside table, along with a bottle of saline laxative and a tube of analgesic cream on the dresser; the ADON and DON confirmed these items were in the room without orders and that R7 had not been assessed for self-administration. R124, who had diagnoses including pleural effusion, atelectasis, cardiomegaly, atherosclerotic heart disease, aortic stenosis, ascites/cirrhosis, and obesity, had a BIMS score of 14 and was observed with a roll-on cooling pain relief product at the bedside and within reach; the resident stated she used it independently, and the LPN and DON confirmed there were no self-administration orders. R57, who had diagnoses including anxiety disorder, urinary tract infection, hypertension, and peripheral vascular disease, had a BIMS score of 15 and was independent with ADLs; artificial tear eye drops were observed at the bedside, and the resident stated she used them independently. The LPN confirmed removing the eye drops and stated there were no orders for self-administration, which the DON also confirmed.
Missing Stop Date for PRN Psychotropic Medication
Penalty
Summary
The facility failed to ensure a stop date was implemented, not to exceed 14 days, for one resident’s PRN psychotropic medication. A review of the facility policy titled Psychotropic Medications stated that PRN psychotropic drugs should not be extended beyond 14 days unless the attending physician or prescribing practitioner evaluates the resident for the appropriateness of the medication. For resident R58, physician orders dated 02/06/2026 included Klonopin (clonazepam) 1 mg by mouth every 24 hours as needed, and the order had no stop date. The Medication Administration Record showed that R58 received PRN Klonopin multiple times over the course of the record review period, including administrations on 02/10/2024, 02/11/2026, 02/13/2026, 02/14/2026, 02/16/2026, 02/17/2026, 02/19/2026, 02/23/2026, 02/24/2026, 02/26/2026, 02/27/2026, and 03/03/2026. During interview, the ADON stated the pharmacy usually notified the facility when a stop date was missing and acknowledged that R58’s Klonopin should have had a 14-day stop date, describing it as an oversight. The DON later stated that Unit Managers were responsible for ensuring PRN psychotropic medications had a 14-day stop date and acknowledged that R58’s PRN Klonopin did not have the required stop date.
Incomplete Care Plans for Residents Receiving Psychotropic Medications
Penalty
Summary
The facility failed to develop comprehensive, person-centered care plans for two residents who were receiving psychotropic medications. For one resident with diagnoses including major depressive disorder and a mental disorder, the annual MDS dated 06/25/2025 documented antipsychotic medication use and the CAA summary identified psychotropic drug use as a triggered area, but the care plan contained no plan for antipsychotic medication. Physician orders showed Risperdal 0.25 mg by mouth every morning and at bedtime for major depressive disorder with psychotic features, and the MARs for January, February, and March 2026 showed the medication was administered as ordered. For the second resident, the quarterly MDS documented use of both an antipsychotic and an antidepressant medication, and physician orders showed citalopram 20 mg daily for depression and quetiapine 50 mg every evening for refractory depression. During interviews, the MDS Coordinator acknowledged that the resident was prescribed both medications but that they had not been included in the care plan. The DON stated that antipsychotic medications should be on the care plan and include individualized goals and interventions, and that care plans should provide nursing staff with information about the resident and a plan for providing care.
Improper Storage of Nebulizer Equipment
Penalty
Summary
Proper storage of oxygen equipment was not ensured for one resident who was receiving nebulizer treatment. The resident, identified as cognitively intact on the admission MDS with a BIMS of 14, had diagnoses including pleural effusion, atelectasis, cardiomegaly, atherosclerotic heart disease, aortic stenosis, ascites/cirrhosis, and obesity. The resident had an order for Ipratropium-Albuterol solution to be inhaled via nebulizer every 4 hours as needed for shortness of breath or wheezing. Observations on multiple occasions showed the resident’s nebulizer equipment, including the mask, tubing, and mouthpiece, uncovered and sitting on the nightstand in the resident’s room. No plastic bag was observed in the room for storage of the nebulizer equipment when not in use. During interview, the resident was unsure whether the equipment should be bagged. An LPN confirmed that the nebulizer mask, tubing, and mouthpiece should be bagged, and the DON also confirmed that the nebulizer equipment should be bagged.
Expired Medication Found and Medications Left Unsecured on Cart
Penalty
Summary
Drugs and biologicals were not consistently secured and labeled in accordance with facility policy and accepted storage practices. On 03/07/2026 at 10:14 AM, medications prescribed to R130, including fluticasone furoate and vilanterol inhalation powder and fluticasone propionate nasal spray, were observed sitting on top of an unattended medication cart in the hallway between resident rooms on the Vineyard View Unit. An LPN confirmed the medications should not have been left on top of the cart and should have been stored and secured inside it, and the DON also confirmed that medications should never be left unattended on top of a medication cart and should always be locked inside the cart. The facility also had an expired medication available for use in a medication room. During an observation on 03/07/2026 at 10:49 AM, Mucus Relief Guaifenesin 600 mg Expectorant with an expiration date of 12/2025 was found in the medication room, and an LPN confirmed it was expired. Staff interviews revealed the medication room was checked weekly by the Unit Secretary and the night shift nurse, with expired medications reportedly given to the Unit Manager or DON depending on whether they were narcotics. The DON stated the medication room was checked by central supply, the Unit Secretary, the Unit Manager, the night shift charge nurse, and a nurse consultant quarterly.
Infection Control Lapses During Glucose Testing, Wound Care, and Catheter Care
Penalty
Summary
Infection control procedures were not followed during fingerstick glucose testing for a resident receiving blood glucose monitoring. During observation, the LPN sanitized her hands, put on gloves, and completed the fingerstick in the resident’s room, but then placed the used glucometer on the medication cart without a barrier. She later cleaned the glucometer with one germicidal wipe and placed the wet meter on a napkin to dry, cleaned the exposed area of the medication cart, removed her gloves, and did not sanitize her hands before returning to the resident’s room and pushing the resident in a wheelchair to the common area. The DON and Infection Control Nurse described expected glucometer handling and cleaning practices, including use of barriers and hand hygiene. A resident with diagnoses including pressure ulcer of the sacral region, protein-calorie malnutrition, hypercalcemia, and vitamin D deficiency received wound care to the sacral area. The resident’s MDS showed severe cognitive impairment with a BIMS score of 3 and dependence for multiple activities of daily living, including hygiene and toileting. During wound care, the Wound Care Nurse and a Treatment CNA wore gowns and gloves and used a bedside table with a clean towel to hold supplies while changing the soiled dressing and applying vaseline gauze and saline to the wound. After the procedure, the Wound Care Nurse did not remove the used towel from the bedside table or sanitize the table, and she confirmed this during the observation. A resident with diagnoses including neuromuscular dysfunction of the bladder, urinary tract infection, and acute kidney failure had an indwelling urinary catheter and orders for catheter care every shift, along with enhanced barrier precautions. During observed catheter care, the CNA performed hand hygiene between tasks, changed gloves, and cleaned the catheter and perineal area appropriately, but did not wear a gown. EBP signage and PPE were posted on the resident’s door and instructed staff to wear gloves and a gown for high-contact care, including indwelling urinary catheter care. The CNA confirmed she did not wear a gown and stated she typically only wore one for residents with known infections; the RN/UM and DON also discussed the EBP expectations and acknowledged the signage and PPE requirements.
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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 Columbus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ridgecrest Rehab & Skilled Nursing Center | 0.8 mi | ★★★★★ | 1 | 0 |
| Spring Harbor At Green Island | 2.2 mi | ★★★★★ | 9 | 0 |
| River Towne Center | 4.5 mi | ★★★★★ | 8 | 0 |
| Magnolia Manor Of Columbus Nursing Center - East | 5.2 mi | ★★★★★ | 12 | 0 |
| Magnolia Manor Of Columbus Nursing Center - West | 5.3 mi | ★★★★★ | 3 | 0 |
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