Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Cascades At Orchard Park during CMS and state inspections, most recent first.
The facility did not have a policy or process in place to ensure staff were fit tested for N95 respirators, as required by CDC and OSHA guidelines. Interviews with the IP, DON, and Administrator confirmed that no staff had been fit tested for over two years, and none of the interviewed leaders had been fit tested themselves. This deficiency had the potential to affect all residents, as staff may not have been adequately protected when caring for individuals with suspected or confirmed SARS-CoV-2 infection.
A facility failed to develop comprehensive procedures for investigating abuse allegations, as highlighted by an incident involving a resident's report of inappropriate touching by a male staff member. The investigation lacked proper documentation and thoroughness, with the Administrator and DON admitting to incomplete interviews and insufficient evidence handling. This deficiency underscores the facility's inability to effectively manage and document serious allegations.
A resident with PTSD and a history of abuse reported inappropriate touching by a male staff member. The facility's investigation was inadequate, lacking thorough documentation and failing to identify the alleged perpetrator. Interviews with the Medical Director, Administrator, and DON revealed inconsistencies and insufficient documentation, with the facility unable to verify the allegation.
During a medication pass, two residents received incorrect doses of artificial tears, and one was given a higher dose of magnesium than ordered. The nurse did not follow the facility's medication administration policy, resulting in a medication error rate of 10%, which exceeds the acceptable threshold.
Failure to Fit Test Staff for N95 Respirators
Penalty
Summary
The facility failed to ensure that all staff members were fit tested for N95 respirators, as required by CDC and OSHA guidelines. There was no policy in place for fit testing N95 respirators, and interviews with the Infection Preventionist (IP), Director of Nursing (DON), and Administrator revealed that none of them had been fit tested, nor were they aware of when or why the practice had stopped. The IP confirmed that no fit testing had occurred since she began working at the facility two and a half years prior, and the DON, who had been employed for seven months, also had not been fit tested. The Administrator was unaware of the current status of fit testing and had not been fit tested himself. The lack of fit testing was identified through interviews and a review of relevant CDC, FDA, and OSHA guidance, all of which require fit testing for N95 respirators to ensure proper protection for healthcare personnel. The deficiency had the potential to affect all 36 residents in the facility, as staff may not have been adequately protected when caring for residents with suspected or confirmed SARS-CoV-2 infection. The facility also lacked a written policy outlining fit testing requirements for staff.
Inadequate Abuse Investigation Procedures
Penalty
Summary
The facility failed to develop and implement comprehensive written procedures for investigating allegations of abuse, misappropriation, and exploitation. The existing policy, titled 'Abuse, Neglect, Exploitation and Misappropriation Prevention Program,' lacked detailed procedures for conducting thorough investigations. Specifically, it did not identify staff responsible for investigations, did not provide guidance on handling evidence, and failed to outline steps for interviewing all involved parties, including the alleged victim, perpetrator, and witnesses. This deficiency was highlighted during the investigation of an allegation made by a resident who reported inappropriate touching by a male staff member. The investigation into the resident's allegation was inadequately documented and executed. The Administrator admitted to interviewing staff and summarizing the findings on a follow-up form but failed to document individual interviews with the resident, doctor, or staff members. The Director of Nursing (DON) also confirmed that no comprehensive interviews were conducted beyond a few staff members and the resident. The lack of a structured investigation process and documentation led to the conclusion that the allegation could not be verified, demonstrating a significant gap in the facility's ability to handle such serious allegations effectively.
Failure to Thoroughly Investigate Abuse Allegation
Penalty
Summary
The facility failed to provide evidence that all allegations of abuse were thoroughly investigated for a resident who had reported an incident of sexual abuse. The facility's policy on abuse prevention required the identification and investigation of all possible incidents of abuse, neglect, mistreatment, or misappropriation of resident property, and to report any allegations within the required timeframes. However, the facility did not have a specific policy for conducting abuse investigations, as stated by the Administrator. The resident involved had a medical history that included PTSD, a personal history of adult physical and sexual abuse, and a traumatic brain injury. The resident was admitted to the facility with moderate cognitive impairment and was at risk for PTSD related to sexual assault. The resident reported that a male staff member touched them inappropriately, which was documented in a state reportable notification. However, the facility's investigation concluded that the allegation could not be verified, and there was no documentation of interviews conducted with the resident, staff, or other potential witnesses. Interviews with the facility's Medical Director, Administrator, and DON revealed inconsistencies and a lack of thorough documentation in the investigation process. The Administrator and DON admitted to not writing down interviews with the resident, staff, or other individuals involved. The DON stated that documentation could have been improved, and the Administrator acknowledged that the only documentation available was the summary on the five-day follow-up report submitted to the state survey agency. The facility was unable to determine the identity of the alleged perpetrator, and no signs of abuse were witnessed by staff.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, as required by policy, resulting in a 10% error rate during observed medication administration. During medication pass, three errors were identified out of 30 opportunities, affecting two residents. One resident with a history of insomnia and CREST syndrome was prescribed artificial tears, two drops in both eyes three times daily, but only received one drop in each eye. The nurse documented that the correct dose was given, but later confirmed only one drop was administered per eye. Another resident with type 2 diabetes was also prescribed artificial tears, two drops in both eyes twice daily, but similarly received only one drop in each eye. Additionally, this resident was ordered magnesium oxide 400 mg by mouth every eight hours but was administered a 500 mg tablet instead. The nurse stated she did not believe the 400 mg tablet was available and did not check the medication room, where only 500 mg tablets were found. Facility policy required medications to be administered as ordered and for staff to verify the correct medication, dose, and route before administration, but these procedures were not followed during the observed medication pass.
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Illustrative
What surveyors actually found near you
We read the 96 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Orem
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stonehenge Of Orem | 1.4 mi | ★★★★★ | 1 | 0 |
| Orem Rehabilitation And Nursing Center | 2.8 mi | ★★★★★ | 0 | 0 |
| Aspen Ridge Of Utah Valley | 3.5 mi | ★★★★★ | 4 | 0 |
| Mission At Alpine Rehabilitation Center | 4.1 mi | ★★★★★ | 34 | 5 |
| Provo Rehabilitation And Nursing | 4.6 mi | ★★★★★ | 8 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.