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 Dogwood Village Of Orange County Health And Rehab during CMS and state inspections, most recent first.
A resident with Parkinson's disease did not receive her prescribed medications, including Sinemet, on time as required by her baseline care plan. Medication administration records showed repeated delays in giving medications, and the resident reported increased pain as a result. Staff interviews confirmed responsibility for following care plans, but the facility did not ensure timely medication administration as ordered by the physician.
A resident with Parkinson's disease did not receive Sinemet and other medications within the prescribed timeframes, as confirmed by medication records and staff interviews. The facility's policy requires medications to be administered within 60 minutes of the scheduled time, but multiple doses were given late, leading to the resident experiencing increased pain.
Staff failed to store food in a sanitary manner, including keeping a bag of Swiss cheese cubes past its use-by date in the kitchen refrigerator. Additionally, two electric fans coated in dust were observed blowing directly onto clean dishware and food storage containers in the dish washing room, with the director of dining services confirming the fans were not clean and were in use above clean items.
Staff failed to serve food at a palatable temperature on the South Ground unit. A test tray containing pork, stewed tomatoes, lima beans, and chicken noodle soup was served to a resident after being held in a food cart, and subsequent temperature checks showed all items were below acceptable serving temperatures. The Director of Dining Services and Dietary Supervisor confirmed the food was not palatable due to low temperatures, and facility leadership was notified.
Staff did not ensure privacy for residents in most semi-private rooms, as both closets were located on one side, requiring a resident to cross the privacy curtain and enter their roommate's space to access personal belongings. Interviews with two cognitively intact residents and staff confirmed this practice, and facility leadership acknowledged the issue.
A resident with a urinary Foley catheter for urinary retention was observed with an uncovered catheter bag attached to their wheelchair, visible from the hallway. An LPN confirmed that catheter bags should be covered for privacy and dignity, in accordance with facility policy.
Staff did not update the care plans for two residents after each experienced significant weight loss, despite both being at risk for nutritional issues and having complex medical histories. Although the weight loss was recognized in clinical notes and by the interdisciplinary team, the care plans were not revised to address these changes, contrary to facility policy and staff expectations.
Staff failed to clarify physician orders for oxygen therapy for two residents, administering oxygen within a prescribed range without confirming a specific rate. A nurse acknowledged that oxygen is a medication and parameters should not be used for its dosage, but the facility's policy did not address this issue. Administrative staff were informed of the concern.
An LPN was observed dropping a multivitamin tablet onto the medication cart during preparation and, instead of discarding it, picked it up with a gloved hand and administered it to a resident. The facility's medication administration policy did not address this issue.
Failure to Implement Baseline Care Plan for Timely Medication Administration
Penalty
Summary
Facility staff failed to implement the baseline care plan for a resident with Parkinson's disease, specifically regarding timely medication administration. The resident reported not receiving her Sinemet, a medication for Parkinson's, on time over several days, resulting in increased pain. Clinical record review confirmed multiple instances where medications, including Sinemet, Metoprolol, Baclofen, and Celecoxib, were administered significantly later than the times ordered by the physician. The resident's care plan directed staff to administer medications as ordered by the physician. Interviews with staff, including an LPN and administrative staff, confirmed that all staff are responsible for ensuring care plans are followed. Facility policy requires that a baseline care plan be developed within 48 hours of admission and that residents receive the services and items included in the plan. Despite this, the resident did not receive medications according to the prescribed schedule, as documented in the medication administration records and corroborated by the resident's account.
Failure to Administer Medications According to Physician Orders
Penalty
Summary
Facility staff failed to administer medications according to physician orders for one resident diagnosed with Parkinson's disease. The resident reported not receiving her Sinemet, a medication for Parkinson's, on time over several days, resulting in increased pain. Review of the clinical record and medication administration records showed multiple instances where Sinemet and other medications, such as Metoprolol, Baclofen, and Celcoxib, were given outside the prescribed administration times. For example, Sinemet scheduled for 2:00 a.m. was administered at 5:29 a.m., and another dose scheduled for 9:00 a.m. was given at 12:27 p.m. Interviews with nursing staff and administrative staff confirmed that facility policy requires medications to be administered within 60 minutes before or after the scheduled time, unless otherwise specified by the physician. Despite this policy, the records indicated repeated late administration of medications. The resident's care plan and facility policy were reviewed, and staff acknowledged the expectation for timely medication administration, but the documented practice did not align with these requirements.
Unsanitary Food Storage and Dishware Handling
Penalty
Summary
Facility staff failed to store and maintain food and dishware in a sanitary manner in the facility kitchen. During an observation of the kitchen's walk-in refrigerator, a two-pound bag of Swiss cheese cubes was found on a shelf with a use-by date of 1/31/25, indicating it was past its use-by date and still available for use. Additionally, the facility's policy requires all foods to be covered, labeled, and dated, and for opened food items to have a use-by date, which was not followed in this instance. Further observations in the kitchen's dish washing room revealed two electric fans mounted above a table blowing directly onto racks of clean dining plates, pans, and food storage containers. The fan blades and guards were coated in dust, and the fans were in operation while blowing onto clean dishware. The director of dining services confirmed the fans were not clean and acknowledged that they were blowing on clean items, which could result in contamination. The facility's staff were made aware of these findings during the survey.
Food Served Below Palatable Temperature on South Ground Unit
Penalty
Summary
Facility staff failed to serve food at a palatable temperature on the South Ground unit, as observed during a survey. On the specified date, a test tray containing pork, stewed tomatoes, lima beans, and chicken noodle soup was placed in a food cart and sent to the unit. The tray was monitored by surveyors and facility staff, and the last lunch tray was served to a resident approximately 15 minutes after the tray was placed in the cart. Upon removal of the test tray, staff measured the food temperatures and found them to be below acceptable levels: pork at 126°F, lima beans at 120°F, stewed tomatoes at 114°F, and chicken noodle soup at 130°F. Both the Director of Dining Services and the Dietary Supervisor sampled the food and confirmed it was not palatable due to the low temperatures. Facility leadership was informed of these findings later that day. No further information was provided prior to the survey exit.
Failure to Provide Resident Privacy Due to Closet Placement in Semi-Private Rooms
Penalty
Summary
Facility staff failed to provide adequate privacy for residents in 71 out of 88 semi-private rooms by not ensuring that each resident had a closet located on their designated side of the room. In these rooms, both built-in closets were situated on one resident's side, requiring the other resident to cross the privacy curtain and enter their roommate's space to access their personal belongings. This arrangement was confirmed through direct observation during the survey, as well as through interviews with staff and residents. Interviews with cognitively intact residents revealed that they had to enter their roommate's side of the room to access their own closets. Staff interviews further confirmed that this was a common practice, and that some residents either could not or chose not to retrieve their belongings themselves, relying on staff assistance. The director of maintenance acknowledged the lack of closets on both sides of the semi-private rooms, and no policy regarding privacy in resident rooms was provided by facility administration.
Failure to Maintain Resident Dignity with Uncovered Foley Catheter Bag
Penalty
Summary
Facility staff failed to maintain the dignity of a resident with a urinary Foley catheter. The resident, who had a physician's order for a urinary catheter due to urinary retention, was observed sitting in a wheelchair in their bedroom with the catheter bag attached under the wheelchair. The catheter bag, containing visible urine, was not covered for privacy and was visible from the hallway. During an interview, an LPN confirmed that catheter bags should be covered for privacy and dignity. The facility's policy requires that residents be treated with dignity and respect at all times.
Failure to Revise Care Plans After Significant Weight Loss
Penalty
Summary
Facility staff failed to review and revise the comprehensive care plans for two residents following significant weight loss. For one resident with multiple diagnoses including osteomyelitis, spina bifida, diabetes mellitus, and a right below-knee amputation, the care plan initially addressed risks related to nutritional status and obesity, with interventions to monitor height and weight. Despite a documented weight loss of over 18% between two assessments, there was no revision of the care plan to address this significant change. Clinical notes indicated the weight loss was attributed to fluid reduction, and wound healing supplements were added, but the care plan itself was not updated to reflect these developments. A second resident, admitted with conditions such as cellulitis, venous stasis ulcers, and morbid obesity, also experienced a significant weight loss of over 17% within a similar timeframe. The care plan for this resident focused on risks related to morbid obesity and other metabolic conditions, with interventions to monitor weight as ordered. Despite the substantial weight loss, there was no documented revision of the care plan to address the change. Registered dietician notes and staff interviews confirmed awareness of the weight loss, but the care plan remained unchanged. Interviews with nursing staff and the director of nursing confirmed that care plans are based on resident assessments and should be updated when significant changes, such as notable weight loss, occur. Facility policy also requires the care planning team to update care plans in response to significant changes in a resident's condition. However, in both cases, the care plans were not revised after the residents experienced significant weight loss, as confirmed by record review and staff interviews.
Failure to Clarify Physician Orders for Oxygen Administration
Penalty
Summary
Facility staff failed to provide safe and appropriate respiratory care for two residents by not clarifying physician orders for oxygen administration. For one resident, the clinical record showed a physician's order for continuous oxygen at 2.5 to 3.5 liters per minute via nasal cannula, but staff administered oxygen at three liters per minute without clarifying the specific rate. A registered nurse acknowledged that the facility uses parameters for oxygen orders, but stated that oxygen is a medication and parameters should not be used for medication dosages, indicating the order should have been clarified. The facility's policy on oxygen administration did not address this issue. Similarly, another resident had a physician's order for continuous oxygen at 1.5 to 2.5 liters per minute via nasal cannula, but was observed receiving oxygen at two liters per minute. The same registered nurse reiterated concerns about using parameters for oxygen orders and the need for clarification. Facility administrative staff, including the chief executive officer and director of nursing, were made aware of these concerns, but the deficiency was based on the lack of clarification and adherence to specific physician orders for oxygen therapy.
Failure to Maintain Infection Control During Medication Administration
Penalty
Summary
Facility staff failed to implement proper infection control practices during medication administration for one resident. During observation, an LPN dropped a multivitamin tablet onto the medication cart while preparing medications for the resident. Instead of discarding the contaminated tablet, the LPN picked it up with a gloved hand and placed it into a medication cup, subsequently administering it to the resident. The LPN later acknowledged in an interview that the tablet should have been thrown away. Review of the facility's policy on medication administration revealed it did not address this specific concern.
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Illustrative
What surveyors actually found near you
We read the 59 citations issued within 25 miles in the last 12 months — 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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Orange
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountain View Nursing Home | 7.7 mi | ★★★★★ | 3 | 0 |
| Autumn Care Of Madison | 13.9 mi | ★★★★★ | 1 | 0 |
| The Culpeper | 14.1 mi | ★★★★★ | 0 | 0 |
| Culpeper Health & Rehabilitation Center | 15.2 mi | ★★★★★ | 0 | 0 |
| Louisa Health & Rehabilitation Center | 17.2 mi | ★★★★★ | 0 | 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.