All citations for The Orchards at Douglas Cove

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Orchards at Douglas Cove

Last standard health inspection on record

July 17, 2025

Showing 1 to 15 of 15 citations

  1. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  2. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  3. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  7. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  8. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  10. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  11. No harm, with potential for more than minimal harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0131, Construction Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  12. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  13. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 21, 2024).

  14. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 14, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.