All citations for The Orchards at Three Rivers

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 Three Rivers

Last standard health inspection on record

March 5, 2026

Showing 26 to 50 of 93 citations

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

  2. 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 November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

  3. 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 November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 5, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

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

    Health citation F-0882, Infection Control Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  8. 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 March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of December 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

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

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

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

    Health citation F-0741, Quality of Life and Care Deficiencies. Inspection of November 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 26, 2025).

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

    Provide care by qualified persons according to each resident's written plan of care.

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

    Health citation F-0659, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

  25. 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 November 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2024).

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.