All citations for The Villages of Orleans Health and Rehabilitation

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 Villages of Orleans Health and Rehabilitation

Last standard health inspection on record

January 31, 2025

Showing 1 to 22 of 22 citations

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  2. 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 July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

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

    Fire safety citation K-0111, Construction Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  5. 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 July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  9. 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 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  13. 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 July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2023).

  16. 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 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  19. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  20. 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.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  22. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of July 21, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.