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 26 to 50 of 63 citations

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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Meet other general requirements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0100, Construction Deficiencies. Inspection of October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 October 25, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 24, 2021).
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 November 17, 2025. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection.
No harm, with potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Isolated (one or a few residents). CMS level D.
Health citation F-0578, Resident Rights Deficiencies. Inspection of January 31, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Isolated (one or a few residents). CMS level D.
Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
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 January 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 31, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Isolated (one or a few residents). CMS level D.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of January 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (March 14, 2025).
No harm, with potential for more than minimal harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Isolated (one or a few residents). CMS level D.
Health citation F-0622, Resident Rights Deficiencies. Inspection of January 12, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 9, 2024).

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.