Cascades at Orchard Park

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 2
E
F 1
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 3, then 9, then 13 . Latest survey date: 2025-03-06.
Repeat citations
Tag Plain English Previous Latest Sev F0759 Ensure medication error rates are not 5 percent or greater. prior cycle latest cycle D F0880 Provide and implement an infection prevention and control program. prior cycle latest cycle F CMS data shows 2 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-03-06 F0607 Resident protection deficiencies D complaint 2025-04-18 2025-03-06 F0759 Pharmacy Service Deficiencies D standard 2025-04-18 2025-03-06 F0880 Infection Control Deficiencies F standard 2025-04-18
Official CMS inspection narrative
F0607 · 2025-03-06 · severity D
Official inspection narrative not available for this citation.
F0759 · 2025-03-06 · severity D
Official inspection narrative not available for this citation.
F0880 · 2025-03-06 · severity F
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2025-03-06
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
4
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-03-06 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-03-06 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2025-03-06 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2025-03-06 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2023-10-19 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2023-10-19 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
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.
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Survey: 2023-10-19 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2023-10-19 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2023-10-19 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2023-10-19 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2023-10-19 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-10-19 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2022-01-13 | Tag F0561 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Survey: 2022-01-13 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2022-01-13 | Tag F0636 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Survey: 2022-01-13 | Tag F0638 | Resident Assessment and Care Planning Deficiencies | Severity: E
Assure that each resident’s assessment is updated at least once every 3 months.
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Survey: 2022-01-13 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Survey: 2022-01-13 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2022-01-13 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2022-01-13 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2022-01-13 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2022-01-13 | Tag F0838 | Administration Deficiencies | Severity: D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Survey: 2022-01-13 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2022-01-13 | Tag F0886 | Infection Control Deficiencies | Severity: E
Perform COVID19 testing on residents and staff.
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Survey: 2022-01-13 | Tag F0887 | Infection Control Deficiencies | Severity: E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.