Orchard Post Acute
Inspection Findings
F-Tag F0812
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
office, the CDM stated cleaning the ice machine was a daily responsibility assigned to the aides. The CDM stated she did not realize the dietary staff needed to clean the sides and underneath areas more thoroughly. The CDM stated she did not notice the rust and water buildup on the ice machine. The CDM stated dietary staff, and maintenance should work together to ensure there was no buildup on the ice machine. The CDM stated the ice from the ice machine was served to residents. The CDM stated the expectation from dietary staff was that daily attention was needed for exterior surfaces. The CDM stated cross contamination could occur and residents could get sick. The CDM stated it was important that both
the outside and inside of the machine be cleaned regularly.During a concurrent interview and record review with the Administrator (ADM) and the Director of Nursing (DON) on 11/19/2025 at 5:05 p.m. in the DON's office, the pictures of the ice machine showing white, black and green substances on the exterior side of
the ice machine, the picture of the clean white paper towel showing a brownish green substance and the picture of the MTD's finger with a small quantity of black substance from running his finger along the side of
the ice machine were reviewed. The ADM and DON confirmed the presence of the substances. The DON and the ADM stated they were unaware of the substances on the ice machine. The ADM stated the substance looked like a collection of dirt. The DON stated the outside of the ice machine would not create a concern for her, for the residents or for the ice to get cross contaminated. The DON stated that staff were expected to keep the ice machine clean both inside and outside. The DON stated that cleaning the ice machine was important for maintaining infection control practices and environmental cleanliness, as well as for reducing the potential for bacterial growth, illness, or other health risk. The DON stated a clean environment promotes good health. The DON stated that the facility would initiate plans to add ice machine cleanliness monitoring to the facility's quality assurance and performance improvement (QAPI) programA
review of the facility document titled, Job description: Dietary Supervisor (DS), dated 9/2016, the DS indicated, General Purpose. The Dietary Supervisor will . maintain area and equipment in sanitary condition. Essential Duties .Maintain kitchen and food storage area in a safe, orderly, clean and sanitary manner.During a review of the facility's document titled, MW, undated, the MW indicated, {Named} Ice Systems, . User Responsibility: The product must be installed, cleaned and maintained as described in the Manual furnished with the product.It is the User's responsibility to keep the ice machine and ice storage bin
in a sanitary condition. Without human intervention, sanitation will not be maintained.During a review of the facility's document titled, AWM, 10/2016, the AWM indicated, .Exterior Panels-The front, top and side panels are durable stainless steel. Fingerprints, dust and grease will require cleaning .During the review of
the 2022 Food and Drug Administration (FDA) Food Code, Section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils, indicated, .C. Nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue and other debris .
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If continuation sheet
ORCHARD POST ACUTE in FRESNO, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FRESNO, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ORCHARD POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.