Orchard View Post Acute
Orchard View Post Acute in Lewiston, ID — inspection on August 15, 2025.
Found 8 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R61's admission Record located under the Profile tab of the EMR, revealed he was admitted to the facility on [DATE] and had diagnoses including weakness and limitation of activities due to disability, subdural hemorrhage, and depression.Review of R61's quarterly MDS with an ARD of 05/18/25 and located under the MDS tab of the EMR, revealed a BIMS score of 12 out of 15 which indicated R61 was moderately cognitively impaired. He exhibited minor mood symptoms and no behavioral symptoms. b.
Review of R32's admission Record located under the Profile tab of the EMR, revealed he was admitted to the facility on [DATE] and had diagnoses including intracerebral hemorrhage and depression.Review of R32's quarterly MDS with an ARD of 05/15/25 and located under the MDS tab of the EMR, revealed a BIMS score of nine out of 15 which indicated R32 was moderately cognitively impaired. He exhibited moderate mood symptoms but did not exhibit behavioral symptoms.Review of R61's Alert Charting, dated 05/09/25 and located under the Progress Notes tab of the EMR, revealed At 1020 this LN heard yelling coming from down the hallway, I went into room.and observed [R32] standing up over roommate [R61] who was sitting on his bed. [R32] was yelling at roommate with his hands up making fists. I asked what was going on and [R32] swung and hits [sic] roommate with his Rt [right] hand on [R61] Lt [left] side of his face.
Review of the facility's investigation packet for the above incident, dated 05/16/25 and provided on paper, revealed the incident occurred on 05/09/25 at 10:10 AM.
RN4 observed R32 standing over R61, who was sitting on his bed. R32 was yelling and making fists, and he swung and hit R61 on the face.
Police were contacted and R32 was cited with battery.
Interview with RN4 confirmed R32 punched R61 in the face.
Interview with R32 revealed he admitted to hitting R61 and stated R61 had kicked him in the shin.
Interview with R61 revealed he was hit in the face by R32 and denied kicking R32. R32 had redness to his shin. R61 received minor redness and swelling and did not exhibit signs or symptoms of psychosocial distress.
During an interview on 08/13/25 at 2:17 PM, the DON stated on 05/09/25, an altercation occurred between R32 and R61, who were roommates.
She stated R32 reported R61 kicked him in the leg; however, R61 denied this. R32 was witnessed to punch R61 in the face and R32 denied kicking R61.
The DON stated the police were called and only R32 was issued a citation, as R61 denied kicking R32.
However, R32's shin had redness upon assessment.
The DON stated this was a substantiated case of resident-to-resident abuse.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/15/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Orchard View Post Acute
1014 Burrell Avenue Lewiston, ID 83501
SUMMARY STATEMENT OF DEFICIENCIES
Review of R69's Profile tab of the EMR revealed she was admitted to the facility on [DATE] with diagnosis that include type II diabetes, overactive bladder, schizophrenia disorder, anxiety, bi-polar disorder, and cognitive communication deficit. R69 expired in the facility on [DATE].Review of R69's quarterly MDS with an ARD of [DATE] and located in the MDS tab of the EMR, revealed a BIMS score of 15 out of 15 which indicated R69 was cognitively intact.A review of a Facility Reported Incident (FRI), dated [DATE] and provided by the facility, revealed R69 reported an allegation of sexual abuse when she awoke to a Certified Nursing Assistant (CNA) checking her brief. R69 became upset and asked the CNA to get the supervisor on duty.
R69 reported she felt she was being sexually assaulted when the CNA was checking her brief.
The supervisor reassured R69 that the CNA was checking her brief and calmed her down.
The report indicated that the incident occurred at 1:05 AM and was not reported to the DON until 8:05 AM. A full investigation was then initiated by the DON and reported to the appropriate agencies.
During an interview on [DATE] at 1:37 PM the DON stated that she was notified of the incident when she was getting to work by the nurse on duty.
The DON was aware the nurse should have immediately contacted her and in-serviced the nurse on reporting appropriately.
The DON stated she immediately reported the incident and did a full investigation.
The DON stated that the CNA was suspended during the investigation and was re-instated when the allegation was unsubstantiated but did not work with the resident again.
During an interview on [DATE] at 9:27 PM, Registered Nurse (RN) 3 stated she was called into the R69's room by CNA5. RN3 stated R69 was visibly upset and told her CNA5 had sexually molested her. RN3 stated she explained to R69 that the CNA was checking her brief as she was assigned to do. RN3 stated that R69 stated she was not fully awake and was startled by the incident. RN3 stated she assured R69 that CNA5 would not come into the room and that she would be the only staff to assist her the rest of the night. RN3 stated that R69 calmed down and went back to sleep. RN3 stated she did not send CNA5 home and did not immediately report the incident to the DON.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/15/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Orchard View Post Acute
1014 Burrell Avenue Lewiston, ID 83501
SUMMARY STATEMENT OF DEFICIENCIES
Review of R69's Profile tab of the electronic medical record (EMR) revealed she was admitted to the facility on [DATE] with diagnosis that include type II diabetes, overactive bladder, schizophrenia disorder, anxiety, bipolar disorder, and cognitive communication deficit. R69 expired in the facility on [DATE].Review of R69's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE] and located in the MDS tab of the EMR, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated R69 was cognitively intact.A review of a Facility Reported Incident (FRI), dated [DATE] and provided by the facility, revealed R69 reported an allegation of sexual abuse when she awoke to a Certified Nursing Assistant (CNA) checking her brief. R69 became upset and asked the CNA to get the supervisor on duty. R69 reported she felt she was being sexually assaulted when the CNA was checking her brief.
The supervisor reassured R69 that the CNA was checking her brief and calmed her down.
The report indicated that the incident occurred at 1:05 AM and was not reported to the Director of Nursing (DON) until 8:05 AM. A full investigation was then initiated by the DON.
During an interview on [DATE] at 1:37 PM, the DON stated that she was not notified of the incident until she arrived at work by the nurse on duty.
The DON stated she did a full investigation.
The DON stated that the CNA was not suspended until she received the report at 8:00 AM but was re-instated when the allegation was unsubstantiated and did not work with the resident again.
During an interview on [DATE] at 9:27 PM, Registered Nurse (RN) 3 stated she was called into the R69's room by CNA5. RN3 stated R69 was visibly upset and told her CNA5 had sexually molested her. RN3 stated she explained to R69 that the CNA5 was checking her brief as she assigned to do. RN3 stated that R69 stated she was not fully awake and was startled by the incident. RN3 stated she assured R69 that CNA5 would not come into the room and that she would be the only staff to assist her the rest of the night. RN3 stated that R69 calmed down and went back to sleep. RN3 stated she did not send CNA5 home at the time of the incident and did not immediately report the incident to DON because she told CNA5 not to go back in the room and took over the care of R69.
Facility ID:
Federal health inspectors cited ORCHARD VIEW POST ACUTE in LEWISTON, ID for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ORCHARD VIEW POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.
Federal health inspectors cited ORCHARD VIEW POST ACUTE in LEWISTON, ID for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ORCHARD VIEW POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.
Federal health inspectors cited ORCHARD VIEW POST ACUTE in LEWISTON, ID for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ORCHARD VIEW POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.
Federal health inspectors cited ORCHARD VIEW POST ACUTE in LEWISTON, ID for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ORCHARD VIEW POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.
Federal health inspectors cited ORCHARD VIEW POST ACUTE in LEWISTON, ID for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-15.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of ORCHARD VIEW POST ACUTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.