PRESTIGE CARE & REHABILITATION - THE ORCHARDS

πŸ“ 1014 BURRELL AVENUE, lewiston, ID 83501 πŸ“ž 2087434558 πŸ›οΈ 127 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

74
Total Violations
6 years of data
$308,949
Total Fines
7 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 17 violations

Tag 0553 D Oct 20, 2023

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

βœ“ Corrected: Nov 30, 2023
Tag 0585 E Oct 20, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Nov 30, 2023
Tag 0604 D Oct 20, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Nov 30, 2023
Tag 0622 D Oct 20, 2023

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.

βœ“ Corrected: Nov 30, 2023
Tag 0657 D Oct 20, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Nov 30, 2023
Tag 0684 D Oct 20, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 30, 2023
Tag 0688 D Oct 20, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Nov 30, 2023
Tag 0689 G Oct 20, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 20, 2023
Tag 0695 D Oct 20, 2023

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Nov 30, 2023
Tag 0698 E Oct 20, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Nov 30, 2023
Tag 0760 D Oct 20, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 30, 2023
Tag 0791 D Oct 20, 2023

Provide or obtain dental services for each resident.

βœ“ Corrected: Nov 30, 2023
Tag 0808 D Oct 20, 2023

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

βœ“ Corrected: Nov 30, 2023
Tag 0812 D Oct 20, 2023

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

βœ“ Corrected: Nov 30, 2023
Tag 0825 E Oct 20, 2023

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Nov 30, 2023
Tag 0868 F Oct 20, 2023

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

βœ“ Corrected: Nov 30, 2023
Tag 0880 D Oct 20, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 30, 2023

2022 6 violations

Tag 0686 G Aug 3, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Aug 31, 2022
Tag 0842 D Aug 3, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Aug 31, 2022
Tag 0600 K Jul 8, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Aug 31, 2022
Tag 0609 E Jul 8, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Aug 31, 2022
Tag 0610 G Jul 8, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 31, 2022
Tag 0657 E Jul 8, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Aug 31, 2022

2020 3 violations

Tag 0880 E Sep 10, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 9, 2020
Tag 0882 F Sep 10, 2020

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

βœ“ Corrected: Oct 9, 2020
Tag 0880 F May 11, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 25, 2020

2019 10 violations

Tag 0656 D May 24, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 10, 2019
Tag 0657 D May 24, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jul 10, 2019
Tag 0684 E May 24, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jul 10, 2019
Tag 0688 D May 24, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Jul 10, 2019
Tag 0689 D May 24, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 10, 2019
Tag 0693 D May 24, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Jul 10, 2019
Tag 0695 E May 24, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jul 10, 2019
Tag 0757 G May 24, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jul 10, 2019
Tag 0758 D May 24, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jul 10, 2019
Tag 0880 D May 24, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 10, 2019

2018 20 violations

Tag 0561 G Aug 10, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Sep 20, 2018
Tag 0572 F Aug 10, 2018

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Sep 20, 2018
Tag 0578 E Aug 10, 2018

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.

βœ“ Corrected: Sep 20, 2018
Tag 0580 D Aug 10, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 20, 2018
Tag 0583 D Aug 10, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Sep 20, 2018
Tag 0604 D Aug 10, 2018

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Sep 20, 2018
Tag 0656 E Aug 10, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 20, 2018
Tag 0657 D Aug 10, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 20, 2018
Tag 0677 D Aug 10, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 20, 2018
Tag 0684 E Aug 10, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 20, 2018
Tag 0686 G Aug 10, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 20, 2018
Tag 0688 D Aug 10, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Sep 20, 2018
Tag 0689 G Aug 10, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 20, 2018
Tag 0690 D Aug 10, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Sep 20, 2018
Tag 0697 G Aug 10, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Sep 20, 2018
Tag 0700 D Aug 10, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Sep 20, 2018
Tag 0759 D Aug 10, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Sep 20, 2018
Tag 0761 E Aug 10, 2018

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.

βœ“ Corrected: Sep 20, 2018
Tag 0880 F Aug 10, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 20, 2018
Tag 0925 F Aug 10, 2018

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Sep 20, 2018

2017 18 violations

Tag 0157 D Jun 8, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Jul 17, 2017
Tag 0242 D Jun 8, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Jul 17, 2017
Tag 0279 D Jun 8, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 17, 2017
Tag 0325 D Jun 8, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Jul 17, 2017
Tag 0327 D Jun 8, 2017

Give each resident enough fluids to keep them healthy and prevent dehydration.

βœ“ Corrected: Jul 17, 2017
Tag 0526 D Jun 8, 2017

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

βœ“ Corrected: Jul 17, 2017
Tag 0157 D Feb 10, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Mar 17, 2017
Tag 0246 D Feb 10, 2017

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 17, 2017
Tag 0252 E Feb 10, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

βœ“ Corrected: Mar 17, 2017
Tag 0279 D Feb 10, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 17, 2017
Tag 0280 D Feb 10, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Mar 17, 2017
Tag 0309 D Feb 10, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Mar 17, 2017
Tag 0312 D Feb 10, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Mar 17, 2017
Tag 0314 G Feb 10, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

βœ“ Corrected: Mar 17, 2017
Tag 0323 E Feb 10, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Mar 17, 2017
Tag 0364 E Feb 10, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

βœ“ Corrected: Mar 17, 2017
Tag 0425 D Feb 10, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Mar 17, 2017
Tag 0518 E Feb 10, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

βœ“ Corrected: Mar 17, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 4 penalties totaling $256,573

$155,100
Fine
July 8, 2022
$100,815
Fine
July 8, 2022
$0
Payment Denial
July 8, 2022
$658
Fine
April 4, 2022
Average: $64,143 | Range: $0 - $155,100

2020 1 penalties totaling $7,100

$7,100
Fine
September 10, 2020
Average: $7,100 | Range: $7,100 - $7,100

2019 1 penalties totaling $15,733

$15,733
Fine
May 24, 2019
Average: $15,733 | Range: $15,733 - $15,733

2018 1 penalties totaling $29,543

$29,543
Fine
August 10, 2018
Average: $29,543 | Range: $29,543 - $29,543

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

October 20, 2023
0.00

Health

August 3, 2022
0.00

Health

July 8, 2022
0.00

Health

May 24, 2019
0.00

Health

August 10, 2018
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
135103
135103
2087434558
Nez Perce

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual