| Cascades at Orchard Park | |
| 740 North 300 East, Orem, Utah 84057 | |
| (801) 224-0921 | |
| Name | Cascades at Orchard Park |
|---|---|
| Location | 740 North 300 East, Orem, Utah |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 52 |
| Occupancy Rate | 76.92% |
| Medicare ID (CCN) | 465090 |
| Legal Business Name | Beaver Valley Hospital |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Cascades Healthcare (19 nursing homes) |
| Chain Average Overall Rating | 1.9 out of 5 |
| NPI Number | 1164889457 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Beaver Valley Hospital |
| Doing Business As | Cascades at Orchard Park |
| Address | 740 N 300 E, Orem, UT 84057 |
| Phone Number | 801-224-0921 |
| NPI Number | 1053396689 |
| Match | Possible same name, address or phone number |
| Organization Name | Crown Health Care, Inc. |
| Doing Business As | Orchard Park Post-acute Rehab |
| Address | 740 N 300 E, Orem, UT 84057 |
| Phone Number | 801-224-0921 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.3 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.18 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.21 | 0.86 |
| Nurse aide hours per resident per day | 1.9 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.01 | 3.42 |
| RN hours per resident per day on the weekend | 0.88 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 73.8% | 45.8% |
| Registered nurse turnover | 45.5% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $11,992 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 6, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Apr 18, 2025 |
| Mar 6, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 18, 2025 |
| Mar 6, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 18, 2025 |
| Mar 6, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 18, 2025 |
| Oct 19, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 16, 2023 |
| Oct 19, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 16, 2023 |
| Jan 13, 2022 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Perform COVID19 testing on residents and staff. F0886, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | 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. F0887, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 11, 2022 |
| Jan 13, 2022 | 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. F0838, Administration, Standard inspection | Potential for harm, isolated | Corrected by Feb 24, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.58 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.88 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.83 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.55 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 21.55 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.53 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.47 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.49 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.83 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.56 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.79 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.12 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.43 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.83 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 9.59 | 15.38 |
Orem Rehabilitation and Nursing Center Location: 575 East 1400 South, Orem, Utah 84097 Phone: (801) 225-4741 |