Deficiency Records for North Chandler Place - A Continuum of Care Commun
Updated as of March 01, 2024
A list of the most recent deficiencies for North Chandler Place - A Continuum of Care Commun. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-29 | 2023-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-29 | 2023-04-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-29 | 2023-04-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-29 | 2023-04-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-29 | 2023-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-29 | 2023-04-26 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-12-30 | 2023-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-10 | 2022-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-10 | 2022-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-10 | 2022-01-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-10 | 2022-01-18 | N |
| 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. | Health | 2021-12-09 | 2022-01-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-12-09 | 2022-01-10 | N |
| 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. | Health | 2021-12-09 | 2022-01-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-09 | 2022-01-10 | N |
| 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. | Health | 2021-12-09 | 2022-01-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-09 | 2022-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-05 | 2019-10-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-05 | 2019-10-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-05 | 2019-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-05 | 2019-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-06 | 2019-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-06 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-06 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-06 | 2019-10-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-06 | 2019-10-11 | N |
