CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Chapel Woods Health and Rehabilitation
View the most recent health deficiencies and inspection results for Chapel Woods Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chapel Woods Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-13 | 2025-06-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-12 | 2025-04-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-23 | 2025-02-14 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-25 | 2024-11-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-25 | 2024-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-25 | 2024-11-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-10-25 | 2024-11-18 | N |
| 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. | Health | 2024-10-25 | 2024-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-25 | 2024-11-18 | 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 | 2024-10-25 | 2024-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-10-25 | 2024-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-12-14 | 2024-01-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-14 | 2024-01-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-14 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2023-12-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-14 | 2023-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-10 | 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 | 2022-09-15 | 2022-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-10 | N |
| 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. | Health | 2022-09-15 | 2022-10-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-15 | 2022-10-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-15 | 2022-10-10 | 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 | 2022-09-15 | 2022-10-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-15 | 2022-10-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-15 | 2022-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-15 | 2022-10-10 | N |