A list of the most recent deficiencies for Chapel Ridge Health and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-16 | 2024-03-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-16 | 2024-03-17 | N |
| 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. | Health | 2024-02-16 | 2024-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-16 | 2024-03-17 | 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 | 2024-02-16 | 2024-03-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-16 | 2024-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-16 | 2024-03-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-16 | 2024-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-16 | 2024-03-17 | N |
| Keep all essential equipment working safely. | Health | 2024-02-16 | 2024-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-12 | 2024-03-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-12 | 2024-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-12 | 2024-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-19 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-04-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-18 | 2022-12-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-18 | 2022-12-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2022-12-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-18 | 2022-12-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2022-12-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-14 | 2022-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-23 | 2021-08-13 | 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 | 2021-07-22 | 2021-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-22 | 2021-08-13 | N |
