Deficiency Records for Cheshire House Health Care Fac

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Updated as of March 01, 2024

A list of the most recent deficiencies for Cheshire House Health Care Fac. 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 2023-08-01 2023-09-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-01 2023-09-12 Y
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. Health 2023-04-28 2023-06-09 N
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. Health 2023-04-28 2023-06-09 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-04-28 2023-06-09 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-28 2023-06-09 N
Respond appropriately to all alleged violations. Health 2023-04-28 2023-06-09 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-28 2023-06-09 N
Ensure each resident receives an accurate assessment. Health 2023-04-28 2023-06-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-04-28 2023-06-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-28 2023-06-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-28 2023-06-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-28 2023-06-09 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 2023-04-28 2023-06-09 N
Provide enough food/fluids to maintain a resident's health. Health 2023-04-28 2023-06-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-04-28 2023-06-09 N
Observe each nurse aide's job performance and give regular training. Health 2023-04-28 2023-06-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-28 2023-06-09 N
Provide and implement an infection prevention and control program. Health 2023-04-28 2023-06-09 N
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. Health 2023-04-28 2023-06-09 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 2023-04-27 2023-06-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-27 2023-06-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-27 2023-06-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-04-27 2023-06-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-27 2023-06-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-19 2022-10-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-18 2022-04-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-07 2021-11-16 Y
Provide properly protected cooking facilities. Fire Safety 2021-05-20 2021-07-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-05-20 2021-07-14 N
Provide a written emergency evacuation plan. Fire Safety 2021-05-20 2021-07-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-05-20 2021-07-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-27 2021-07-03 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-05-27 2021-07-03 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 2021-05-27 2021-07-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-27 2021-07-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-27 2021-07-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-27 2021-07-03 N
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. Health 2021-05-27 2021-07-03 N
Provide and implement an infection prevention and control program. Health 2021-05-27 2021-07-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-05-27 2021-07-03 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-05-27 2021-07-03 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-03-07 2019-04-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-03-07 2019-04-18 N