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Deficiency Records for Cheshire House Health Care Facility and Rehab Center
View the most recent health deficiencies and inspection results for Cheshire House Health Care Facility and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cheshire House Health Care Facility and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-03-03 | 2026-04-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-20 | 2025-12-01 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-04-22 | 2025-06-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-22 | 2025-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-22 | 2025-06-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-22 | 2025-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-22 | 2025-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-22 | 2025-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-22 | 2025-06-20 | N |
| Respond appropriately to all alleged violations. | Health | 2025-04-22 | 2025-06-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-22 | 2025-06-20 | N |
| 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 | 2025-04-22 | 2025-06-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-22 | 2025-06-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-04-22 | 2025-06-20 | 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 | 2025-04-22 | 2025-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-22 | 2025-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-22 | 2025-06-20 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2025-04-22 | 2025-05-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-04-22 | 2025-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-22 | 2025-05-26 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-04-22 | 2025-04-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-04-22 | 2025-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-24 | 2025-03-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-10 | 2025-03-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-09 | 2025-02-20 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-01-09 | 2025-02-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-09 | 2025-02-20 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-11-20 | 2024-12-30 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-11-20 | 2024-12-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-20 | 2024-12-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-11-20 | 2024-12-30 | 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-01 | 2023-09-12 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 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 appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-28 | 2023-06-09 | N |
| Ensure each resident receives an accurate assessment. | 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 |
| Respond appropriately to all alleged violations. | 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | 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 |
| 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 |
| 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 | 2023-04-28 | 2023-06-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-28 | 2023-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-28 | 2023-06-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-28 | 2023-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-28 | 2023-06-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-27 | 2021-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-27 | 2021-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-27 | 2021-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-27 | 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 |
| 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 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |