A list of the most recent deficiencies for Touchpoints at Chestnut. 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? |
|---|---|---|---|---|
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-06-28 | 2023-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-28 | 2023-08-09 | 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 | 2023-06-28 | 2023-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | 2023-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-28 | 2023-08-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-28 | 2023-08-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-28 | 2023-08-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-28 | 2023-08-09 | 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 | 2023-06-28 | 2023-08-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-28 | 2023-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-22 | 2023-07-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-01-05 | 2022-02-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-05 | 2022-02-20 | Y |
| 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 | 2022-01-05 | 2022-02-20 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-01-05 | 2022-02-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-05 | 2022-02-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-30 | 2021-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-30 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-08-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-04-18 | 2019-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-30 | 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 | 2019-04-18 | 2019-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-18 | 2019-05-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-18 | 2019-05-30 | 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 | 2019-04-18 | 2019-05-30 | N |
