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 |