A list of the most recent deficiencies for Chestnut Ridge Nsg and Rehab Ctr. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-24 | 2023-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-10-05 | N |
| Provide appropriate foot care. | Health | 2023-08-24 | 2023-10-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-24 | 2023-10-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-24 | 2023-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-10-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Meet other general requirements. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-23 | 2023-10-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-03 | 2023-06-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-03 | 2023-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-03 | 2023-06-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-03 | 2023-06-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-06-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-03 | 2023-06-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-03 | 2023-06-09 | Y |
| 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 | 2023-05-03 | 2023-06-09 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-03 | 2023-06-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-03 | 2023-06-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-03 | 2023-06-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-04 | 2021-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-12-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-04 | 2021-12-19 | 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 | 2021-11-04 | 2021-12-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-25 | 2019-03-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-25 | 2019-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-25 | 2019-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-03-11 | 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 | 2019-01-25 | 2019-03-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-25 | 2019-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-25 | 2019-03-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-25 | 2019-03-11 | 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 | 2019-01-25 | 2019-03-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-01-25 | 2019-03-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-01-25 | 2019-03-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Develop a communication plan. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-24 | 2019-03-11 | N |
