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Deficiency Records for Chatuge Regional Nursing Home
View the most recent health deficiencies and inspection results for Chatuge Regional Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chatuge Regional Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-04 | 2026-01-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-12-04 | 2026-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-04 | 2026-01-28 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-04 | 2026-01-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-04 | 2026-01-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-12-04 | 2026-01-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-04 | 2026-01-20 | 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 | 2025-12-04 | 2026-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-04 | 2026-01-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-08 | 2024-07-24 | Y |
| Post nurse staffing information every day. | Health | 2024-06-08 | 2024-07-24 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-06-08 | 2024-07-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-08 | 2024-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-08 | 2024-07-24 | Y |
| 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 | 2024-06-08 | 2024-07-24 | 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 | 2024-06-08 | 2024-07-24 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-06-08 | 2024-07-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-06-08 | 2024-07-24 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-06-08 | 2024-07-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-06-08 | 2024-07-24 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-06-08 | 2024-07-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-08 | 2024-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-08 | 2024-07-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-08 | 2024-07-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-08 | 2024-07-24 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-08 | 2024-07-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-08 | 2024-07-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-08 | 2024-07-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-06-08 | 2024-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-08 | 2024-07-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-08 | 2024-07-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-08 | 2024-07-24 | Y |
| 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 | 2024-06-08 | 2024-07-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-06-08 | 2024-07-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-15 | 2023-01-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-15 | 2023-01-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-15 | 2023-01-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2023-01-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-15 | 2023-01-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-15 | 2023-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-15 | 2023-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-29 | 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 | 2022-12-15 | 2023-01-29 | N |