A list of the most recent deficiencies for Chateau Nrsg and Rehab Center. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-10-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-04 | 2023-10-13 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-04 | 2023-10-12 | 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 | 2023-10-04 | 2023-10-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-04 | 2023-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-10-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-04 | 2023-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-10-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-29 | 2023-10-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-29 | 2023-10-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-29 | 2023-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-29 | 2023-10-04 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-09-29 | 2023-10-04 | 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 | 2023-09-29 | 2023-10-02 | 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 | 2023-09-05 | 2023-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-05 | 2023-09-18 | Y |
| 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 | 2023-01-19 | 2023-01-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-01-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-01-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-05 | 2023-01-11 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-13 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-13 | 2022-11-01 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-10-13 | 2022-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-13 | 2022-10-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-13 | 2022-10-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-13 | 2022-10-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-13 | 2022-10-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-13 | 2022-10-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-13 | 2022-10-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-13 | 2022-10-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-22 | 2022-09-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-22 | 2022-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-22 | 2022-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-22 | 2022-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-20 | 2022-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-03 | 2022-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-08-27 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-08-11 | 2021-08-12 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-02 | 2021-06-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-21 | 2021-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-21 | 2021-05-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-21 | 2021-05-24 | 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 | 2021-05-21 | 2021-05-24 | 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 | 2021-05-21 | 2021-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-13 | 2021-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-28 | 2021-04-28 | Y |
| Keep all essential equipment working safely. | Health | 2021-04-28 | 2021-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-06 | 2021-04-20 | N |
