A list of the most recent deficiencies for Chesterton Manor. 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? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-07 | 2024-04-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-12 | 2024-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-12 | 2024-03-20 | N |
| 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 | 2024-02-12 | 2024-03-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-02-12 | 2024-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-12 | 2024-03-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-12 | 2024-03-20 | 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 | 2024-02-12 | 2024-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-12 | 2024-03-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-12 | 2024-03-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-20 | 2023-06-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-20 | 2023-06-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-04-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-24 | 2023-04-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-24 | 2023-04-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-24 | 2023-04-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-24 | 2023-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-15 | 2022-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-15 | 2022-12-05 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-11-15 | 2022-12-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-30 | 2022-12-05 | 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 | 2022-09-30 | 2022-12-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-14 | 2022-04-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-03-14 | 2022-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-14 | 2022-04-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-28 | 2022-03-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-28 | 2022-03-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-28 | 2022-03-19 | 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 | 2022-02-28 | 2022-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-28 | 2022-03-19 | 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 | 2022-02-28 | 2022-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-28 | 2022-03-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-28 | 2022-03-19 | 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 | 2022-02-28 | 2022-03-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-28 | 2022-03-19 | 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 | 2022-02-28 | 2022-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-16 | 2021-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-16 | 2021-12-14 | Y |
