Deficiency Records for Chalet Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Chalet Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-01-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-13 | 2023-09-22 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-30 | 2023-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-07-25 | N |
| Post nurse staffing information every day. | Health | 2023-06-30 | 2023-07-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-30 | 2023-07-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-30 | 2023-07-25 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-04-17 | 2023-05-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-17 | 2023-05-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-10 | 2023-03-31 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Establish methods for sharing information. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-06 | 2022-09-29 | 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 | 2022-09-06 | 2022-09-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-06 | 2022-09-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-25 | 2022-08-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-01 | 2021-06-25 | 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 | 2021-06-01 | 2021-06-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-18 | 2021-06-08 | Y |
| 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 | 2021-05-18 | 2021-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-18 | 2021-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-18 | 2021-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-06-08 | 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 | 2021-05-18 | 2021-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-18 | 2021-06-08 | N |
