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Deficiency Records for Chestertown Nursing and Rehab

A list of the most recent deficiencies for Chestertown Nursing and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Chestertown Nursing and Rehab. 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?
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 2023-10-04 2024-02-12 N
Provide properly protected cooking facilities. Fire Safety 2023-10-04 2024-02-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-04 2024-02-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-10-04 2024-02-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-04 2024-02-12 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-10-04 2024-01-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-10-04 2024-01-17 N
Install proper backup exit lighting. Fire Safety 2023-10-04 2024-01-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-04 2024-01-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-04 2024-01-17 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-10-04 2024-01-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-04 2024-01-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-10-04 2024-01-17 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-10-04 2024-01-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-28 2023-12-04 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-09-28 2023-12-04 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2023-09-28 2023-12-04 N
Honor the resident's right to manage his or her financial affairs. Health 2023-09-28 2023-12-04 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-09-28 2023-12-04 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-09-28 2023-12-04 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-28 2023-12-04 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-09-28 2023-12-04 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 2023-09-28 2023-12-04 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-09-28 2023-12-04 N
Post nurse staffing information every day. Health 2023-09-28 2023-12-04 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 2023-09-28 2023-12-04 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-09-28 2023-12-04 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 2023-09-28 2023-12-04 N
Ensure medication error rates are not 5 percent or greater. Health 2023-09-28 2023-12-04 N
Ensure that residents are free from significant medication errors. Health 2023-09-28 2023-12-04 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 2023-09-28 2023-12-04 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-09-28 2023-12-04 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 2023-09-28 2023-12-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-28 2023-12-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-28 2023-12-04 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-09-28 2023-12-04 N
Provide and implement an infection prevention and control program. Health 2023-09-28 2023-12-04 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-09-28 2023-12-04 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-09-28 2023-12-04 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-28 2023-12-04 Y
Respond appropriately to all alleged violations. Health 2023-09-28 2023-12-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-28 2023-12-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-28 2023-12-04 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-03-09 2022-05-31 Y
Keep residents' personal and medical records private and confidential. Health 2022-03-09 2022-05-31 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-09 2022-05-31 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-03-09 2022-05-31 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2022-03-09 2022-05-31 Y
Meet other general requirements. Fire Safety 2019-04-24 2019-06-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-04-24 2019-06-14 N
Provide properly protected cooking facilities. Fire Safety 2019-04-24 2019-06-14 N
Install an approved automatic sprinkler system. Fire Safety 2019-04-24 2019-06-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-24 2019-06-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-04-24 2019-06-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-04-24 2019-06-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-04-24 2019-06-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-02-15 2019-04-15 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2019-02-15 2019-04-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-02-15 2019-04-15 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-02-15 2019-04-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-02-15 2019-04-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-15 2019-04-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-02-15 2019-04-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-02-15 2019-04-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-02-15 2019-04-15 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2017-12-07 2018-01-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2017-12-07 2018-01-07 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 2017-12-07 2018-01-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2017-12-07 2018-01-07 N
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Health 2017-10-19 2017-12-31 N
Give residents a notice of rights, rules, services and charges. Health 2017-10-19 2017-12-31 N
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Health 2017-10-19 2017-12-31 N
Conduct initial and periodic assessments of each resident's functional capacity. Health 2017-10-19 2017-12-31 N
Ensure each resident receives an accurate assessment by a qualified health professional. Health 2017-10-19 2017-12-31 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-10-19 2017-12-31 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-10-19 2017-12-31 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-10-19 2017-12-31 N
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Health 2017-10-19 2017-12-31 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-10-19 2017-12-31 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2017-12-07 2017-12-28 N

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