Deficiency Records for Chestnut Woods Rehabilitation and Healthcare Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for Chestnut Woods Rehabilitation and Healthcare Ctr. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-09-28 | 2023-10-25 | 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 | 2023-10-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-28 | 2023-10-25 | 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 | 2023-10-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-09-28 | 2023-10-25 | 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 | 2023-10-25 | 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 | 2023-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-17 | 2023-10-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-29 | 2022-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-29 | 2022-10-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-29 | 2022-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-10-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-09-29 | 2022-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-10-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-09-29 | 2022-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-10-25 | 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 | 2022-09-29 | 2022-10-25 | N |
| Provide or obtain dental services for each resident. | Health | 2022-09-29 | 2022-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-10 | 2020-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-10 | 2020-02-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-12-26 | 2020-01-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-12-26 | 2020-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-26 | 2020-01-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-26 | 2020-01-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-12-26 | 2020-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-26 | 2020-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-26 | 2020-01-22 | N |
