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Deficiency Records for Chalet of Niles, LLC

A list of the most recent deficiencies for Chalet of Niles, LLC. 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 Chalet of Niles, LLC. 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?
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-06-20 2024-07-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-20 2024-07-16 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-10-23 2023-11-23 N
Provide properly protected cooking facilities. Fire Safety 2023-10-23 2023-11-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-23 2023-11-23 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 2023-10-25 2023-11-10 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 2023-10-25 2023-11-10 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-10-25 2023-11-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-25 2023-11-10 N
Provide and implement an infection prevention and control program. Health 2023-10-25 2023-11-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-25 2023-11-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-04 2023-10-24 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 2023-10-04 2023-10-24 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-20 2023-03-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-20 2023-03-10 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-12-20 2023-03-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-20 2023-03-10 Y
Provide and implement an infection prevention and control program. Health 2022-12-20 2023-03-10 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-12-20 2023-03-10 Y
Provide properly protected cooking facilities. Fire Safety 2022-12-19 2023-02-10 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-12-20 2023-01-23 N
Keep residents' personal and medical records private and confidential. Health 2022-12-20 2023-01-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-12-20 2023-01-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-12-20 2023-01-23 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 2022-12-20 2023-01-23 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 2022-12-20 2023-01-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-20 2023-01-23 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 2022-12-20 2023-01-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-20 2023-01-23 N
Implement a program that monitors antibiotic use. Health 2022-12-20 2023-01-23 N
Perform COVID19 testing on residents and staff. Health 2022-12-20 2023-01-23 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2022-12-20 2023-01-23 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 2022-12-20 2023-01-23 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-12-20 2023-01-23 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-12-20 2023-01-23 Y
Conduct testing and exercise requirements. Fire Safety 2022-12-19 2023-01-23 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 2022-12-19 2023-01-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-12-19 2023-01-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-19 2023-01-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-12-19 2023-01-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-19 2023-01-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-12-19 2023-01-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-12-19 2023-01-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-19 2023-01-23 N
Have proper medical gas storage and administration areas. Fire Safety 2022-12-19 2023-01-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-09 2022-10-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-09 2022-10-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-09-09 2022-10-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-09 2022-10-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-21 2022-05-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-15 2022-04-15 Y
Ensure the activities program is directed by a qualified professional. Health 2022-03-15 2022-04-15 Y
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 2022-03-15 2022-04-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-15 2022-04-15 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-15 2022-04-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-21 2022-01-22 Y
Respond appropriately to all alleged violations. Health 2021-12-21 2022-01-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-21 2022-01-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-12-21 2022-01-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-09-15 2022-01-22 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 2021-09-15 2022-01-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-09-15 2021-11-12 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 2021-09-15 2021-11-12 N
Provide properly protected cooking facilities. Fire Safety 2021-09-15 2021-11-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-15 2021-11-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-09-15 2021-11-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-15 2021-11-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-15 2021-11-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-15 2021-11-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-09-15 2021-11-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-21 2021-11-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-21 2021-11-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-09-15 2021-11-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-15 2021-11-10 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-09-15 2021-10-14 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-09-15 2021-10-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-15 2021-10-14 N
Dispose of garbage and refuse properly. Health 2021-09-15 2021-10-14 N
Provide and implement an infection prevention and control program. Health 2021-09-15 2021-10-14 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 2021-09-15 2021-10-14 Y
Provide activities to meet all resident's needs. Health 2021-09-15 2021-10-14 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-09-15 2021-10-14 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-09-15 2021-10-14 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 2021-09-15 2021-10-14 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-09-15 2021-10-14 Y

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