Deficiency Records for Chalet of Niles, LLC
Updated as of October 01, 2018
This is not the most recent data for Chalet of Niles, LLC. For the most recent information, click here.
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? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-30 | 2018-07-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-30 | 2018-07-18 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-30 | 2018-07-18 | N |
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 | 2018-06-07 | 2018-06-28 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-07 | 2018-06-28 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-07 | 2018-06-28 | Y |
Respond appropriately to all alleged violations. | Health | 2018-06-07 | 2018-06-28 | Y |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-07 | 2018-06-28 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-30 | 2018-06-28 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-26 | 2018-06-04 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-26 | 2018-06-04 | 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 | 2018-03-26 | 2018-06-04 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-03-26 | 2018-06-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-26 | 2018-06-04 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-03-26 | 2018-06-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-30 | 2018-05-09 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-30 | 2018-05-09 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-30 | 2018-05-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-30 | 2018-05-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-30 | 2018-05-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-30 | 2018-05-09 | N |
Post nurse staffing information every day. | Health | 2018-03-30 | 2018-05-09 | 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 | 2018-03-30 | 2018-05-09 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-30 | 2018-05-09 | N |
Keep all essential equipment working safely. | Health | 2018-03-30 | 2018-05-09 | 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 | 2018-03-30 | 2018-05-09 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-30 | 2018-05-09 | 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 | 2018-03-30 | 2018-05-09 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-30 | 2018-05-09 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-30 | 2018-05-09 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-30 | 2018-05-09 | Y |
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 | 2018-03-26 | 2018-05-04 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-18 | 2018-01-06 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-20 | 2018-01-03 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-18 | 2018-01-02 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-18 | 2018-01-02 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-18 | 2018-01-02 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-10-18 | 2017-11-17 | N |
Try to resolve each resident's complaints quickly. | Health | 2017-10-18 | 2017-11-10 | N |
Provide housekeeping and maintenance services. | Health | 2017-10-18 | 2017-11-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-18 | 2017-11-10 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-18 | 2017-11-10 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-18 | 2017-11-10 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-18 | 2017-11-10 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-10-18 | 2017-11-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-17 | 2017-10-20 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-17 | 2017-10-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-17 | 2017-10-20 | 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 | 2017-09-20 | 2017-10-09 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-20 | 2017-10-09 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-20 | 2017-10-09 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-19 | 2017-07-14 | 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 | 2017-04-17 | 2017-05-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-04-17 | 2017-05-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-17 | 2017-05-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-17 | 2017-05-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-17 | 2017-05-23 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-04-19 | 2017-05-23 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-04-19 | 2017-05-23 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-04-19 | 2017-05-23 | N |
Provide housekeeping and maintenance services. | Health | 2017-04-19 | 2017-05-23 | N |
Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-04-19 | 2017-05-23 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-04-19 | 2017-05-23 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-19 | 2017-05-23 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-19 | 2017-05-23 | Y |
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 | 2017-04-19 | 2017-05-23 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-19 | 2017-05-23 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-04-19 | 2017-05-23 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-19 | 2017-05-23 | Y |
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 | 2016-08-05 | 2016-08-24 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-05 | 2016-08-24 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-02 | 2016-07-07 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-06-02 | 2016-07-07 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-10-02 | 2015-11-04 | Y |