A list of the most recent deficiencies for Four Chaplains Nrsg Care 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? |
|---|---|---|---|---|
| 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 | 2024-01-25 | 2024-01-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-09 | 2024-01-22 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-10-18 | 2023-11-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-18 | 2023-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-18 | 2023-11-08 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-18 | 2023-11-08 | 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 | 2023-10-18 | 2023-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-03 | 2023-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-18 | 2022-09-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-18 | 2022-09-15 | Y |
| 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 | 2022-08-18 | 2022-09-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-18 | 2022-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-02 | 2022-03-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-06 | 2020-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-04 | 2020-02-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-02-04 | 2020-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-04 | 2020-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-04 | 2020-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-04 | 2020-02-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-04 | 2020-02-21 | N |
