Deficiency Records for Four Chaplains Nrsg Care Ctr
Updated as of October 01, 2016
This is not the most recent data for Four Chaplains Nrsg Care Ctr. For the most recent information, click here.
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? |
|---|---|---|---|---|
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-18 | 2016-05-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-18 | 2016-05-20 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-18 | 2016-05-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-18 | 2016-05-20 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-18 | 2016-05-12 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-04-18 | 2016-05-12 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-18 | 2016-05-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-18 | 2016-05-12 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2016-04-18 | 2016-05-12 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-18 | 2016-05-12 | N |
| Keep each resident free from drugs that restrain them, unless needed for medical treatment. | Health | 2016-03-15 | 2016-04-15 | 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 | 2016-03-15 | 2016-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-03-15 | 2016-04-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-15 | 2016-04-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-15 | 2016-04-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-03-15 | 2016-04-15 | 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 | 2016-03-15 | 2016-04-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-15 | 2016-04-15 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-03-15 | 2016-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-15 | 2016-04-15 | N |
| Keep each resident free from drugs that restrain them, unless needed for medical treatment. | Health | 2016-03-15 | 2016-04-15 | 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 | 2016-03-15 | 2016-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-03-15 | 2016-04-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-15 | 2016-04-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-15 | 2016-04-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-03-15 | 2016-04-15 | 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 | 2016-03-15 | 2016-04-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-15 | 2016-04-15 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-03-15 | 2016-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-15 | 2016-04-15 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-06-04 | 2015-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-29 | 2015-06-18 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-05-29 | 2015-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-29 | 2015-06-18 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-05-29 | 2015-06-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-07-24 | 2014-08-14 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-07-24 | 2014-08-14 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-13 | 2014-07-08 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-06-13 | 2014-07-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-13 | 2014-07-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-13 | 2014-07-08 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-06-13 | 2014-07-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-13 | 2014-07-08 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-06-13 | 2014-07-03 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-06-13 | 2014-07-03 | N |
| Tell 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 | 2014-05-15 | 2014-06-05 | Y |
| Tell 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 | 2014-05-15 | 2014-06-05 | Y |
