Deficiency Records for Chestnut Rehab and Nursing
Updated as of August 01, 2018
This is not the most recent data for Chestnut Rehab and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Chestnut Rehab and Nursing. 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 the activities program is directed by a qualified professional. | Health | 2018-05-18 | 2018-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-18 | 2018-06-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-18 | 2018-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-18 | 2018-06-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-18 | 2018-06-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-18 | 2018-06-16 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-05-18 | 2018-06-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-05-18 | 2018-06-16 | 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 | 2018-05-18 | 2018-06-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-18 | 2018-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-18 | 2018-06-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-18 | 2018-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-18 | 2018-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-18 | 2018-06-16 | N |
| 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. | Health | 2017-03-23 | 2017-07-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-23 | 2017-07-19 | 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 | 2017-03-23 | 2017-07-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-23 | 2017-07-19 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-05-01 | 2017-05-05 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-03-23 | 2017-05-05 | 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 | 2017-03-23 | 2017-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-23 | 2017-04-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-03-23 | 2017-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-23 | 2017-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-23 | 2017-04-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-03-23 | 2017-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-23 | 2017-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-23 | 2017-04-20 | 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 | 2017-03-23 | 2017-04-20 | N |
| 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 | 2017-03-23 | 2017-04-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-23 | 2017-04-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-03-23 | 2017-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-04-20 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-23 | 2017-04-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-23 | 2017-04-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-23 | 2017-04-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-23 | 2017-04-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-23 | 2017-04-20 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2017-03-23 | 2017-04-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-23 | 2017-04-20 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-16 | 2017-01-27 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-29 | 2016-06-23 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-29 | 2016-06-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-29 | 2016-06-23 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-29 | 2016-06-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-29 | 2016-06-23 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2016-04-29 | 2016-06-23 | 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 | 2016-05-17 | 2016-06-23 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-04-29 | 2016-06-23 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-04-29 | 2016-06-23 | 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 | 2016-04-29 | 2016-06-23 | N |
| 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 | 2016-04-29 | 2016-06-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-29 | 2016-06-23 | 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 | 2016-04-29 | 2016-06-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-29 | 2016-06-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-29 | 2016-06-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-29 | 2016-06-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-04-29 | 2016-06-23 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-04-29 | 2016-06-23 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-04-29 | 2016-06-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-29 | 2016-06-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-02 | 2016-04-07 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-02 | 2016-04-07 | Y |
| 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 | 2016-03-02 | 2016-04-07 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-02 | 2016-04-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-28 | 2016-04-07 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-28 | 2016-04-07 | Y |
| 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 | 2015-12-28 | 2016-04-07 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-12-28 | 2016-04-07 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-12-28 | 2016-01-27 | Y |
