Deficiency Records for Chestnut Rehab and Nursing
Updated as of July 01, 2019
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? |
|---|---|---|---|---|
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-04-03 | 2019-05-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-03 | 2019-05-02 | 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 | 2019-04-03 | 2019-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-03 | 2019-05-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-03 | 2019-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-03 | 2019-05-02 | 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 | 2019-04-03 | 2019-05-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-03 | 2019-05-02 | 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 | 2019-04-03 | 2019-05-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-03 | 2019-05-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-03 | 2019-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-03 | 2019-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-03 | 2019-05-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-03 | 2019-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-03 | 2019-05-02 | 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 | 2019-04-03 | 2019-05-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-03 | 2019-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-03 | 2019-05-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-04-03 | 2019-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-03 | 2019-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-03 | 2019-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-03 | 2019-05-02 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-04 | 2019-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-04 | 2019-02-05 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-18 | 2018-06-27 | 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 | 2018-06-26 | 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 | 2018-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-18 | 2018-06-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-18 | 2018-06-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-18 | 2018-06-26 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2018-05-18 | 2018-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-18 | 2018-06-26 | 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 | 2018-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-18 | 2018-06-26 | Y |
| 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 |
| 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 |
