CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Chestnut Hill LLC
View the most recent health deficiencies and inspection results for Complete Care at Chestnut Hill LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Chestnut Hill LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-12-05 | 2025-02-10 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-12-05 | 2025-01-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-12-05 | 2024-12-27 | 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 | 2024-12-05 | 2024-12-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-12-05 | 2024-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-05 | 2024-12-27 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-12-05 | 2024-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-05 | 2024-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-05 | 2024-12-27 | 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 | 2024-12-05 | 2024-12-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-05 | 2024-12-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-12-05 | 2024-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-05 | 2024-12-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-12-05 | 2024-12-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-12-05 | 2024-12-27 | 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 | 2024-12-05 | 2024-12-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-12-05 | 2024-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-18 | 2022-11-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-18 | 2022-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-18 | 2022-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-18 | 2022-10-07 | 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 | 2022-08-18 | 2022-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-18 | 2022-10-07 | 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 | 2022-08-18 | 2022-09-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-08-18 | 2022-09-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-18 | 2022-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-18 | 2022-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-18 | 2022-09-30 | 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 | 2022-08-18 | 2022-09-30 | 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 | 2022-08-18 | 2022-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-18 | 2022-09-30 | 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 | 2022-08-18 | 2022-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-18 | 2022-09-30 | 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 | 2020-02-11 | 2020-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-11 | 2020-02-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-11 | 2020-02-21 | N |