Deficiency Records for Chatham Hills Subacute Care Center

(Home page)

Updated as of April 01, 2024

A list of the most recent deficiencies for Chatham Hills Subacute Care Center. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-04-27 2023-04-27 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-04-27 2023-04-27 Y
Provide and implement an infection prevention and control program. Health 2022-03-24 2022-06-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-24 2022-05-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-24 2022-05-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-24 2022-05-04 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-03-24 2022-05-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-24 2022-05-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-03-24 2022-05-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-24 2022-05-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-03-24 2022-05-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-24 2022-05-04 N
Have proper medical gas storage and administration areas. Fire Safety 2022-03-24 2022-05-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-21 2022-03-31 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-02-02 2022-02-04 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-11-27 2019-12-05 N
Provide properly protected cooking facilities. Fire Safety 2019-11-27 2019-12-05 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2018-12-18 2019-02-11 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2018-12-18 2019-02-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-12-18 2019-02-11 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 2018-12-18 2019-02-11 N
Provide and implement an infection prevention and control program. Health 2018-12-18 2019-02-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-12-18 2019-02-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-12-18 2019-02-11 N