Deficiency Records for Chestnut Park Rehabilitation and Nursing Center
Updated as of January 01, 2021
This is not the most recent data for Chestnut Park Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Chestnut Park Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-08-13 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-06 | 2019-08-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-06 | 2019-08-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-06 | 2019-08-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Be properly staffed | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-06-06 | 2019-07-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-07-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-06 | 2019-07-20 | N |
| Notify 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 | 2019-06-06 | 2019-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-06 | 2019-07-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-06 | 2019-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-06 | 2019-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-06 | 2019-07-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-06 | 2019-07-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-06 | 2019-07-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-20 | 2019-02-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-20 | 2019-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-20 | 2018-12-20 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-22 | 2017-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-22 | 2017-11-22 | 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 | 2017-09-22 | 2017-11-22 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-22 | 2017-11-22 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-09-22 | 2017-11-22 | 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 | 2017-09-22 | 2017-11-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-22 | 2017-11-22 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-06-30 | 2016-08-17 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-30 | 2016-08-17 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-06-30 | 2016-08-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-06-30 | 2016-08-17 | 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 | 2016-06-30 | 2016-08-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-30 | 2016-08-17 | N |
| Provide housekeeping and maintenance services. | Health | 2016-06-30 | 2016-08-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-30 | 2016-08-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-30 | 2016-08-17 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-06-30 | 2016-08-17 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-06-30 | 2016-08-17 | 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 | 2016-06-30 | 2016-08-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-06-30 | 2016-08-17 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-06-30 | 2016-08-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-30 | 2016-08-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-30 | 2016-08-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-06-30 | 2016-08-17 | N |
