A list of the most recent deficiencies for Chapin Home For The Aging. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-15 | 2022-09-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-15 | 2022-09-12 | N |
| 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 | 2022-07-15 | 2022-08-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-15 | 2022-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-15 | 2022-08-12 | 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 | 2022-07-05 | 2022-07-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-01 | 2019-11-30 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-10-01 | 2019-11-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-01 | 2019-11-30 | 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 | 2019-10-01 | 2019-11-30 | 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 necessary and PRN use is limited. | Health | 2019-10-01 | 2019-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-01 | 2019-11-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-01 | 2019-10-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-10 | 2018-07-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-05-10 | 2018-07-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-10 | 2018-07-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-10 | 2018-07-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-10 | 2018-07-12 | N |
