Deficiency Records for Chatham Nursing and Rehabilitation
Updated as of December 01, 2018
This is not the most recent data for Chatham Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Chatham Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 | 2017-09-29 | 2017-12-15 | 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 | 2017-09-29 | 2017-12-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-10-25 | 2017-11-29 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-10-25 | 2017-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-25 | 2017-11-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-29 | 2017-11-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-29 | 2017-11-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-09-29 | 2017-11-04 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-29 | 2017-11-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-29 | 2017-11-04 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-09-29 | 2017-11-04 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-29 | 2017-11-04 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-29 | 2017-11-04 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-09-29 | 2017-11-04 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-09-29 | 2017-11-04 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-29 | 2017-11-04 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-09-29 | 2017-11-04 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-29 | 2017-11-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-29 | 2017-11-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-29 | 2017-11-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-29 | 2017-11-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-11 | 2017-01-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-15 | 2017-01-12 | 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 | 2016-12-15 | 2017-01-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-15 | 2017-01-12 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-12-15 | 2017-01-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-15 | 2017-01-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-12-15 | 2017-01-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-12-08 | 2016-01-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-12-08 | 2016-01-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-08 | 2016-01-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-08 | 2016-01-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-08 | 2016-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-06 | 2016-01-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-06 | 2015-12-08 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-11-06 | 2015-12-08 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2015-11-06 | 2015-12-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-06 | 2015-12-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-11-06 | 2015-12-08 | N |
