Deficiency Records for Chatham Nursing and Rehabilitation
Updated as of September 01, 2020
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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-12-10 | 2020-02-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-07 | 2019-12-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-05 | 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 | 2019-11-07 | 2019-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-07 | 2019-12-05 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-02-12 | 2019-02-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-02-12 | 2019-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-12 | 2019-02-18 | N |
| Be properly staffed | Fire Safety | 2019-02-12 | 2019-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-12 | 2019-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-12 | 2019-02-18 | 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 | 2017-09-29 | 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 |
| 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 |
| 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 |
