A list of the most recent deficiencies for Chandler Hall Health Services. 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? |
---|---|---|---|---|
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-27 | 2023-08-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-27 | 2023-08-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-27 | 2023-08-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-07 | 2023-08-01 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-07 | 2023-08-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-07 | 2023-08-01 | N |
Dispose of garbage and refuse properly. | Health | 2023-07-07 | 2023-08-01 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-23 | 2022-11-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-11-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-23 | 2022-11-16 | N |
Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-08-23 | 2022-09-30 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-09-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-23 | 2022-09-30 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-23 | 2022-09-30 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-23 | 2022-09-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-23 | 2022-09-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-26 | 2022-09-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-20 | 2022-08-14 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-22 | 2022-04-21 | Y |
Address patient/client population and determine types of services needed. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Meet other general requirements. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Have proper power supply for life support equipment. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-07 | 2021-11-06 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-26 | 2021-09-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-08-26 | 2021-09-23 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-08-26 | 2021-09-23 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-08-26 | 2021-09-23 | N |
Dispose of garbage and refuse properly. | Health | 2021-08-26 | 2021-09-23 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-26 | 2021-09-23 | N |