Deficiency Records for Chandler Hall Health Services
Updated as of April 01, 2022
This is not the most recent data for Chandler Hall Health Services. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 other general requirements that are deficient. | 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-16 | 2020-12-26 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-12 | 2019-12-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-12 | 2019-12-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-12 | 2019-12-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-12 | 2019-12-24 | 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 | 2019-11-12 | 2019-12-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-12-20 | 2019-03-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-20 | 2019-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-20 | 2019-03-12 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-12-20 | 2019-03-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-12-20 | 2019-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-20 | 2019-02-18 | 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 | 2018-12-20 | 2019-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-20 | 2019-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-02-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-20 | 2019-02-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-20 | 2019-02-18 | N |
