Deficiency Records for Cheltenham Nursing and Rehab C
Updated as of October 01, 2018
This is not the most recent data for Cheltenham Nursing and Rehab C. For the most recent information, click here.
A list of the most recent deficiencies for Cheltenham Nursing and Rehab C. 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 power receptacles that are properly grounded. | Fire Safety | 2018-01-25 | 2018-03-09 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-07-20 | 2017-09-01 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-07-20 | 2017-09-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-20 | 2017-09-01 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-20 | 2017-09-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-20 | 2017-09-01 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-20 | 2017-09-01 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-09-01 | Y |
| Dispose of garbage and refuse properly. | Health | 2017-07-20 | 2017-09-01 | Y |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-07-20 | 2017-09-01 | Y |
| Provide or obtain dental services for each resident. | Health | 2017-07-20 | 2017-09-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-20 | 2017-09-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-20 | 2017-09-01 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2017-07-20 | 2017-09-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-20 | 2017-09-01 | Y |
| Meet other general requirements. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Use approved construction type or materials. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-03-08 | 2017-04-04 | 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 | 2017-03-08 | 2017-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-08 | 2017-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-08 | 2017-04-04 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-03-08 | 2017-04-04 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-03-08 | 2017-04-04 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-03-08 | 2017-04-04 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-03-08 | 2017-04-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-08 | 2017-04-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-08 | 2017-04-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-08 | 2017-04-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-08 | 2017-04-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-08 | 2017-04-04 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-08 | 2017-04-04 | 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 | 2017-03-08 | 2017-04-04 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-08 | 2017-04-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-16 | 2016-12-13 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-02-17 | 2016-03-15 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-17 | 2016-03-15 | N |
| Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2016-02-05 | 2016-03-15 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-05 | 2016-03-15 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2016-02-05 | 2016-03-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-05 | 2016-03-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-02-05 | 2016-03-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-05 | 2016-03-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-05 | 2016-03-15 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-02-05 | 2016-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-05 | 2016-03-15 | 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 | 2016-02-05 | 2016-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-05 | 2016-03-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-05 | 2016-03-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-19 | 2015-12-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-19 | 2015-12-01 | Y |
