Deficiency Records for Cheltenham Nursing and Rehab C
Updated as of November 01, 2022
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? |
---|---|---|---|---|
Use approved construction type or materials. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-16 | 2022-07-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-16 | 2022-07-05 | 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 | 2022-05-13 | 2022-06-20 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-13 | 2022-06-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-20 | N |
Dispose of garbage and refuse properly. | Health | 2022-05-13 | 2022-06-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-09-06 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-07-19 | 2021-08-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-07-27 | Y |
Meet other general requirements. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Use approved construction type or materials. | Fire Safety | 2020-10-14 | 2020-12-11 | 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 | 2020-10-14 | 2020-12-11 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-10-14 | 2020-12-11 | 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 | 2020-10-14 | 2020-12-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-14 | 2020-12-11 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-14 | 2020-12-11 | 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 | 2020-10-06 | 2020-11-06 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-06 | 2020-11-06 | 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 | 2020-10-06 | 2020-11-06 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-06 | 2020-11-06 | 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 | 2020-01-06 | 2020-01-27 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-11 | 2020-01-09 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-11 | 2020-01-09 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Meet other general requirements. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-11 | 2019-12-02 | 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 | 2019-10-11 | 2019-12-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-11 | 2019-12-02 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-20 | 2019-10-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-20 | 2019-10-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-20 | 2019-10-25 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-09-20 | 2019-10-25 | N |
Dispose of garbage and refuse properly. | Health | 2019-09-20 | 2019-10-25 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-20 | 2019-10-25 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-20 | 2019-10-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-20 | 2019-10-10 | N |