Deficiency Records for Chestnut Hill Lodge Health and Rehab Ctr
Updated as of September 01, 2016
This is not the most recent data for Chestnut Hill Lodge Health and Rehab Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Chestnut Hill Lodge Health and Rehab Ctr. 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? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-09 | 2016-04-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-09 | 2016-04-19 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-02-08 | 2016-04-12 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2016-02-08 | 2016-04-12 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-08 | 2016-04-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-08 | 2016-04-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-08 | 2016-04-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-08 | 2016-04-12 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-08 | 2016-04-12 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-08 | 2016-04-12 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-08 | 2016-04-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-08 | 2016-04-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-02-08 | 2016-04-12 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-02-08 | 2016-04-12 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-08 | 2016-04-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-08 | 2016-04-12 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-09 | 2016-03-21 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-02-09 | 2016-03-21 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-09 | 2016-03-21 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-09 | 2016-03-21 | N |
| Portable fire extinguishers. | Fire Safety | 2016-02-09 | 2016-03-21 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Portable fire extinguishers. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-12 | 2015-03-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-01-02 | 2015-01-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-02 | 2015-01-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-02 | 2015-01-30 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-01-02 | 2015-01-30 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-01-02 | 2015-01-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-11 | 2014-09-26 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-27 | 2014-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-02-27 | 2014-04-21 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-20 | 2014-04-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2014-01-07 | 2014-02-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-09-15 | Not Fixed | 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 | 2015-07-30 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-17 | Not Fixed | Y |
| 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 | 2015-05-05 | Not Fixed | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-22 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-15 | Not Fixed | Y |
