Deficiency Records for Chestnut Hill Lodge Health and Rehab Ctr
Updated as of October 01, 2019
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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Meet other general requirements. | Fire Safety | 2019-02-21 | 2019-04-15 | 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 | 2019-02-21 | 2019-04-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Have an externally vented heating system. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-21 | 2019-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-21 | 2019-04-15 | 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 | 2019-02-15 | 2019-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-15 | 2019-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-02-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-02-15 | 2019-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-15 | 2019-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-15 | 2019-02-25 | 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 | 2018-09-13 | 2018-09-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-09 | 2018-06-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-05-09 | 2018-05-30 | Y |
| 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 | 2018-03-12 | 2018-04-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-03-12 | 2018-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-12 | 2018-04-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-12 | 2018-04-30 | 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 | 2018-03-09 | 2018-04-30 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-03-09 | 2018-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-09 | 2018-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-09 | 2018-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-09 | 2018-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-09 | 2018-04-30 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2018-03-09 | 2018-04-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-03-09 | 2018-04-30 | N |
| Provide or obtain dental services for each resident. | Health | 2018-03-09 | 2018-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-09 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-09 | 2018-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-09 | 2018-04-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-25 | 2018-02-23 | Y |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-06-02 | 2017-07-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-01 | 2017-07-14 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-01-06 | 2017-02-03 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-01-06 | 2017-02-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-06 | 2017-02-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-06 | 2017-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-06 | 2017-02-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-06 | 2017-02-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-06 | 2017-02-03 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-01-06 | 2017-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-06 | 2017-02-03 | N |
| Hire a qualified dietician. | Health | 2017-01-06 | 2017-02-03 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-01-06 | 2017-02-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-06 | 2017-02-03 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2017-01-06 | 2017-02-03 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-01-06 | 2017-02-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-06 | 2017-02-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-06 | 2017-02-03 | Y |
| Meet other general requirements. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-01-09 | 2017-01-27 | 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 | 2017-01-09 | 2017-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-09 | 2017-01-27 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-12-28 | 2017-01-13 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-28 | 2017-01-13 | 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 | 2017-04-19 | Not Fixed | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-19 | Not Fixed | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-19 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-19 | Not Fixed | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-04-19 | Not Fixed | Y |
