Deficiency Records for Chestnut Hill Lodge Health and Rehab Ctr
Updated as of January 01, 2022
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? |
|---|---|---|---|---|
| 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 | 2021-04-30 | 2021-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-30 | 2021-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-30 | 2021-07-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-30 | 2021-07-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-30 | 2021-06-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-30 | 2021-06-18 | 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 | 2021-04-30 | 2021-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-30 | 2021-06-18 | 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 | 2021-04-30 | 2021-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-30 | 2021-06-18 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-04-30 | 2021-06-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-30 | 2021-06-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-04-30 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-30 | 2021-06-18 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-04-30 | 2021-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-30 | 2021-06-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-12-01 | 2021-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-12-01 | 2021-01-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-10-30 | 2020-11-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-30 | 2020-11-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-30 | 2020-11-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-10-30 | 2020-11-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-10-30 | 2020-11-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-10 | 2019-12-24 | Y |
| 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 | 2019-12-10 | 2019-12-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-06 | 2019-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-06 | 2019-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-06 | 2019-11-13 | Y |
| 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 | 2019-10-06 | 2019-11-13 | Y |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-09 | 2018-06-05 | 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 | 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 |
| 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 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-09 | 2018-04-30 | 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 | 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 |
