CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Chapel Manor
View the most recent health deficiencies and inspection results for Chapel Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chapel Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-04 | 2026-03-05 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2025-12-03 | 2026-01-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-03 | 2026-01-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-12-03 | 2026-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-03 | 2026-01-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-12-03 | 2026-01-07 | 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 | 2025-12-03 | 2026-01-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-12-03 | 2026-01-07 | 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 | 2025-12-03 | 2026-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-03 | 2026-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-10 | 2025-12-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-03 | 2025-12-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-11-03 | 2025-12-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-03 | 2025-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2025-12-03 | 2025-12-09 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-03 | 2025-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-03 | 2025-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-03 | 2025-12-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-03 | 2025-12-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-12-03 | 2025-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-03 | 2025-10-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-05 | 2025-09-09 | Y |
| Keep all essential equipment working safely. | Health | 2025-06-04 | 2025-07-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-04 | 2025-07-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-28 | 2025-06-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-28 | 2025-06-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-01 | 2025-05-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-03-12 | 2025-04-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-03-12 | 2025-04-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Meet other general requirements. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-12-18 | 2025-02-17 | N |
| Post nurse staffing information every day. | Health | 2024-12-18 | 2025-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-18 | 2025-02-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-18 | 2025-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-18 | 2025-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-18 | 2025-02-10 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-12-18 | 2025-02-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-12-18 | 2025-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-18 | 2025-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-18 | 2025-02-10 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-12-18 | 2025-02-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-18 | 2025-02-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-12-18 | 2025-02-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-12-18 | 2025-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-18 | 2025-02-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-03 | 2024-11-18 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2024-10-03 | 2024-11-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-12 | 2024-09-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-12 | 2024-09-10 | 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 | 2024-08-12 | 2024-09-10 | Y |
| 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 | 2024-06-13 | 2024-07-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-07-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-13 | 2024-07-10 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-13 | 2024-07-10 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-31 | 2024-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-07-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-06 | 2024-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-18 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-26 | 2024-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-10 | 2024-04-17 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-10 | 2024-04-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-10 | 2024-04-17 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-06 | 2024-04-09 | 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 | 2024-03-06 | 2024-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2024-04-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-06 | 2024-04-09 | 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 | 2024-03-06 | 2024-04-09 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-06 | 2024-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-06 | 2024-04-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-06 | 2024-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-06 | 2024-04-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-03-06 | 2024-04-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-06 | 2024-04-09 | 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 | 2024-03-06 | 2024-04-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-06 | 2024-04-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-06 | 2024-04-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-07 | 2024-04-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-07 | 2024-04-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-18 | 2024-03-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-05 | 2023-08-23 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-22 | 2023-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-22 | 2023-08-22 | Y |