Deficiency Records for Chapel Manor
Updated as of April 01, 2018
This is not the most recent data for Chapel Manor. For the most recent information, click here.
A list of the most recent deficiencies for Chapel Manor. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-24 | 2017-10-10 | 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 | 2017-08-24 | 2017-10-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-24 | 2017-10-10 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-14 | 2017-09-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-14 | 2017-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-14 | 2017-09-29 | N |
| 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 | 2017-08-14 | 2017-09-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-14 | 2017-09-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-14 | 2017-09-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-12 | 2016-09-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-07-12 | 2016-09-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-12 | 2016-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-12 | 2016-09-20 | N |
| 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 | 2016-07-12 | 2016-09-20 | N |
| Provide or obtain dental services for each resident. | Health | 2016-07-12 | 2016-09-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-07-12 | 2016-09-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-12 | 2016-09-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-07-12 | 2016-09-20 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Proper backup exit lighting. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-12 | 2016-08-30 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-22 | 2015-12-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Portable fire extinguishers. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-09-22 | 2015-11-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-09-03 | 2015-10-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-03 | 2015-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-03 | 2015-10-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-03 | 2015-10-15 | N |
