Deficiency Records for Cheswick Rehabilitation and Wellness Center, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Cheswick Rehabilitation and Wellness Center, LLC. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2024-01-26 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-12-21 | 2024-01-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-21 | 2024-01-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-21 | 2024-01-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-21 | 2024-01-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-21 | 2024-01-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-01-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-21 | 2024-01-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-12-21 | 2024-01-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-21 | 2024-01-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-12 | 2024-01-19 | 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 | 2023-12-12 | 2024-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-12-12 | 2024-01-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-12 | 2024-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-12 | 2024-01-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-20 | 2023-04-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-20 | 2023-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-04-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-15 | 2023-02-08 | 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 | 2022-12-15 | 2023-02-08 | 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 | 2022-12-15 | 2023-02-08 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-12-15 | 2023-02-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-15 | 2023-02-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-15 | 2023-02-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-02-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-15 | 2023-02-08 | 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 | 2022-12-15 | 2023-02-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-15 | 2023-02-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-12-15 | 2023-02-08 | N |
| 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 | 2022-12-15 | 2023-02-08 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-12-15 | 2023-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-02-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-02-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-21 | 2023-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-21 | 2023-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-01 | 2022-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-24 | 2022-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-23 | 2022-02-07 | Y |
| 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 | 2021-12-23 | 2022-02-07 | Y |
| Provide information about how to apply for and use Medicare and Medicaid benefits. | Health | 2021-12-23 | 2022-02-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-23 | 2022-02-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-23 | 2022-02-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-23 | 2022-02-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-23 | 2022-02-07 | Y |
| 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 | 2021-12-23 | 2022-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-23 | 2022-02-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-23 | 2022-02-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-23 | 2022-02-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-23 | 2022-02-07 | 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 | 2021-12-23 | 2022-02-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-21 | 2022-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-01-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-21 | 2022-01-24 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-21 | 2022-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-01-24 | N |
