Deficiency Records for Chandler Creek Post Acute
Updated as of September 01, 2016
This is not the most recent data for Chandler Creek Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Chandler Creek Post Acute. 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? |
|---|---|---|---|---|
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-12-01 | 2015-12-24 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-01 | 2015-12-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-01 | 2015-12-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-10 | 2015-12-24 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-12-10 | 2015-12-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-12-10 | 2015-12-24 | 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 | 2015-12-10 | 2015-12-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-12-10 | 2015-12-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-12-10 | 2015-12-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-08 | 2015-12-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-09-23 | 2015-10-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-23 | 2015-10-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-23 | 2015-10-22 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-09-23 | 2015-10-22 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2014-09-05 | 2014-10-06 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-09-05 | 2014-10-06 | Y |
| Provide housekeeping and maintenance services. | Health | 2014-09-05 | 2014-10-06 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-09-05 | 2014-10-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-05 | 2014-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-05 | 2014-10-06 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2014-09-05 | 2014-10-06 | Y |
| Properly maintained smoke detectors. | Fire Safety | 2014-09-05 | 2014-09-26 | N |
| An externally vented heating system. | Fire Safety | 2014-09-05 | 2014-09-26 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2014-09-05 | 2014-09-26 | N |
| 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 | 2013-03-22 | 2013-06-05 | 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 | 2013-03-22 | 2013-06-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-03-22 | 2013-06-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-03-22 | 2013-05-15 | N |
| Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2013-03-22 | 2013-05-15 | N |
| Try to resolve each resident's complaints quickly. | Health | 2013-03-22 | 2013-05-15 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2013-03-22 | 2013-05-15 | N |
| Allow residents to have visitors. | Health | 2013-03-22 | 2013-05-15 | N |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2013-03-22 | 2013-05-15 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-03-22 | 2013-05-15 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2013-03-22 | 2013-05-15 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2013-03-22 | 2013-05-15 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-03-22 | 2013-05-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-03-22 | 2013-05-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-03-22 | 2013-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-03-22 | 2013-05-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-03-22 | 2013-05-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-03-22 | 2013-05-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-03-22 | 2013-05-15 | 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 | 2013-03-22 | 2013-05-15 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2013-03-22 | 2013-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-03-22 | 2013-05-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-03-22 | 2013-05-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-03-22 | 2013-05-15 | N |
| Provide or obtain dental services for each resident. | Health | 2013-03-22 | 2013-05-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-03-22 | 2013-05-15 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-03-22 | 2013-05-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-03-22 | 2013-05-15 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2013-03-22 | 2013-05-15 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2013-03-22 | 2013-05-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2013-03-22 | 2013-05-15 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-03-20 | 2013-04-21 | N |
