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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-24 | 2023-02-19 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-03-04 | 2022-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-04 | 2022-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-04 | 2022-03-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-04 | 2022-03-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-04 | 2022-03-28 | 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 | 2022-03-04 | 2022-03-28 | 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 | 2022-03-04 | 2022-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-03-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-01 | 2022-03-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-01 | 2022-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-11-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-17 | 2020-04-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-17 | 2020-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-17 | 2020-04-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-17 | 2020-04-23 | N |
| Post nurse staffing information every day. | Health | 2020-03-17 | 2020-04-23 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-03-17 | 2020-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2018-12-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-29 | 2018-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2018-12-22 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-11-29 | 2018-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-29 | 2018-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-29 | 2018-12-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-11-29 | 2018-12-22 | 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 | 2018-11-29 | 2018-12-22 | 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 | 2018-11-29 | 2018-12-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-29 | 2018-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2018-12-22 | N |
