Deficiency Records for Chelsea Rehabilitation and Healthcare Center
Updated as of January 01, 2019
This is not the most recent data for Chelsea Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Chelsea Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-03-01 | 2018-04-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-03-01 | 2018-04-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-03-01 | 2018-04-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-01 | 2018-04-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-01 | 2018-04-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-01 | 2018-04-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-01 | 2018-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-01 | 2018-04-10 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-03-01 | 2018-04-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-03-01 | 2018-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-01 | 2018-04-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-01 | 2018-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-01 | 2018-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-01 | 2018-04-10 | 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 | 2018-03-01 | 2018-04-10 | 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 ne | Health | 2018-03-01 | 2018-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-01 | 2018-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-01 | 2018-04-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-07 | 2017-07-26 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-07 | 2017-07-26 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-07 | 2017-07-26 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-07 | 2017-07-26 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-28 | 2017-03-23 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-02-09 | 2017-03-08 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-02-09 | 2017-03-08 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-09 | 2017-03-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-09 | 2017-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-09 | 2017-03-08 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-02-09 | 2017-03-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-09 | 2017-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-21 | 2017-01-17 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-21 | 2017-01-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-21 | 2017-01-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-21 | 2017-01-17 | Y |
| 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 | 2016-12-21 | 2017-01-17 | Y |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-12-21 | 2017-01-17 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-21 | 2017-01-17 | Y |
| 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 | 2016-02-04 | 2016-03-15 | 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 | 2016-02-04 | 2016-03-15 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-02-04 | 2016-03-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-02-04 | 2016-03-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-04 | 2016-03-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-04 | 2016-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-04 | 2016-03-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-04 | 2016-03-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-04 | 2016-03-15 | 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 | 2016-02-04 | 2016-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-04 | 2016-03-15 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-04 | 2016-03-15 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-02-04 | 2016-03-15 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-02-04 | 2016-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-04 | 2016-03-15 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-02-04 | 2016-03-15 | N |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | Health | 2016-02-04 | 2016-03-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-04 | 2016-03-15 | N |
